@article {4941, title = {Using Mixed-Methods Research to Adapt and Evaluate a Family Strengthening Intervention in Rwanda}, journal = {Afr J Trauma Stress}, volume = {2}, number = {1}, year = {2011}, note = {Betancourt, Theresa S
Meyers-Ohki, Sarah E
Stevenson, Anne
Ingabire, Charles
Kanyanganzi, Fredrick
Munyana, Morris
Mushashi, Christina
Teta, Sharon
Fayida, Ildephonse
Cyamatare, Felix Rwabukwisi
Stulac, Sara
Beardslee, William R
eng
R34 MH084679/MH/NIMH NIH HHS/
Uganda
2011/06/01 00:00
Afr J Trauma Stress. 2011 Jun;2(1):32-45.}, month = {Jun}, pages = {32-45}, abstract = {INTRODUCTION: Research in several international settings indicates that children and adolescents affected by HIV and other compounded adversities are at increased risk for a range of mental health problems including depression, anxiety, and social withdrawal. More intervention research is needed to develop valid measurement and intervention tools to address child mental health in such settings. OBJECTIVE: This article presents a collaborative mixed-methods approach to designing and evaluating a mental health intervention to assist families facing multiple adversities in Rwanda. METHODS: Qualitative methods were used to gain knowledge of culturally-relevant mental health problems in children and adolescents, individual, family and community resources, and contextual dynamics among HIV-affected families. This data was used to guide the selection and adaptation of mental health measures to assess intervention outcomes. Measures were subjected to a quantitative validation exercise. Qualitative data and community advisory board input also informed the selection and adaptation of a family-based preventive intervention to reduce the risk for mental health problems among children in families affected by HIV.. Community-based participatory methods were used to ensure that the intervention targeted relevant problems manifest in Rwandan children and families and built on local strengths. RESULTS: Qualitative data on culturally-appropriate practices for building resilience in vulnerable families has enriched the development of a Family-Strengthening Intervention (FSI). Input from community partners has also contributed to creating a feasible and culturally-relevant intervention. Mental health measures demonstrate strong performance in this population. CONCLUSION: The mixed-methods model discussed represents a refined, multi-phase protocol for incorporating qualitative data and community input in the development and evaluation of feasible, culturally-sound quantitative assessments and intervention models. The mixed-methods approach may be applied to research in other parts of sub-Saharan Africa and beyond.}, author = {Betancourt, T. S. and Meyers-Ohki, S. E. and Stevenson, A. and Ingabire, C. and Kanyanganzi, F. and Munyana, M. and Mushashi, C. and Teta, S. and Fayida, I. and Cyamatare, F. R. and Stulac, S. and Beardslee, W. R.} }