Journal article Open Access

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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Preventing child mental health problems in southeastern Europe: Feasibility study (phase 1 of MOST framework), Elena Jansen et al., Family Process, 00:1–18, Copyright © [2021] Family Process Institute, wileyonlinelibrary.com/journal/famp,

which has been published in final form at https://onlinelibrary.wiley.com/doi/10.1111/famp.12720. This article may be used for non-commercial purposes in accordance with the Wiley Self-Archiving Policy [http://www.wileyauthors.com/self-archiving].</subfield>
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    <subfield code="a">&lt;p&gt;Shared senior authorship: Heather M. Foran &amp;amp; Nina Heinrichs.&lt;/p&gt;

&lt;p&gt;The prevalence of child emotional and behavioral problems&amp;nbsp;is an international problem but is higher in low-and&amp;nbsp;middle-income&amp;nbsp;countries (LMIC) where there are often&amp;nbsp;less mental health supports for families. Parenting programs&amp;nbsp;can be an effective means of prevention, but must be&amp;nbsp;low-cost,&amp;nbsp;scalable, and suitable for the local context. The&amp;nbsp;RISE project aims to systematically adapt, implement,&amp;nbsp;and evaluate a low-cost&amp;nbsp;parenting program for preventing/&amp;nbsp;reducing child mental health problems in three middle-income&amp;nbsp;countries in Southeastern Europe. This small&amp;nbsp;pre&amp;ndash;post&amp;nbsp;pilot study is informed by the Reach, Efficacy,&amp;nbsp;Adoption, Implementation, and Maintenance (RE-AIM)&amp;nbsp;framework and tested the feasibility of the intervention,&amp;nbsp;the implementation, and evaluation procedures: Phase&amp;nbsp;1 of the three-phase&amp;nbsp;Multiphase Optimization Strategy&amp;nbsp;(MOST) for program adaptation. Local facilitators delivered&amp;nbsp;the Parenting for Lifelong Health (PLH) for Young&amp;nbsp;Children program to parents of children aged 2&amp;ndash;9&amp;nbsp;in&amp;nbsp;North Macedonia, the Republic of Moldova and Romania&amp;nbsp;in 2018. Parents completed assessments pre-and&amp;nbsp;post-program.&amp;nbsp;Results demonstrated positive pre&amp;ndash;post&amp;nbsp;change&amp;nbsp;for participating families (N = 140) on various outcomes &amp;nbsp;including child externalizing and internalizing symptoms&amp;nbsp;and parenting behavior, in all three countries, all in the&amp;nbsp;expected direction. Program participation was associated&amp;nbsp;with positive outcomes in participating families. Based on&amp;nbsp;the experiences of this pilot study, we outline the practical&amp;nbsp;implications for the successful implementation of parenting&amp;nbsp;programs in the three countries that will inform our&amp;nbsp;next study phases, factorial experiment, and RCT.&lt;/p&gt;</subfield>
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