Table 1 Developing and implementing family support research questions

Intervention (Aim 1)

How can we address CMD symptoms of both children and parents of displaced families and support protective family processes through a low intensity trans-diagnostic family support (FS) intervention?

Uptake (Aim 1 and Aim 2)

How can the group facilitators and community-based organizations best-overcome obstacles to promote engagement and retention in the LIFS groups?

Intervention Acceptability (Aim 2 & Aim 3)

Were the family members satisfied with the LIFS intervention content, delivery, and length? How did it fit with the sociocultural, environmental, and organizational contexts?

Intervention Feasibility (Aim 2 & Aim 3)

Was LIFS feasible as indicated by recruitment, attendance, retention, and fidelity, safety for participants and providers, and completion of outcome assessments?

Implementation (Aim 2 & Aim 3)

What do the families and facilitators think about offering LIFS to more refugee families? What are the opportunities or obstacles and how can they be best addressed to facilitate scale up?

CMD Outcomes (Aim 3)

Were there less depression, anxiety, and traumatic stress symptoms as a function of LIFS at 3-month assessments? Were these symptoms less after 3-months-post compared with immediate-post assessment?

Family Outcomes (Aim 3)

Was there improvement in family members’ knowledge and attitudes regarding responses to adversity, family support, and family problem solving, and accessing external resources as a function of LIFS at 3-month post assessments?

Constructs & Measures (Aim 3)

What constructs and measures are the best fits for evaluating a family support intervention in an LMIC?