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From "4Rs and 2Ss" to "Amaka Amasanyufu" (Happy Families): Adapting a US-based Evidence-Based Intervention to the Uganda ContextPalabras clave(sic)(sic)(sic)
Journal article   Open access   Peer reviewed

From "4Rs and 2Ss" to "Amaka Amasanyufu" (Happy Families): Adapting a US-based Evidence-Based Intervention to the Uganda ContextPalabras clave(sic)(sic)(sic)

Ozge Sensoy Bahar, William Byansi, Apollo Kivumbi, Phionah Namatovu, Joshua Kiyingi, Fred M. Ssewamala, Mary M. McKay and Thabani Nyoni
Family process, v 59(4), pp 1928-1945
01 Dec 2020
url
https://www.ncbi.nlm.nih.gov/pmc/articles/7416434View
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Abstract

Family Studies Psychology Psychology, Clinical Social Sciences
In Uganda, one in five children presents mental health challenges, including disruptive behavior disorders (DBDs). DBDs can persist through adulthood and result in negative outcomes. Effective interventions for DBDs have been developed and tested in high-poverty communities in developed countries. Yet, most African countries, such as Uganda, lack such interventions. This paper describes the adaptation process of an evidence-based intervention of U.S. origin to optimize fit to context with intervention fidelity, as part of a randomized trial conducted with youth that exhibit behavioral challenges and their caregivers in 30 schools in Uganda. The process involved: initial meetings with headteachers and teachers to introduce the study and the main concepts of the intervention; initial manual review focusing on 4Rs and 2Ss content by the Uganda team; engagement of community stakeholders for additional feedback on content and cultural relevance; final revision of the manual; and collection of children's drawings for the illustration of the manual. This paper describes both similarities and differences between the original and adapted intervention content and methods of delivery. The findings also highlight the importance of involving community stakeholders in the adaptation process.

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26 citations in Scopus

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Collaboration types
International collaboration
Web of Science research areas
Family Studies
Psychology, Clinical
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