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Preventing child mental health problems in southeastern Europe: Feasibility study (phase 1 of MOST framework)

Jansen, Elena; Frantz, Inga; Hutchings, Judy; Lachman, Jamie; Williams, Margiad; Taut, Diana; Baban, Adriana; Raleva, Marija; Lesco, Galina; Ward, Catherine; Gardner, Frances; Xiangming, Fang; Heinrichs, Nina; Foran, Heather M.


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    "description": "<p>Shared senior authorship: Heather M. Foran &amp; Nina Heinrichs.</p>\n\n<p>The prevalence of child emotional and behavioral problems&nbsp;is an international problem but is higher in low-and&nbsp;middle-income&nbsp;countries (LMIC) where there are often&nbsp;less mental health supports for families. Parenting programs&nbsp;can be an effective means of prevention, but must be&nbsp;low-cost,&nbsp;scalable, and suitable for the local context. The&nbsp;RISE project aims to systematically adapt, implement,&nbsp;and evaluate a low-cost&nbsp;parenting program for preventing/&nbsp;reducing child mental health problems in three middle-income&nbsp;countries in Southeastern Europe. This small&nbsp;pre&ndash;post&nbsp;pilot study is informed by the Reach, Efficacy,&nbsp;Adoption, Implementation, and Maintenance (RE-AIM)&nbsp;framework and tested the feasibility of the intervention,&nbsp;the implementation, and evaluation procedures: Phase&nbsp;1 of the three-phase&nbsp;Multiphase Optimization Strategy&nbsp;(MOST) for program adaptation. Local facilitators delivered&nbsp;the Parenting for Lifelong Health (PLH) for Young&nbsp;Children program to parents of children aged 2&ndash;9&nbsp;in&nbsp;North Macedonia, the Republic of Moldova and Romania&nbsp;in 2018. Parents completed assessments pre-and&nbsp;post-program.&nbsp;Results demonstrated positive pre&ndash;post&nbsp;change&nbsp;for participating families (N = 140) on various outcomes &nbsp;including child externalizing and internalizing symptoms&nbsp;and parenting behavior, in all three countries, all in the&nbsp;expected direction. Program participation was associated&nbsp;with positive outcomes in participating families. Based on&nbsp;the experiences of this pilot study, we outline the practical&nbsp;implications for the successful implementation of parenting&nbsp;programs in the three countries that will inform our&nbsp;next study phases, factorial experiment, and RCT.</p>", 
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    "title": "Preventing child mental health problems in southeastern Europe: Feasibility study (phase 1 of MOST framework)", 
    "notes": "This is the accepted version of the following article:\n\nPreventing child mental health problems in southeastern Europe: Feasibility study (phase 1 of MOST framework), Elena Jansen et al., Family Process,\u00a000:1\u201318,\u00a0Copyright \u00a9 [2021]\u00a0Family Process Institute,\u00a0wileyonlinelibrary.com/journal/famp,\n\nwhich has been published in final form at\u00a0https://onlinelibrary.wiley.com/doi/10.1111/famp.12720. This article may be used for non-commercial\u00a0purposes in accordance with the Wiley Self-Archiving Policy [http://www.wileyauthors.com/self-archiving].", 
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        "title": "Prevention of child mental health problems in Southeastern Europe - Adapt, Optimize, Test, and Extend Parenting for Lifelong Health", 
        "acronym": "RISE", 
        "program": "H2020", 
        "funder": {
          "doi": "10.13039/501100000780", 
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    "keywords": [
      "child behavior problems", 
      "child maltreatment", 
      "parenting program", 
      "PLH", 
      "LMIC"
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    "publication_date": "2021-09-07", 
    "creators": [
      {
        "affiliation": "University of Klagenfurt", 
        "name": "Jansen, Elena"
      }, 
      {
        "affiliation": "University of Bremen", 
        "name": "Frantz, Inga"
      }, 
      {
        "affiliation": "Bangor University", 
        "name": "Hutchings, Judy"
      }, 
      {
        "affiliation": "University of Oxford, University of Glasgow", 
        "name": "Lachman, Jamie"
      }, 
      {
        "affiliation": "Bangor University", 
        "name": "Williams, Margiad"
      }, 
      {
        "affiliation": "Babes-Bolyai University", 
        "name": "Taut, Diana"
      }, 
      {
        "affiliation": "Babes-Bolyai University", 
        "name": "Baban, Adriana"
      }, 
      {
        "affiliation": "Family and Systemic Practice\u2014ALTERNATIVA", 
        "name": "Raleva, Marija"
      }, 
      {
        "affiliation": "Health for Youth Association", 
        "name": "Lesco, Galina"
      }, 
      {
        "affiliation": "University of Cape Town", 
        "name": "Ward, Catherine"
      }, 
      {
        "affiliation": "University of Oxford", 
        "name": "Gardner, Frances"
      }, 
      {
        "affiliation": "Georgia State University", 
        "name": "Xiangming, Fang"
      }, 
      {
        "affiliation": "University of Bremen", 
        "name": "Heinrichs, Nina"
      }, 
      {
        "affiliation": "University of Klagenfurt", 
        "name": "Foran, Heather M."
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