Understanding Community-Sourced Practices Used by Lay Counselors in a Family Therapy Intervention in Eldoret, Kenya
Date
2018
Authors
Advisors
Journal Title
Journal ISSN
Volume Title
Repository Usage Stats
views
downloads
Abstract
The large global burden of mental health disorders calls for the development and implementation of contextually-appropriate mental health interventions that improve the wellbeing of children and families in low-resource settings. Tuko Pamoja is a family therapy intervention designed for delivery by lay providers in low-resource settings and pilot tested in Eldoret, Kenya. Improving the effectiveness of evidence-based interventions like Tuko Pamoja requires cultural and contextual sensitivity in implementation. One important step towards contextual sensitivity is gaining an understanding of the community-sourced practices used in interventions. Community-sourced practices refer to the ways in which counselors draw upon their own local understandings and norms to discuss and incorporate different supports, lessons, and explanatory models into the intervention. This paper identifies and describes the community-sourced practices utilized by lay counselors delivering Tuko Pamoja. Results include six primary community-sourced practices used by lay counselors: 1) providing metaphors and proverbs, 2) incorporating religion, 3) self-disclosure, 4) using examples and role models, 5) discussing interpersonal relationships outside of the family, and 6) referring to community dynamics and resources. The community-sourced practices described in this thesis can be used to inform and develop context-specific implementation guidelines and a comprehensive implementation model for scale up, improving the intervention’s effectiveness in positively impacting child and family outcomes.
Type
Department
Description
Provenance
Subjects
Citation
Permalink
Citation
Kaufman, Julia (2018). Understanding Community-Sourced Practices Used by Lay Counselors in a Family Therapy Intervention in Eldoret, Kenya. Honors thesis, Duke University. Retrieved from https://hdl.handle.net/10161/17357.
Except where otherwise noted, student scholarship that was shared on DukeSpace after 2009 is made available to the public under a Creative Commons Attribution / Non-commercial / No derivatives (CC-BY-NC-ND) license. All rights in student work shared on DukeSpace before 2009 remain with the author and/or their designee, whose permission may be required for reuse.