Hybrid Type 1 Randomized Pilot Trial of a Peer-led Family and Social Strengthening Group Intervention for Refugee Families
The proposed study draws on prior research to evaluate the feasibility, acceptability and explore preliminary effectiveness of Coffee and Family Education and Support, Version (CAFES2) using a pilot randomized type 1 hybrid effectiveness-implementation design. CAFES2 is a peer-led family and social strengthening multiple family group intervention that is designed to respond to multi-level needs of refugee families. Results of the trial will contribute to the emerging evidence base on family-based mental health…
Conditions studied
Depression, Anxiety, PTSD, Family Dynamics, Social Functioning, Family Support, Family Relations
About this study
The proposed study draws on prior research to evaluate the feasibility, acceptability and explore preliminary effectiveness of Coffee and Family Education and Support, Version (CAFES2) using a pilot randomized type 1 hybrid effectiveness-implementation design. CAFES2 is a peer-led family and social strengthening multiple family group intervention that is designed to respond to multi-level needs of refugee families. Results of the trial will contribute to the emerging evidence base on family-based mental health interventions for refugee and newcomer communities. The trial will also generate new insights regarding implementation strategies needed to promote successful delivery of services by peer providers and the unique role of human-centered design practices for adaptation of mental health and psychosocial interventions.
Interventions
- Behavioral: CAFES2 — The adapted CAFES2 model includes an initial home visit and six multiple family group sessions delivered by peer providers. Families include at least one caregiver and one youth 12 years or older. Key model components include: 1) interfamilial discussion of stressors affecting families and family relationships, 2) psychoeducation on the effects of war and forced displacement on individuals, families and social relationships; 3) emotion regulation and self management strategies; 4) identification and activation of family and social strengths, 5) discussion of family identity and hopes for the future in resettlement and 5) discussion of social and community resources to support health and wellbeing. Each group session incorporates didactic components, family and small group discussion, skill building and separate breakout groups for adolescents and adults.
Primary outcomes
- Changes in feasibility of the intervention via the Feasibility of Intervention Measure (immediate post-intervention)
- Changes in acceptability of the intervention via the Acceptability of Intervention Mesure (immediate post-intervention.)
- Changes in PTSD symptoms via the PTSD Checklist (adult, exploratory) (baseline, immediate post-intervention and 6-week follow up)
- Changes in adult depression and anxiety via the Hopkins Symptom Checklist (HSCL, adult, exploratory) (baseline, immediate post-intervention and 6-week follow up)
- Changes in youth depression and anxiety via the Arab Mental Health Scale (youth, exploratory) (baseline, immediate post-intervention and 6-week follow up)
- Changes in PTSD in children and youth via the Child Revised Impacted of Events Scale (CRIES, youth, exploratory) (baseline, immediate post-intervention and 6-week follow up)
- Changes in post-migration stress in youth and adults via the Refugee Post-Migration Stress Scale (baseline, immediate post-intervention and 6-week follow up)
Eligibility information
Study locations
- University of Illinios Chicago, Chicago, Illinois 60612 United States
Source: ClinicalTrials.gov. Record last refreshed by Varda Clinical: 2026-09-27.