Implementing a School-Based Child Mental Health Prevention Program in Uganda

在乌干达实施基于学校的儿童心理健康预防计划

基本信息

批准号：
8656441
负责人：
Keng-Yen Huang
金额：
$ 22.66万
依托单位：
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-05-01 至 2016-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8656441
关键词：
Address Adoption Africa South of the Sahara African Anxiety Attention Behavior Behavioral Child Child Mental Health Child Welfare Collaborations Communicable Diseases Communication Communities Community Health Competence Country Development Disadvantaged Education Effectiveness Emotional Environment Evaluation Evidence based program Family Future Goals Guidelines Health Health Professional Health Resources Health Services Needs Health system High Prevalence Human Resources Intervention Knowledge Life Maintenance Manuals Mental Depression Mental Health Mental Health Services Mental health promotion Monitor Orphan Outcome Parenting behavior Parents Personal Satisfaction Policies Population Population Heterogeneity Poverty Practice Management Prevention Prevention program Preventive Preventive Intervention Primary Schools Problem behavior Procedures Process Public Health Randomized Randomized Controlled Trials Recommendation Relative (related person)Research Resources Role School Teachers Schools Scientist Services Solutions Stress Students Supervision System Time Training Training Programs Translating Uganda Universities Violence Waiting Lists Work abuse neglect base cost effective design dissemination research early childhood evidence base experience follow-up high school improved intervention effect member population based prevent programs public health relevance skills social success teacher universal prevention violence prevention

项目摘要

DESCRIPTION (provided by applicant): Children in Sub-Saharan-Africa (SSA) are burdened by significant unmet mental health needs, but this region has limited access to mental health workers and resources to address these needs. Despite the success of numerous family and school interventions for violence prevention and mental health promotion, most evidence-based preventive programs are not yet available in SSA. This proposal (R21) seeks to apply a cost-effective population strategy to address the existing mental health service and resource gaps by adapting and implementing an empirically-supported school-based child mental health preventive program, ParentCorps (PC), to schools in Uganda. PC is a culturally-informed universal school-based intervention for young children from disadvantaged communities. PC aims to promote 1) teacher and parent knowledge about child mental health; 2) effective behavior management practices by teachers and parents; 3) teacher and school family engagement practices and policies, and 4) child socioemotional and behavioral competencies with the long- term goal of preventing mental health problems and promoting school success and well-being. PC has been shown to be highly acceptable to ethnically diverse populations in the US. It also has robust and sustained effects on all targeted teacher, parenting, and child outcomes. Yet, this empirically-supported program is not available to children outside of the US. An adaptation of PC would overcome barriers to access universal preventive intervention for Ugandan children. The objectives of this proposal are to: 1) develop a culturally- informed adaptation of PC for Ugandan young children, 2) build human resource capacity to support prevention work and PC implementation; and 3) implement and evaluate the effectiveness of PC when delivered in a real-world school setting. The proposed research involves collaboration with Ugandan mental health and public health experts and school communities to adapt the program, and implement and evaluate the adapted program. This project will yield a prevention program manual that fits the context of Uganda, will improve human resources in child mental health, and provide a feasible implementation process. It will also advance the fields' knowledge and generate new policy and practice recommendations to reduce the global mental health burden among children in low-resource countries. Public Health Relevance: This proposal not only addresses existing human resource barriers in Uganda, but also provides a rich opportunity to study implementation-dissemination research questions (including understanding factors that contribute to quality of implementation, and strategies to overcome implementation challenges in low resource communities). The proposed research will contribute to the development of future mental health prevention management systems in SSA and provide a framework for disseminating evidence-based child mental health programs in SSA.

描述（由申请人提供）：撒哈拉以南非洲 (SSA) 的儿童面临着严重未满足的心理健康需求，但该地区获得心理健康工作者和满足这些需求的资源有限。尽管许多家庭和学校在预防暴力和促进心理健康方面的干预措施取得了成功，但大多数基于证据的预防计划在 SSA 尚不可用。该提案 (R21) 旨在通过在乌干达的学校调整和实施基于经验的学校儿童心理健康预防计划 ParentCorps (PC)，应用具有成本效益的人口战略，以解决现有的心理健康服务和资源缺口。。 PC 是一种基于文化的、基于学校的普遍干预措施，针对来自弱势社区的幼儿。 PC 旨在促进 1) 教师和家长有关儿童心理健康的知识； 2）教师和家长有效的行为管理实践； 3) 教师和学校的家庭参与实践和政策，以及 4) 儿童的社会情感和行为能力，其长期目标是预防心理健康问题和促进学校的成功和福祉。事实证明，PC 被美国不同种族的人群高度接受。它还对所有目标教师、家长和儿童的成果产生强大和持续的影响。然而，这个基于经验的计划不适用于美国以外的儿童。 PC 的改编将克服乌干达儿童获得普遍预防性干预的障碍。该提案的目标是：1) 为乌干达幼儿开发基于文化的 PC 改编版本，2) 建设人力资源能力以支持预防工作和 PC 实施； 3) 在现实学校环境中实施并评估 PC 的有效性。拟议的研究涉及与乌干达心理健康和公共卫生专家以及学校社区合作，以调整该计划，并实施和评估调整后的计划。该项目将产生适合乌干达国情的预防规划手册，将改善儿童心理健康方面的人力资源，并提供可行的实施流程。它还将推进该领域的知识并产生新的政策和实践建议，以减轻资源匮乏国家儿童的全球心理健康负担。公共卫生相关性：该提案不仅解决了乌干达现有的人力资源障碍，而且还提供了研究实施传播研究问题的丰富机会（包括了解有助于实施质量的因素以及克服资源匮乏社区实施挑战的策略））。拟议的研究将有助于SSA未来心理健康预防管理系统的发展，并为在SSA传播基于证据的儿童心理健康项目提供框架。