Evaluation of a Family Strengthening Program Evaluation in Sierra Leone to Prevent Family Separation

Boston College226 enrolled

Overview

In Sierra Leone, poverty and challenges with family functioning can lead to family separation, and children may go to live on the street or enter residential care institutions/orphanages. Helping Children Worldwide (HCW), a non-profit organization with over 20 years of experience in Sierra Leone, has developed a two-part Family Strengthening Program delivered by their program partners in Sierra Leone, the Child Reintegration Centre, to improve families financial literacy and attachment between caregivers and children, with the ultimate goal of preventing family separation. The hypothesis of this study is that the Family Strengthening Program program is effective at (1) changing parenting behaviors, (2) improving emotional regulation, (3) improving caregiver-child attachment, and (4) improving financial literacy in dyads consisting of children ages 9-13 and their caregivers.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

226

Conditions

Parent-Child Relations Emotion Regulation Economic Problems

Interventions

Family strengthening programBEHAVIORAL

Phase I: 2-day Family Strengthening Workshop. The specific topics included in the workshop include: emotions, Body Progressive Muscle Relaxation, body stretch, self care, apologizing, routines to promote attachment, teamwork, saving, delayed gratification, anticipating unexpected expenses, identifying family strengths and values. Phase II: Case management with family strengthening curriculum. Curriculum is delivered over the course of four visits (about 3 months), some of which involve both caregiver and child while others are just for the caregiver. Topics included are using appropriate discipline, effective communication for family problem-solving, and home budgeting.

Eligibility

Sex: ALLMin age: 9 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion criteria: 1. Dyads must consist of a principal child (the one whose situation initiated their involvement with the Child Reintegration Centre) and their primary caregiver (as defined by the Child Reintegration Centre as the person in the family primarily responsible for the health and wellbeing of the principal child and is noted as such in their case file) 2. Primary child is ages 9-13 3. Dyad is actively participating in Child Reintegration Centre services (i.e., child must have been seen by the case manager in the last month) 4. Dyad lives in the Bo area. Exclusion criterion: (1) Family has been assessed by the Child Reintegration Centre to be in active crisis, i.e., specific concerns about the child being at-risk or unsafe (suspicions of abuse or neglect).

Outcomes

Primary Outcomes

Caregiver and child change in emotional regulation as measured by the Difficulties in Emotional Regulation (DERS) scale