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| Name | Class |
|---|---|
| Christian Alliance for Orphans | UNKNOWN |
| Helping Children Worldwide | UNKNOWN |
| Child Reintegration Centre | UNKNOWN |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Family strengthening program | Experimental |
| |
| Care as usual | No Intervention | These participants have already been receiving case management from the Child Reintegration Centre prior to the study, and they will continue to receive care as usual, which is to receive normal case management visits without this added Family Strengthening Program component. Case management consists of a social work staff alternating between visiting children at home or at school each month to provide supervision, coaching, counseling, assessments, and identification of additional support needs. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Family strengthening program | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Caregiver and child change in emotional regulation as measured by the Difficulties in Emotional Regulation (DERS) scale | Baseline: Up to 2 months before intervention; Endline: Up to 2 months after intervention | |
| Change in child attachment as measured by the Inventory of Parent and Peer Attachment (IPPA) | Baseline: Up to 2 months before intervention; Endline: Up to 2 months after intervention | |
| Change in caregiver- and child-reported use of punishment by caregiver | Measures developed for this study tailored for context; e.g., flogging child with hand or cane, public shaming, withholding food | Baseline: Up to 2 months before intervention; Endline: Up to 2 months after intervention |
| Change in self-reported economic well-being | Measures developed for this study tailored for context and intervention content; e.g., awareness of income/spending, saving and budgeting behaviors, ability to pay for unexpected expense | Baseline: Up to 2 months before intervention; Endline: Up to 2 months after intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Change in child- and caregiver-reported parenting behaviors by caregiver | Measures developed for this study tailored for context and intervention content; e.g., asking child about their life, spending one-on-one time with child, physically showing affection, giving compliments/praise, using a routine, apologizing, providing emotional support | Baseline: Up to 2 months before intervention; Endline: Up to 2 months after intervention |
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Inclusion criteria:
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).
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| the Child Reintegration Centre | Bo | Sierra Leone |
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| ID | Term |
|---|---|
| D000080103 | Emotional Regulation |
| ID | Term |
|---|---|
| D000068356 | Self-Control |
| D012919 | Social Behavior |
| D001519 | Behavior |
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During baseline data collection, participants were not yet assigned to arms, so all parties were masked.
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