As in Tuko Pamoja, communication skills are central and applied for developing family values, visions, and goals. Community focus groups confirmed that concepts from Tuko Pamoja were relevant, and adaptation resulted in a contextualized intervention-“Coping Together”-an 8-session virtual program for multiple families. In phase 3, we piloted Coping Together with 18 families, collecting feedback through session-specific surveys and participant focus groups. We held a development workshop and trained community health workers to deliver the program using an accelerated process combining training, feedback, and iterative revisions. In phase 2, the academic-community partner team collaboratively adapted the intervention. In phase 1, we conducted community focus groups including 11 organizations to identify needs and a community partner. We tested a three-phase participatory adaptation process.
We adapted a family strengthening intervention developed in Kenya (“Tuko Pamoja”) for the United States. New approaches were needed to deliver evidence-based, low-cost interventions to reach families within communities. Existing support systems faded into the background as families became more isolated. Families impacted most were those already experiencing disparities due to structural and systemic barriers. COVID-19 led to widespread disruption of services that promote family well-being.
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