Feasibility study of a family- and school-based intervention for child behavior problems in Nepal.
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ABSTRACT: Background
This study evaluates the feasibility, acceptability, and outcomes of a combined school- and family-based intervention, delivered by psychosocial counselors, for children with behavior problems in rural Nepal.Methods
Forty-one children participated at baseline. Two students moved to another district, meaning 39 children, ages 6-15, participated at both baseline and follow-up. Pre-post evaluation was used to assess behavioral changes over a 4-month follow-up period (n?=?39). The primary outcome measure was the Disruptive Behavior International Scale-Nepal version (DBIS-N). The secondary outcome scales included the Child Functional Impairment Scale and the Eyberg Child Behavior Inventory (ECBI). Twelve key informant interviews were conducted with community stakeholders, including teachers, parents, and community members, to assess stakeholders' perceptions of the intervention.Results
The study found that children's behavior problems as assessed on the DBIS-N were significantly lower at follow-up (M?=?13.0, SD?=?6.4) than at baseline (M?=?20.5, SD?=?3.8), p?ConclusionsSignificant change in child outcome measures in this uncontrolled evaluation, alongside qualitative findings suggesting feasibility and acceptability, support moving toward a controlled trial to determine effectiveness.
SUBMITTER: Adhikari RP
PROVIDER: S-EPMC5865299 | biostudies-literature | 2018
REPOSITORIES: biostudies-literature
Publications
Feasibility study of a family- and school-based intervention for child behavior problems in Nepal.
Adhikari Ramesh P RP Upadhaya Nawaraj N Satinsky Emily N EN Burkey Matthew D MD Kohrt Brandon A BA Jordans Mark J D MJD
Child and adolescent psychiatry and mental health 20180323
<h4>Background</h4>This study evaluates the feasibility, acceptability, and outcomes of a combined school- and family-based intervention, delivered by psychosocial counselors, for children with behavior problems in rural Nepal.<h4>Methods</h4>Forty-one children participated at baseline. Two students moved to another district, meaning 39 children, ages 6-15, participated at both baseline and follow-up. Pre-post evaluation was used to assess behavioral changes over a 4-month follow-up period (n = ...[more]
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