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希望之旅的动态适应:一项基于学校的干预措施,以支持受疫情和灾难影响的儿童和青少年。

The Dynamic Adaptation of the Journey of Hope: A School-Based Intervention to Support Pandemic and Disaster-Affected Children and Youth.

作者信息

Powell Tara, Wetzel Greta, Berger Cardoso Jodi

机构信息

Tara Powell, PhD, is associate professor, School of Social Work, University of Illinois at Urbana-Champaign, 1010 W. Nevada Street, Office 2040, Urbana, IL 61801, USA.

Greta Wetzel, LCSW, is senior advisor, Save the Children, Fairfield, CT, USA.

出版信息

Child Sch. 2024 Aug 30;46(4):233-243. doi: 10.1093/cs/cdae020. eCollection 2024 Oct.

Abstract

The Journey of Hope (JoH) is an evidence-based behavioral health prevention intervention model designed for disaster-affected children and youth. While the in-person JoH model has been extensively delivered and studied, the virtual implementation of this intervention, specifically tailored for the unique needs of children and youth during the COVID-19 pandemic, has not been previously explored. In this context, authors of this article adapted the JoH to a virtual delivery model, aiming to provide access to behavioral health preventive services for children and youth during the COVID-19 pandemic when in-person services were not feasible. This adaptation, utilizing the dynamic adaptation process (DAP) and community-based participatory research (CBPR) principles, was carefully designed to meet pandemic-related challenges while maintaining the core components of the original intervention. The primary objectives of this article are twofold: (1) to provide an overview of the theoretical and conceptual underpinnings of the JoH-C19, including the framework that guided the adaptation, and (2) to describe the virtually adapted curriculum and initial pilot of the JoH-C19. This adaptation represents a crucial step in ensuring the accessibility of virtual behavioral health interventions for young populations facing various collective traumas and challenges in a rapidly evolving world.

摘要

希望之旅(JoH)是一种基于证据的行为健康预防干预模型,专为受灾难影响的儿童和青少年设计。虽然面对面的JoH模型已得到广泛应用和研究,但针对新冠疫情期间儿童和青少年的独特需求而专门设计的该干预措施的虚拟实施方式,此前尚未得到探索。在此背景下,本文作者将JoH改编为虚拟交付模式,旨在在新冠疫情期间面对面服务不可行时,为儿童和青少年提供行为健康预防服务。这种改编利用了动态适应过程(DAP)和基于社区的参与性研究(CBPR)原则,经过精心设计,以应对与疫情相关的挑战,同时保留原始干预措施的核心组成部分。本文的主要目标有两个:(1)概述JoH-C19的理论和概念基础,包括指导改编的框架;(2)描述JoH-C19的虚拟改编课程和初步试点情况。这种改编是确保虚拟行为健康干预措施能够惠及在快速变化的世界中面临各种集体创伤和挑战的年轻人群体的关键一步。

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