‘Sawa Aqwa’ (Stronger Together): A multi-site randomized controlled trial of a brief family systemic intervention for adolescent mental health in Lebanon / Tania BOSQUI in Journal of Child Psychology and Psychiatry, 67-10 (October 2026)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 67-10 (October 2026) . - p. 1752-1765 Titre : ‘Sawa Aqwa’ (Stronger Together): A multi-site randomized controlled trial of a brief family systemic intervention for adolescent mental health in Lebanon Type de document : texte imprimé Auteurs : Tania BOSQUI, Auteur ; Felicity L. BROWN, Auteur ; Sally FARAH, Auteur ; Joseph ELIAS, Auteur ; Maliki E. GHOSSAINY, Auteur ; Anas MAYYA, Auteur ; Diana Abo NAKKOUL, Auteur ; Bryony WALSH, Auteur ; Sarah CHREIF, Auteur ; Ahmad EINEIN, Auteur ; Bassel MEKSASSI, Auteur ; Roula Abi SAAD, Auteur ; Hady NAAL, Auteur ; Michael DONNELLY, Auteur ; Theresa S. BETANCOURT, Auteur ; Alan CARR, Auteur ; Eve S. PUFFER, Auteur ; Estefania HANNA, Auteur ; Hasan MANSOUR, Auteur ; Farah SEMAAN, Auteur ; Rabih El CHAMMAY, Auteur ; Mark J. D. JORDANS, Auteur Article en page(s) : p. 1752-1765 Langues : Anglais (eng) Mots-clés : Humanitarian  mental health and psychosocial support  family  adolescents  randomized controlled trial  low- and middle-income (LMIC) countries  Lebanon  refugees  armed conflict Index. décimale : PER Périodiques Résumé : Background There are no evaluated family-based mental health and psychosocial support (MHPSS) interventions for adolescents in Southwest Asia (known as the Middle East), and few whole-family interventions in low- and middle-income countries, despite consistent evidence for the impact of family support on mental health and well-being. This study aims to evaluate the effectiveness of a brief family systemic mental health intervention, deliverable by non-specialists in mental health. Methods We conducted an assessor-blind type I hybrid effectiveness-implementation multi-site randomized controlled trial comparing the locally developed family intervention to a waitlist control group for randomly allocated families residing in North Lebanon and Beqa?a governorates. Eligible families presented with medium-to-high risk for child protection concerns (abuse, neglect, child labor, early marriage) and had at least one adolescent aged 12?17 who demonstrated psychological distress. Outcomes at the family, caregiver, and adolescent level were measured pre- and post-intervention, and at 3-month follow-up. Results Intent-to-treat analyses found a significant between-group effect of the intervention on adolescent-reported family functioning, caregiver mental health, and parenting. No change was found for adolescent psychological distress. Further analyses found effects on adolescent well-being for those who completed the intervention, and that father attendance was associated with better outcomes for adolescent well-being in the intervention group. No other significant moderators were found. At the 3-month follow-up for the intervention condition, family functioning and caregiver well-being significantly dropped from endline. Conclusions The study demonstrates mixed results for a non-specialist-delivered family-systemic intervention developed in the context of humanitarian crises in Lebanon. While the intervention did not result in benefits in adolescent-reported symptoms of psychological distress, the intervention group did show greater improvements than the control group on a number of other outcomes, showing the potential impact of working with the wider family system to support adolescents in humanitarian settings. En ligne : https://doi.org/10.1111/jcpp.70174 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=593 [article] â€˜Sawa Aqwa’ (Stronger Together): A multi-site randomized controlled trial of a brief family systemic intervention for adolescent mental health in Lebanon [texte imprimé] / Tania BOSQUI, Auteur ; Felicity L. BROWN, Auteur ; Sally FARAH, Auteur ; Joseph ELIAS, Auteur ; Maliki E. GHOSSAINY, Auteur ; Anas MAYYA, Auteur ; Diana Abo NAKKOUL, Auteur ; Bryony WALSH, Auteur ; Sarah CHREIF, Auteur ; Ahmad EINEIN, Auteur ; Bassel MEKSASSI, Auteur ; Roula Abi SAAD, Auteur ; Hady NAAL, Auteur ; Michael DONNELLY, Auteur ; Theresa S. BETANCOURT, Auteur ; Alan CARR, Auteur ; Eve S. PUFFER, Auteur ; Estefania HANNA, Auteur ; Hasan MANSOUR, Auteur ; Farah SEMAAN, Auteur ; Rabih El CHAMMAY, Auteur ; Mark J. D. JORDANS, Auteur . - p. 1752-1765. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 67-10 (October 2026) . - p. 1752-1765 Mots-clés : Humanitarian  mental health and psychosocial support  family  adolescents  randomized controlled trial  low- and middle-income (LMIC) countries  Lebanon  refugees  armed conflict Index. décimale : PER Périodiques Résumé : Background There are no evaluated family-based mental health and psychosocial support (MHPSS) interventions for adolescents in Southwest Asia (known as the Middle East), and few whole-family interventions in low- and middle-income countries, despite consistent evidence for the impact of family support on mental health and well-being. This study aims to evaluate the effectiveness of a brief family systemic mental health intervention, deliverable by non-specialists in mental health. Methods We conducted an assessor-blind type I hybrid effectiveness-implementation multi-site randomized controlled trial comparing the locally developed family intervention to a waitlist control group for randomly allocated families residing in North Lebanon and Beqa?a governorates. Eligible families presented with medium-to-high risk for child protection concerns (abuse, neglect, child labor, early marriage) and had at least one adolescent aged 12?17 who demonstrated psychological distress. Outcomes at the family, caregiver, and adolescent level were measured pre- and post-intervention, and at 3-month follow-up. Results Intent-to-treat analyses found a significant between-group effect of the intervention on adolescent-reported family functioning, caregiver mental health, and parenting. No change was found for adolescent psychological distress. Further analyses found effects on adolescent well-being for those who completed the intervention, and that father attendance was associated with better outcomes for adolescent well-being in the intervention group. No other significant moderators were found. At the 3-month follow-up for the intervention condition, family functioning and caregiver well-being significantly dropped from endline. Conclusions The study demonstrates mixed results for a non-specialist-delivered family-systemic intervention developed in the context of humanitarian crises in Lebanon. While the intervention did not result in benefits in adolescent-reported symptoms of psychological distress, the intervention group did show greater improvements than the control group on a number of other outcomes, showing the potential impact of working with the wider family system to support adolescents in humanitarian settings. En ligne : https://doi.org/10.1111/jcpp.70174 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=593

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