Healing the emotional wounds of children who have engaged in work illegally: A multi-country feasibility study of a co-produced arts-based program

治愈非法打工儿童的情感创伤：联合制作的艺术项目的多国可行性研究

• 批准号: ES/X012131/1
• 负责人: Jennifer Lau
• 金额: $ 93.35万
• 依托单位: Queen Mary University of London
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2024
• 资助国家: 英国
• 起止时间: 2024 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FX012131%2F1
• 关键词: Healing; emotional; wounds; children; who; Healing; emotional; wounds; children; who

Child labour affects up to one in 4 children from low and medium income countries (LMICs) and deprives young people of their education, future opportunities and prosperity, and undermines progress towards the Sustainable Development Goals. Eradicating child labour is an urgent priority for governments, non-governmental organisations and inter governmental organisations. In some Asian LMICs, there are also parallel efforts to "rescue and reintegrate" child labourers. These programmes remove young people from illegal employment and provide shelter, food and legal and medical assistance, and help them to re-integrate with their families and in education. The emotional wounds that follow chronic exposure victimisation that often arises during illegal work can affect young peoples' adjustment. Helping these vulnerable young people manage symptoms of anxiety, depression and post-traumatic stress and build emotional resilience is integral to these young peoples' re-adjustment, while also reducing risks for the onset of common mental and physical non-communicable diseases that add to the healthcare burden of LMICs. Arts interventions offer numerous health benefits. In young people, arts-based programmes show consistent, moderate-sized effects at reducing emotional symptoms including among samples who have experienced trauma. Consistent with these data, staff working in shelters emphasise daily use of creative techniques to lift mood, improve self-esteem and encourage optimism. Young people who have engaged with illegal work also highlight that they find the use of arts in their healing attractive, particularly if they also enable them to share experiences and connect with peers. Perhaps because arts programmes speak to individuals' talents and interests, are less formal and stigmatising, they may be more acceptable to these vulnerable young people. Arts-based interventions are also versatile in where they are delivered (schools and other community settings) and, with training, can by delivered by non-expert practitioners.Yet, because of their longstanding marginalised role in society and their relative lack of exposure to formal education settings, arts-based programmes developed for young people who have experienced trauma in high-income countries may require tailoring to increase their accessibility.Here, we propose to adapt, deliver and formatively evaluate an arts-based group intervention to children and young people who have a history of illegal work. We will also aim to communicate the findings. We will conduct our research in Bangladesh, India and Nepal because of efforts by governments and non-governmental organisations to rescue and re-integrate child labourers and a commitment to reduce numbers employed illegally. We also have long-standing partnerships with shelters that can help pioneer this research. We propose 4 work-packages (WP).WP1 involves online and in-person workshops, where we will co-adapt, with UK-based art therapists and creative practitioners from these countries, a manualised protocol for an arts-based group intervention to children with a history of engaging with illegal work. In WP2, we will pilot test this programme and refine the manual and protocol based on feedback of these young people and shelter staff.In WP3, we will deliver the intervention in shelters in these three countries in 3 randomised controlled trials that aim primarily to assess feasibility (uptake, retention) and acceptability (tolerability, safety) and secondarily, the range of effect sizes associated with emotional symptom reduction and well-being increases.In WP4,we will communicate our data to key stakeholders and use these to generate discussions on broader implementation routes and barriers. Findings will be summarised through academic and non-academic routes to maximise impact. Coproduction with lived experience researchers and capacity-building among research teams will occur across WPs

童工将影响来自中低收入国家（LMIC）的四分之一的儿童（LMIC），并剥夺了年轻人的教育，未来的机会和繁荣，并破坏了朝着可持续发展目标迈进的进步。根除童工是政府，非政府组织和政府间组织的紧急优先事项。在某些亚洲LMIC中，也有平行的努力来“营救和重新融入”童工。这些计划将年轻人从非法就业中删除，并提供庇护所，食品以及法律和医疗援助，并帮助他们与家人和教育重新融合。在非法工作期间经常出现的长期暴露受害的情绪伤口会影响年轻人的适应。帮助这些脆弱的年轻人管理焦虑，抑郁和创伤后压力的症状并建立情绪韧性是这些年轻人重新调整的必不可少的，同时还降低了常见的精神和身体非传染性疾病的风险，这些疾病增加了LMIC的医疗保健负担。艺术干预措施提供了许多健康益处。在年轻人中，基于艺术的计划在减少经历过创伤的样本中的情绪症状方面表现出一致，中等大小的影响。与这些数据一致，在庇护所工作的工作人员强调日常使用创意技术来提高情绪，提高自尊心并鼓励乐观。从事非法工作的年轻人也强调，他们发现艺术在康复中使用了吸引力，尤其是当他们还使他们能够分享经验并与同龄人建立联系时。也许是因为艺术计划与个人的才能和兴趣交谈，因此不那么正式和污名化，因此这些脆弱的年轻人可能更容易接受。基于艺术的干预措施在交付的地方（学校和其他社区环境）中也具有多功能性，并且通过培训可以通过非专家实践者进行培训，因为它们在社会中长期存在边缘化的角色，并且相对缺乏正规教育环境的相对缺乏接触正规教育环境的暴露，从而提高了范围的范围，可以提高范围的范围。基于艺术的小组干预对有非法工作历史的儿童和年轻人。我们还将旨在传达发现。由于政府和非政府组织的努力，我们将在孟加拉国，印度和尼泊尔进行研究，以营救和重新融合童工，并承诺非法减少雇用的人数。我们还与避难所建立了长期的合作伙伴关系，可以帮助这项研究。我们提出了4个工作包（WP）.WP1涉及在线和面对面的研讨会，我们将与来自英国的艺术治疗师和这些国家的创意从业人员共同批准，这是对有艺术的小组干预的手动协议，以对有非法工作的历史记录。在WP2中，我们将试用该计划进行试验，并根据这些年轻人和住所工作人员的反馈来完善手动和协议。在WP3中，我们将在3个随机对照试验中对这三个国家 /地区的庇护所进行干预，旨在评估可行性（UPTAKE，保留，保留）和可接受性（可接受性，安全性，安全性），并使范围与范围相关联4的范围。我们对关键利益相关者的数据，并使用这些数据来就更广泛的实施路线和障碍进行讨论。调查结果将通过学术和非学术途径总结，以最大程度地发挥影响力。 WPS中将发生与研究人员的生活经验和研究团队之间的能力建设