Playing to live: outcome evaluation of a community-based psychosocial expressive arts program for children during the Liberian Ebola epidemic.

Journal: Global mental health (Cambridge, England)

Volume: 6

Issue: 

Year of Publication: 

Affiliated Institutions:  Playing to Live, East Tennessee State University, Johnson City, TN, USA. University of Pittsburg, Pittsburgh, PA, USA. East Tennessee State University, Johnson City, TN, USA. Playing to Live, Renewed Energy Serving Humanity, Paynesville, Liberia. Renewed Energy Serving Humanity, Monrovia, Liberia.

Abstract summary 

This paper reviews the efficacy of a community psychosocial arts program focused on building mental health capacity within post-Ebola Liberia. The aim of this paper was to evaluate the outcome effects of two groups using pre- and post-treatment data. We hypothesized that there would be a difference in symptoms pre- and post-treatment, and the longer program would yield more significant results.There was a total of 870 child participants. Of 40 sites, 24 were selected for a 5-month treatment (TG1) while the remaining 16 sites received 3 months of treatment (TG2). Paired tests and a mixed-model analysis of variance (ANOVA) were used to analyse pre- and post-psychological stress symptoms (PSS) for samples from both groups.Separately, treatment group 1 (TG1) and treatment group 2's (TG2) paired test yielded significant results ( < 0.001) for the decrease of PSS. The mixed-model ANOVA found that there were significant differences in total pre- and post-test PSS and a significant difference in PSS means over time.Results indicated that there was a statistically significant decrease in reported symptoms in both treatment groups pre- to post-intervention and a significant difference in total symptoms over time. However, the findings do not indicate that the longer programming was statistically different compared to the shorter programming. The study presented had gaps in data, largely due to limits in research during the crisis. However, this paper provides a unique case study for challenges that can be faced for project evaluation in emergency settings.

Authors & Co-authors:  Decosimo Hanson Quinn Badu Smith

Study Outcome 

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Statistics
Citations :  Ager A, Ager W, Stavrou V, Boothby N (2011). Inter-Agency Guide to the Evaluation of Psychosocial Programming in Emergencies. UNICEF: New York. p.16.
Authors :  5
Identifiers
Doi : e3
SSN : 2054-4251
Study Population
Male,Female
Mesh Terms
Other Terms
Art therapy;Ebola;Liberia;MHPSS;expressive therapies
Study Design
Case Study
Study Approach
Country of Study
Liberia
Publication Country
England