{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T09:14:52Z","timestamp":1788340492860,"version":"build-2803163510"},"reference-count":54,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000267","name":"Arts and Humanities Research Council","doi-asserted-by":"publisher","award":["AH\/T007419\/1"],"award-info":[{"award-number":["AH\/T007419\/1"]}],"id":[{"id":"10.13039\/501100000267","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Psychology Psychiatry"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There are no evaluated family\u2010based mental health and psychosocial support (MHPSS) interventions for adolescents in Southwest Asia (known as the Middle East), and few whole\u2010family interventions in low\u2010 and middle\u2010income countries, despite consistent evidence for the impact of family support on mental health and well\u2010being. This study aims to evaluate the effectiveness of a brief family systemic mental health intervention, deliverable by non\u2010specialists in mental health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted an assessor\u2010blind type I hybrid effectiveness\u2010implementation multi\u2010site randomized controlled trial comparing the locally developed family intervention to a waitlist control group for randomly allocated families residing in North Lebanon and Beqa\u2019a governorates. Eligible families presented with medium\u2010to\u2010high risk for child protection concerns (abuse, neglect, child labor, early marriage) and had at least one adolescent aged 12\u201317 who demonstrated psychological distress. Outcomes at the family, caregiver, and adolescent level were measured pre\u2010 and post\u2010intervention, and at 3\u2010month follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Intent\u2010to\u2010treat analyses found a significant between\u2010group effect of the intervention on adolescent\u2010reported family functioning, caregiver mental health, and parenting. No change was found for adolescent psychological distress. Further analyses found effects on adolescent well\u2010being for those who completed the intervention, and that father attendance was associated with better outcomes for adolescent well\u2010being in the intervention group. No other significant moderators were found. At the 3\u2010month follow\u2010up for the intervention condition, family functioning and caregiver well\u2010being significantly dropped from endline.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The study demonstrates mixed results for a non\u2010specialist\u2010delivered family\u2010systemic intervention developed in the context of humanitarian crises in Lebanon. While the intervention did not result in benefits in adolescent\u2010reported 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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpp.70174","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T13:52:36Z","timestamp":1780581156000},"page":"1752-1765","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u2018Sawa Aqwa\u2019 (Stronger Together): A multi\u2010site randomized controlled trial of a brief family systemic intervention for adolescent mental health in Lebanon"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7376-5405","authenticated-orcid":false,"given":"Tania","family":"Bosqui","sequence":"first","affiliation":[{"name":"Department of Psychology American University of Beirut  Beirut Lebanon"},{"name":"Trinity Centre for Global Health, Trinity College Dublin  Dublin Republic of Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felicity L.","family":"Brown","sequence":"additional","affiliation":[{"name":"Research and Development Department War Child Alliance  Amsterdam The Netherlands"},{"name":"Amsterdam Institute of Social Science Research, University of Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Farah","sequence":"additional","affiliation":[{"name":"Department of Psychology American University of Beirut  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Elias","sequence":"additional","affiliation":[{"name":"War Child Alliance  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maliki E.","family":"Ghossainy","sequence":"additional","affiliation":[{"name":"Wheelock College of Education and Human Development, Boston University  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anas","family":"Mayya","sequence":"additional","affiliation":[{"name":"Department of Psychology American University of Beirut  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana Abo","family":"Nakkoul","sequence":"additional","affiliation":[{"name":"Terre des Hommes Italy  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryony","family":"Walsh","sequence":"additional","affiliation":[{"name":"Danish Refugee Council  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Chreif","sequence":"additional","affiliation":[{"name":"Danish Refugee Council  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Einein","sequence":"additional","affiliation":[{"name":"Terre des Hommes Italy  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bassel","family":"Meksassi","sequence":"additional","affiliation":[{"name":"War Child Alliance  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roula Abi","family":"Saad","sequence":"additional","affiliation":[{"name":"Child Protection United Nations Children's Fund (UNICEF)  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hady","family":"Naal","sequence":"additional","affiliation":[{"name":"Global Health Institute, American University of Beirut  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Donnelly","sequence":"additional","affiliation":[{"name":"Centre for Public Health, School of Medicine, Queen's University Belfast  Belfast UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa S.","family":"Betancourt","sequence":"additional","affiliation":[{"name":"Boston College School of Social Work  Chestnut Hill MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Carr","sequence":"additional","affiliation":[{"name":"School of Psychology, University College Dublin  Belfield, Dublin Republic of Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eve S.","family":"Puffer","sequence":"additional","affiliation":[{"name":"Department of Psychology &amp; Neuroscience Duke Global Health Institute, Duke University  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Estefania","family":"Hanna","sequence":"additional","affiliation":[{"name":"Department of Psychology American University of Beirut  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan","family":"Mansour","sequence":"additional","affiliation":[{"name":"Department of Psychology American University of Beirut  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farah","family":"Semaan","sequence":"additional","affiliation":[{"name":"Department of Psychology American University of Beirut  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rabih El","family":"Chammay","sequence":"additional","affiliation":[{"name":"Ministry of Public Health  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark J.D.","family":"Jordans","sequence":"additional","affiliation":[{"name":"Research and Development Department War Child Alliance  Amsterdam The Netherlands"},{"name":"Amsterdam Institute of Social Science Research, University of Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,4]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.childyouth.2023.107295"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(19)30511-5"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-08693-7"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000000336"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10862-015-9514-x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1017\/gmh.2020.20"},{"key":"e_1_2_11_8_1","unstructured":"Bosqui T. 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