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The purpose of the Mother Child Education Program (MOCEP)-a group-based early childhood development parenting education program-is to provide school-readiness and parenting skills to mothers of young children who do not have access to preschool education services. The MOCEP intervention also provides a setting in which caregivers can model pro-social behaviors and practice conflict resolution techniques directly with young children.
The purpose of the evaluation study is to rigorously evaluate the impact of MOCEP on child and parent outcomes among Palestinian refugees in Beirut, Lebanon. This evaluation employs an innovative, mixed-methods bio-behavioral approach to investigate the associations among social contexts; maternal, child and family functioning; and reduction in violence through the promotion of harmonious family relationships. The results of this study have implications for improving the lives of and reducing violence for the hundreds of thousands of families with young children living in fragile contexts. We hypothesize that when MOCEP is implemented with fidelity (i.e., delivered as intended by design), participating families will experience reduced violence in their homes and have better individual and intra-family outcomes than families who do not participate in the program.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MOCEP | Experimental | MOCEP is implemented over a period of 25 weeks, through weekly group meetings that last approximately three hours. |
|
| Waitlist Control Group | Active Comparator | For ethical reasons, no one recruited will be excluded from the opportunity to benefit from the intervention. MOCEP group will be the primary intervention group and the second group will act as the wait-listed control group. Although the families in the wait-listed control group will start out as a control group (not receiving the intervention), they will have the opportunity to participate in the intervention in a later round of implementation, after the intervention group has completed the program. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MOCEP | Behavioral | Through parent support and an evidence-based curriculum, MOCEP uses education to reduce risk factors that hinder children's health and wellbeing. |
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| Measure | Description | Time Frame |
|---|---|---|
| Disciplinary Style Questionnaire | Parent report measure of parental disciplinary style assesses the frequency with which parents engage in seven forms of discipline when dealing with children's undesirable behavior | 25 weeks |
| Better Parenting Questionnaire | 11 Item questionnaire that measures parental knowledge, attitudes and practices regarding education and learning, child development and discipline / child rearing. | 25 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Socio-Emotional Status: Strengths and Difficulties Questionnaire (child assessment) | Parent report measure assesses children's emotional and conduct problems, hyperactivity, and peer relations. | 25 weeks |
| Parental Stress Index |
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Inclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| James Leckman, MD | Yale University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bourj el-Barajneh refugee camp | Beirut | Lebanon | ||||
| Charila |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32014538 | Derived | Ponguta LA, Issa G, Aoudeh L, Maalouf C, Hein SD, Zonderman AL, Katsovich L, Khoshnood K, Bick J, Awar A, Nourallah S, Householder S, Moore CC, Salah R, Britto PR, Leckman JF. Effects of the Mother-Child Education Program on Parenting Stress and Disciplinary Practices Among Refugee and Other Marginalized Communities in Lebanon: A Pilot Randomized Controlled Trial. J Am Acad Child Adolesc Psychiatry. 2020 Jun;59(6):727-738. doi: 10.1016/j.jaac.2019.12.010. Epub 2020 Jan 31. |
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Assessment of maternal stress
| 25 weeks |
| Duke Social Support Index | Addresses social support in two domains: social interaction and subjective support | 25 weeks |
| Beirut |
| Lebanon |
| Mar Elias Refugee Camp | Beirut | Lebanon |