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Family-focused intervention to promote adolescent mental health and well-being in Moldova and North Macedonia (FLOURISH): Feasibility study protocol

Shenderovich, Yulia ORCID:, Piolanti, Antonio, Babii, Viorel, Calovska-Hertzog, Nevena, Evans, Rhiannon ORCID:, Heinrichs, Nina, Burgund Isakov, Anita, Lesco, Galina, Moore, Graham ORCID:, Mueller, Janina, Raleva, Marija, Shimbov, Bojan, Simon, Judit, Waller, Franziska, Wienand, Dennis and Foran, Heather M. 2023. Family-focused intervention to promote adolescent mental health and well-being in Moldova and North Macedonia (FLOURISH): Feasibility study protocol. BMJ Open 13 , e080400. 10.1136/bmjopen-2023-080400

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Introduction: Family-Focused Adolescent & Lifelong Health Promotion (FLOURISH) project will adapt, implement and evaluate a programme to support adolescent mental health and well-being through strategies, such as strengthening parenting practices, adolescent-caregiver relationships, adolescent and parent socioemotional skills, and social support. Methods and analysis: The project will focus on adolescents aged 10–14 years and their caregivers in North Macedonia and Moldova. The countries were selected based on implementation readiness of two organisations and a need for accessible evidence-informed services to help mitigate health risks due to economic, social and political challenges. Parenting for Lifelong Health (PLH) for Parents and Teens is a family-based programme developed for low-resource settings. PLH has been adapted with input from advisory groups. The programme includes additional components to strengthen impacts on adolescents: adolescent mental health tools, based on UNICEF’s Helping Adolescents Thrive, adolescent peer support and participation booster. This pilot is first of three study phases. The pilot will be a feasibility testing of the adapted intervention and the assessment and implementation procedures to determine further refinements. The pilot will examine if the adapted programme is acceptable for adolescents, their families and providers, explore contextual factors relevant to embedding this programme into longer-term scale-up and investigate whether the programme can be delivered with fidelity and participation; whether the participants report changes in adolescent emotional and behavioural problems, well-being and other outcomes; and whether the study tools are feasible and appropriate. Pre-post adolescent and caregiver questionnaires will provide outcome data. Process evaluation will include attendance and fidelity data, and focus groups. We will examine delivery cost and resource requirements. Ethics and dissemination: The study was approved at the University of Klagenfurt (Austria), Medical Faculty at St. Cyril and Methodius University (North Macedonia) and National Committee of Ethical Expertise for Clinical Trials (Moldova). Through stakeholder engagement and dissemination, FLOURISH will advance scale-up of open-source family interventions.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Social Sciences (Includes Criminology and Education)
Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer)
Subjects: H Social Sciences > H Social Sciences (General)
R Medicine > RA Public aspects of medicine
Publisher: BMJ Publishing Group
ISSN: 2044-6055
Funders: ESRC, UKRI, Horizon Europe, Wolfson Foundation, Health and Care Research Wales
Date of First Compliant Deposit: 27 October 2023
Date of Acceptance: 25 October 2023
Last Modified: 10 Apr 2024 14:48

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