A Pilot Intervention to Promote Positive Parenting in Refugees from Syria in Lebanon and Jordan

Lakkis, Najla A.; Osman, Mona; Aoude, Lara; Maalouf, Cosette; Issa, H.; Issa, Ghassan

doi:10.3389/fpsyt.2020.00257

Cited by 26 publications

(31 citation statements)

References 55 publications

(38 reference statements)

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“…However, few interventions have been tested in low-and middle-income countries, along with even fewer in contexts of conflict and displacement [21,22]. In light of increasing awareness in recent years of the significant role that parents play, family-based approaches including both caregivers and their children in psychosocial care are becoming more recognised as a key approach in supporting families that have experienced conflict and displacement [23][24][25].…”

Section: Introductionmentioning

confidence: 99%

Enhancing Teaching Recovery Techniques (TRT) with Parenting Skills: RCT of TRT + Parenting with Trauma-Affected Syrian Refugees in Lebanon Utilising Remote Training with Implications for Insecure Contexts and COVID-19

El-Khani

Cartwright

Maalouf

et al. 2021

IJERPH

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Child psychosocial recovery interventions in humanitarian contexts often overlook the significant effect that caregivers can have on improving children’s future trajectory. We enhanced the well-established, evidenced-based child trauma recovery programme Teaching Recovery Techniques (TRT) intervention with parenting sessions, i.e., TRT + Parenting (TRT + P), which aims to improve parent mental health and their ability to support their children’s mental health. We describe the findings of a three-arm randomised controlled trial comparing enhanced TRT + P vs. TRT and waitlist. The primary aim was to test if children in the enhanced arm of the programme show improved child and caregiver mental health. We recruited 119 Syrian refugee children and one of their caregivers in Beqaa Valley in Lebanon. They were randomised to the TRT, TRT + P, or waitlist control group. Data were collected at baseline and 2 weeks and 12 weeks post intervention. Training of facilitators was via remote training from the United Kingdom. Results showed a highly consistent pattern, with children in the enhanced TRT + P group showing the greatest levels of improvement in behavioural and emotional difficulties compared to children in the TRT or waitlist control groups. Caregivers in the TRT + P group also reported significant reductions in depression, anxiety, and stress. Findings indicate that the addition of the evidence-based parenting skills components has the potential to enhance the effects of interventions designed to improve children’s mental health in contexts of trauma, conflict, and displacement. Implications for COVID-19 remote learning are also discussed.

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Section: Introductionmentioning

confidence: 99%

Enhancing Teaching Recovery Techniques (TRT) with Parenting Skills: RCT of TRT + Parenting with Trauma-Affected Syrian Refugees in Lebanon Utilising Remote Training with Implications for Insecure Contexts and COVID-19

El-Khani

Cartwright

Maalouf

et al. 2021

IJERPH

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“…Child Health Nurs Res, Vol.28, No.1, January 2022: [23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] The x2 null hypothesis test was conducted to assess the statistical heterogeneity of the effect size, and significant heterogeneity was confirmed after conducting the Higgins I² test. I² values of 0.0%, 50.0%, and 75.0% indicated no, moderate, and high heterogeneity, respectively.…”

Section: Chnrmentioning

confidence: 99%

“…Child Health Nurs Res, Vol.28, No.1, January 2022: [23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] be because it might be more difficult to change established parenting attitudes or styles among parents of older children compared to parents of younger children. Parents with young children may still be experimenting with various parenting attitudes and styles, and PEPs were more useful for parents of young children with less parenting experience.…”

Section: Chnrmentioning

confidence: 99%

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Effects of parenting education programs for refugee and migrant parents: a systematic review and meta-analysis

Lee¹,

Kim²

2022

Child Health Nurs Res

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Purpose: This systematic review and meta-analysis investigated the effects of parenting education programs (PEPs) for refugee and migrant parents.Methods: A systematic review was conducted according to PRISMA guidelines. Relevant studies published from 2000 to 2020 were identified through a systematic search of six electronic databases (PubMed, Embase, Cochrane Library, CINAHL, RISS, KMBASE). A meta-analysis of the studies was then undertaken.Results: Of the 14,996 published works identified, 23 studies satisfied the inclusion criteria, and 19 studies were analyzed to estimate the effect sizes (standardized mean differences) of the PEPs using random-effect models. PEPs were effective for parenting efficacy (effect size [ES]=1.40; 95% confidence interval [CI]: 1.14-1.66), positive parenting behaviors (ES=0.51; 95% CI: 0.30-0.73), parent-child relationships (ES=0.38; 95% CI: 0.22-0.53), and parenting stress (ES=0.64; 95% CI: 0.50-0.79). There were statistically significant differences in the effect sizes of PEPs that included mothers only (ES=0.93), included children under 7 years of age(ES=0.91), did not include child participation (0.77), continued for 19 or more sessions (ES=0.80), and were analyzed in quasi-experimental studies (ES=0.86). The overall effect of publication bias was robust.Conclusion: PEPs were found to be effective at improving parenting efficacy, positive parenting behaviors, parent-child relationships, and parenting stress.

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“…Given the ongoing conflicts in the Middle East and the day-to-day challenges that families are facing in the region, Dr. Issa, who directs ARC, and his team have now developed a more condensed parent training program, the 'Health, Early Learning and Protection Parenting Programme'. It is currently being scaled up following an evaluation of a recent pilot implementation in both Lebanon and Jordan (Lakkis et al, 2020). Importantly, ARC also now hosts the Arab Network for Early Childhood Development https://www.facebook.com/programaprimeirainfancia).…”

Section: The Impact Of Mocep Among Refugee and Other Marginalized Commentioning

confidence: 99%

Pathways to a more peaceful and sustainable world: The transformative power of children in families

et al. 2020

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This article provides an overview of selected ongoing international efforts that have been inspired by Edward Zigler's vision to improve programs and policies for young children and families in the United States. The efforts presented are in close alignment with three strategies articulated by Edward Zigler: (a) conduct research that will inform policy advocacy; (b) design, implement, and revise quality early childhood development (ECD) programs; and (c) invest in building the next generation of scholars and advocates in child development. The intergenerational legacy left by Edward Zigler has had an impact on young children not only in the United States, but also across the globe. More needs to be done. We need to work together with a full commitment to ensure the optimal development of each child.

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A Pilot Intervention to Promote Positive Parenting in Refugees from Syria in Lebanon and Jordan

Cited by 26 publications

References 55 publications

Enhancing Teaching Recovery Techniques (TRT) with Parenting Skills: RCT of TRT + Parenting with Trauma-Affected Syrian Refugees in Lebanon Utilising Remote Training with Implications for Insecure Contexts and COVID-19

Enhancing Teaching Recovery Techniques (TRT) with Parenting Skills: RCT of TRT + Parenting with Trauma-Affected Syrian Refugees in Lebanon Utilising Remote Training with Implications for Insecure Contexts and COVID-19

Effects of parenting education programs for refugee and migrant parents: a systematic review and meta-analysis

Pathways to a more peaceful and sustainable world: The transformative power of children in families

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