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Completed

NCT Number: NCT06080139

Supporting Refugee Parenting Community and Family Mental Health in Tijuana

The goal of this study is to better understand and support parenting practices and family mental health among migrant parents in Tijuana, Mexico. the main questions it aims to answer are:

1. What parenting skills are most needed for learning? 2. How can we teach them in a participatory way respecting cultural values and norms? 3. How does this parenting program affect parental and child interactions and mental health?

Participants will

1. have the opportunity to give their opinions on the priority parenting skills needed and on which curriculum to use for learning these skills; 2. participate in small group learning sessions twice a week for 4 weeks; 3. be asked to complete a few surveys before and after the learning sessions, and 2 months after they complete the learning sessions.

Researchers will compare parents randomly assigned to parenting sessions group with waitlist control group (starting learning sessions 1 month later) to see if the group learning benefits parent-child interactions, parental stress, and parental confidence in parenting.

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Key information

Conditions

Refugee Health Behavior Child Behavior

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Canyon Nest

Tijuana, Estado de Baja California, 22526, Mexico

About this study

Month 1:

The researchers will use a participatory research model to convene focus groups engaging community stakeholders in two large shelters in Tijuana to prioritize 3-5 parenting skills.

Month 2:

The researchers will recruit participating parents until reaching a sample size of 120, divided into 8 groups of 15. All participants will vote for 1-2 interventions from a list of 5 to revise and adapt to the local context through small group discussions and consensus building.

Month 3:

Participants will complete baseline questionnaires anonymously. Half of the participants (Group 1, N=60) will be randomized to receive the adapted learning curriculum in groups of 15, twice a week for 4 weeks. At the conclusion of month 3, all participants will complete the same questionnaires as pre-intervention. These data will serve as post-intervention data for Group 1 and a second baseline for the remaining participants (Group 2). During month 3, Group 2 will receive a two-page handout on childhood nutrition in Spanish. They will serve as the "control group" for the first wave of intervention.

Month 4:

Group 2 will receive the same intervention as group 1 in month 3. At the conclusion of month 4, participants will complete the same questionnaires as pre-intervention. They will also complete open-ended feedback interviews.

Month 5:

Researchers will analyze all anonymous data and share preliminary results with the community through peer leaders.

Month 6-7:

Researchers will conduct a phone follow-up for all available participants (2 months post intervention) and collect data anonymously.

Month 8:

Researchers will again analyze the aggregate data and share results with the community.

Month 9:

Researchers will draft a manuscript, share final results with the community and nonprofit/academic partners.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • all consenting parents staying at refugee shelters in Tijuana

Exclusion criteria

  • known date of leaving Tijuana in less than 3 months

Treatment and study plan

Refugee parenting education in a participatory community

Behavioral

Parents will vote for one of the 5 previously studied refugee parenting curriculums: 1) Creating Opportunities Through Mentoring Parenting Involvement and Safe Space (COMPASS); 2) GenerationPMTO; 3) Happy Families; 4) Family Strengthening Intervention for Refugees (FSI-R).

Researchers will use a model of Learning by Observing and Pitching In (LOPI), to empower community members in the learning process. LOPI is a multicomponent way of organizing group learning that improves collaboration, alertness, and executive functions such as perspective-taking and self-regulation in addition to specific skills learning and has been used in many indigenous and indigenous-heritage communities of the Americas.

Primary outcomes

  1. parenting knowledge

    Time frame: immediately before intervention and after 4-week intervention period

    20 multiple choice questions (scores 0-20)

  2. Child behavior and parental efficacy

    Time frame: immediately before intervention and after 4-week intervention period

    Child Adjustment and Parent Efficacy Scale (total scores 0-81, parental efficacy scores 19-190)

Secondary outcomes

  1. Observed parent-child interactions

    Time frame: immediately before intervention, after 4-week intervention period, and 2-month post-intervenion follow-up

    Parenting Interactions with Children: Checklist of Observations Linked to Outcomes

  2. parental stress

    Time frame: immediately before intervention, after 4-week intervention period, and 2-month post-intervenion follow-up

    Parent Stress Index-Short Form21

  3. Qualitative feedback

    Time frame: after 4-week intervention period and at 2-month post-intervenion follow-up

    semi-structure interviews on program feedback and future suggestions

  4. parenting knowledge

    Time frame: post intervention and at 2-month post-intervenion follow-up

    20 multiple choice questions (scores 0-20)

  5. Child behavior and parental efficacy

    Time frame: post interventionand and at 2-month post-intervenion follow-up

    Child Adjustment and Parent Efficacy Scale (total scores 0-81, parental efficacy scores 19-190)

Sponsors and collaborators

Lead sponsor

Stanford University

Other

Collaborators

  • Fulbright
  • PILA Global
  • Universidad Iberoamericana

Registry information

Official study title

A Community-based Participatory Study to Support Parenting and Improve Family Mental Health in Refugee Shelters in Tijuana, Mexico

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
Oct 12, 2023
Registry last updated
Jul 31, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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