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Exploring the Determinants of Successful Implementation of a Preventive Mental Health and Wellness Intervention for Afghan Refugee Families: A Qualitative Analysis
- Source :
-
Health Education Research . 2024 39(2):119-130. - Publication Year :
- 2024
-
Abstract
- Many refugee children experience trauma in early childhood. Effective, tailored interventions are needed to improve refugee children's access to preventive mental health. We interviewed refugee-serving stakeholders and parents participating in an evidence-based preventive mental health and wellness intervention adapted for Afghan refugee children and families who may have experienced trauma. Interview guide development was informed by two implementation science frameworks: the Consolidated Framework for Implementation Research and the Model for Adaptation Design and Impact. A three-person team coded transcripts via rapid qualitative analysis, and the study team reached consensus on themes. Six refugee-serving facilitators and five refugee parents discussed key determinants of successful implementation. Themes included: (i) modeling cultural humility to promote communication about emotions; (ii) needed linguistic support and referral networks to avoid miscommunications and missed communications; (iii) bridging connections between children, families and schools; (iv) different takeaways, or differing goals and expectations between facilitators and participants; and (v) timely, specific cultural considerations to overcome participation barriers. Overall, we found key determinants of successful implementation of a preventive mental health and wellness intervention for refugee children and families included adaptations to enhance cultural humility and sensitivity to cultural context while strengthening communication among facilitators, children and families.
Details
- Language :
- English
- ISSN :
- 0268-1153 and 1465-3648
- Volume :
- 39
- Issue :
- 2
- Database :
- ERIC
- Journal :
- Health Education Research
- Publication Type :
- Academic Journal
- Accession number :
- EJ1418109
- Document Type :
- Journal Articles<br />Reports - Research
- Full Text :
- https://doi.org/10.1093/her/cyad034