Trial reportJournal of child psychology and psychiatry, and allied disciplines2023
Supporting parenting among Syrian refugees in Lebanon: a randomized controlled trial of the caregiver support intervention.
Trial report in Journal of child psychology and psychiatry, and allied disciplines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- A systematic review of MHPSS interventions targeting non-clinical Arabic-speaking refugees and/or displaced populations in the MENA region.BMJ global health · 2026Pooled it
- Psychological and social interventions for the promotion of mental health in people living in low- and middle-income countries affected by humanitarian crises.The Cochrane database of systematic reviews · 2024Pooled it
- 'Sawa Aqwa' (Stronger Together): A multi-site randomized controlled trial of a brief family systemic intervention for adolescent mental health in Lebanon.Journal of child psychology and psychiatry, and allied disciplines · 2026Trial
- Delivering a family-based child mental health promotion program among two resettled refugee communities during the COVID-19 pandemic: Lessons learned in a hybrid type II implementation-effectiveness randomized controlled trial.American journal of community psychology · 2026Trial
- Combining self-regulation and poverty reduction to prevent depression and anxiety among adolescents experiencing multi-dimensional poverty in Colombia, Nepal and South Africa: study protocol of a pilot 4-arm cluster randomised controlled trial.Pilot and feasibility studies · 2026Article
- Predictors of caregiver support intervention outcomes for refugees in Jordan: a three-path mediational study.Child and adolescent psychiatry and mental health · 2025Article
- Analysis of the possible pathways between social and well-being outcomes: a mixed-method study about community-based sociotherapy for refugees in Nakivale Settlement, Uganda.Conflict and health · 2025Article
- Development and psychometric evaluation of the Brief Parenting Questionnaire.BMC psychology · 2025Article
- Financial crisis and its association with parental stress and children's mental health in Lebanon.BMC public health · 2025Article
- Child public health interventions for conflict-affected populations: A systematic review.PLOS global public health · 2025Article
- Family life under strain: the impact of forced migration on refugee parenting in reception centers.Frontiers in psychology · 2025Article
- Applying systems theory to global mental health.Global mental health (Cambridge, England) · 2025Article
- Caregiver characteristics and behaviors: quantitative associations with child depression amongst refugees in Uganda.Global mental health (Cambridge, England) · 2025Article
- Suicidal behaviors among refugee women in Jordan: post-traumatic stress disorder, social support and post-displacement stressors.BMC public health · 2024Article
- A psychosocial bouldering intervention improves the well-being of young refugees and adolescents from the host community in Lebanon: results from a pragmatic controlled trial.Conflict and health · 2024Article
- Nurturing families: A feasibility randomised controlled trial of a whole-family intervention with vulnerable families in Jordan.Global mental health (Cambridge, England) · 2024Article
- Psychological interventions for children with emotional and behavioral difficulties aged 5-12 years: An evidence review.Global mental health (Cambridge, England) · 2024Review
- 'We are all children of war': a qualitative inquiry into parenting following adolescents' recent traumatic exposure in a multiple crisis setting in Beirut, Lebanon.European journal of psychotraumatology · 2024Article
- Improving psychosocial well-being and parenting practices among refugees in Uganda: Results of the journey of life effectiveness trial.Global mental health (Cambridge, England) · 2024Article
Corrections and comments
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Authors and funding
13 authors at 6 institutions in 6 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundParenting interventions in humanitarian settings have prioritized the acquisition of parenting knowledge and skills, while overlooking the adverse effects of stress and distress on parenting-a key mediator of refugee children's mental health. We evaluated the effectiveness of the Caregiver Support Intervention (CSI), which emphasizes caregiver wellbeing together with training in positive parenting.
methodsWe conducted a two-arm randomized controlled trial of the CSI with Syrian refugees in Lebanon, with an intent-to-treat design, from September 2019-December 2020. A total of 480 caregivers from 240 families were randomized to the CSI or a waitlist control group (1:1). Retention from baseline to endline was 93%. Data on parenting and caregiver psychological wellbeing were collected at baseline, endline, and three-month follow-up. Prospective trial registration: ISRCTN22321773.
resultsWe did not find a significant change on overall parenting skills at endline (primary outcome endpoint) (d = .11, p = .126) or at follow-up (Cohen's d = .15, p = .054). We did find a significant effect on overall parenting skills among participants receiving the full intervention-the sub-sample not interrupted by (COVID-19) (d = 0.25, p < .05). The CSI showed beneficial effects in the full sample at endline and follow-up on harsh parenting (d = -.17, p < .05; d = .19, p < .05), parenting knowledge (d = .63, p < .001; d = .50, p < .001), and caregiver distress (d = -.33, p < .001; d = .23, p < .01). We found no effects on parental warmth and responsiveness, psychosocial wellbeing, stress, or stress management. Changes in caregiver wellbeing partially mediated the impact of the CSI on harsh parenting, accounting for 37% of the reduction in harsh parenting.
conclusionsThe CSI reduced harsh parenting and caregiver distress, and demonstrated the value of addressing caregiver wellbeing as a pathway to strengthening parenting in adversity. These effects were achieved despite a pandemic-related lockdown that impacted implementation, a severe economic crisis, and widespread social unrest. Replication under less extreme conditions may more accurately demonstrate the intervention's full potential.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.