The goal of this paper was to conduct a review of studies from 2008 to 2019 that evaluated community-based caregiver or family interventions to support the mental health of orphans and vulnerable children (OVC) in sub-Saharan Africa, across four domains: (a) study methodology, (b) cultural adaptation and community participation, (c) intervention strategies, and (d) effects on child mental health. Ten interventions were identified. Findings revealed that the majority of studies used a randomized controlled trial or quasi-experimental design, but few conducted long-term follow-up; that all programs undertook cultural adaptation of the intervention using community participatory methods, or were locally developed; that the majority of interventions targeted caregiving behavior and/or caregiver-child relationships using behavioral and cognitive-behavioral strategies, or were home visiting interventions; and that interventions had mixed effects on OVC mental health. Progress and gaps revealed by these findings are discussed, as are suggestions for possible new directions in this area of intervention science.

中文翻译：

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支持孤儿和弱势儿童心理健康的社区照顾者和家庭干预：回顾和未来方向

本文的目的是对2008年至2019年的研究进行回顾，该研究评估了基于社区的照料者或家庭干预措施，以支持撒哈拉以南非洲的孤儿和弱势儿童（OVC）的心理健康，涉及四个领域：（a ）研究方法，（b）文化适应和社区参与，（c）干预策略，以及（d）对儿童心理健康的影响。确定了十项干预措施。研究结果表明，大多数研究使用随机对照试验或准实验设计，但很少进行长期随访。所有计划都使用社区参与方法对干预措施进行了文化适应，或由当地制定；大多数干预措施是使用行为和认知行为策略针对照顾者的行为和/或照顾者与孩子之间的关系的，或者是家访干预措施；而且这些干预措施对OVC的心理健康影响不一。讨论了这些发现所揭示的进展和差距，以及在该领域的干预科学的新方向的建议。