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Family Strengthening in the Context of COVID-19: Adapting a Community-Based Intervention from Kenya to the United States.
Puffer, Eve S; Johnson, Savannah L; Quick, Kaitlin N; Rieder, Amber D; Mansoor, Mahgul; Proeschold-Bell, Rae Jean; Jones, Sierra; Moore-Lawrence, Shaneeka; Rasmussen, Justin D; Cucuzzella, Cameron; Burwell, Francelia; Dowdy, Latoria; Moore, Florine; Rosales, Nancy; Sanyal, Ameya; Ramachandran, Preetha; Duerr, Emmy; Tice, Logan; Ayuku, David; Boone, Wanda J.
  • Puffer ES; Department of Psychology and Neuroscience, Duke University, Durham, NC, USA. eve.puffer@duke.edu.
  • Johnson SL; Duke Global Health Institute, Duke University, Durham, NC, USA. eve.puffer@duke.edu.
  • Quick KN; Department of Psychology and Neuroscience, Duke University, Durham, NC, USA.
  • Rieder AD; Duke Global Health Institute, Duke University, Durham, NC, USA.
  • Mansoor M; Duke Global Health Institute, Duke University, Durham, NC, USA.
  • Proeschold-Bell RJ; Duke Global Health Institute, Duke University, Durham, NC, USA.
  • Jones S; Duke Global Health Institute, Duke University, Durham, NC, USA.
  • Moore-Lawrence S; Duke Global Health Institute, Duke University, Durham, NC, USA.
  • Rasmussen JD; Department of Psychology and Neuroscience, Duke University, Durham, NC, USA.
  • Cucuzzella C; Together for Resilient Youth, Durham, NC, USA.
  • Burwell F; Department of Psychology and Neuroscience, Duke University, Durham, NC, USA.
  • Dowdy L; Department of Psychology and Neuroscience, Duke University, Durham, NC, USA.
  • Moore F; Together for Resilient Youth, Durham, NC, USA.
  • Rosales N; Together for Resilient Youth, Durham, NC, USA.
  • Sanyal A; Together for Resilient Youth, Durham, NC, USA.
  • Ramachandran P; Together for Resilient Youth, Durham, NC, USA.
  • Duerr E; Department of Psychology and Neuroscience, Duke University, Durham, NC, USA.
  • Tice L; Duke Global Health Institute, Duke University, Durham, NC, USA.
  • Ayuku D; Duke Global Health Institute, Duke University, Durham, NC, USA.
  • Boone WJ; Department of Psychology and Neuroscience, Duke University, Durham, NC, USA.
Prev Sci ; 2022 Aug 30.
Article in English | MEDLINE | ID: covidwho-2014320
ABSTRACT
COVID-19 led to widespread disruption of services that promote family well-being. Families impacted most were those already experiencing disparities due to structural and systemic barriers. Existing support systems faded into the background as families became more isolated. New approaches were needed to deliver evidence-based, low-cost interventions to reach families within communities. We adapted a family strengthening intervention developed in Kenya ("Tuko Pamoja") for the United States. We tested a three-phase participatory adaptation process. In phase 1, we conducted community focus groups including 11 organizations to identify needs and a community partner. In phase 2, the academic-community partner team collaboratively adapted the intervention. We held a development workshop and trained community health workers to deliver the program using an accelerated process combining training, feedback, and iterative revisions. In phase 3, we piloted Coping Together with 18 families, collecting feedback through session-specific surveys and participant focus groups. Community focus groups confirmed that concepts from Tuko Pamoja were relevant, and adaptation resulted in a contextualized intervention-"Coping Together"-an 8-session virtual program for multiple families. As in Tuko Pamoja, communication skills are central and applied for developing family values, visions, and goals. Problem-solving and coping skills then equip families to reach goals, while positive emotion-focused activities promote openness to change. Sessions are interactive, emphasizing skills practice. Participants reported high acceptability and appropriateness, and focus groups suggested that most content was understood and applied in ways consistent with the theory of change. The accelerated reciprocal adaptation process and intervention could apply across resource-constrained settings.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Qualitative research / Randomized controlled trials Language: English Journal subject: Science Year: 2022 Document Type: Article Affiliation country: S11121-022-01418-9

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Qualitative research / Randomized controlled trials Language: English Journal subject: Science Year: 2022 Document Type: Article Affiliation country: S11121-022-01418-9