Implementing the Adapted Parenting Program, SafeCare Kenya, to Reduce Noncommunicable Disease Burden: Building Community Health Volunteers' Capacity to Support Parents With Young Children
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Child Maltreatment
- Sponsor
- Pacific University
- Enrollment
- 369
- Locations
- 1
- Primary Endpoint
- Change from Baseline in score on How to Keep your Child Safe and Healthy Quiz at 6 months
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
The goal of this clinical trial is to implement and examine the impact of SafeCare Kenya, an adapted parenting program, to improve parents' skills and knowledge related to the care of their children between the ages of 18 months and 5 years old. The main questions it aims to answer are:
- Will SafeCare Kenya improve child and parent outcomes?
- Is virtual delivery as effective as in-person delivery of SafeCare Kenya?
- Is SafeCare Kenya feasible to deliver by community health volunteers?
Mothers will:
- Complete study assessments at three timepoints: baseline, 6 months and 18 months
- Mothers in the SafeCare Kenya group will receive the program from their community health volunteer
Researchers will compare SafeCare Kenya to care as usual by community health volunteers to see if SafeCare Kenya families show improvements in parent interaction skills, safety and health knowledge, potential for child abuse, child behavior problems, child injuries, parenting stress, and child and parent quality of life.
Detailed Description
After being informed about the study and potential risks, all community health volunteers consented to the study will be randomized to continue their usual services with families or be trained to deliver SafeCare Kenya to add to their usual services with families. All community health volunteers will inform their eligible families about the study and share with the research team mothers who express interest in the study. After being informed about the study and potential risks, all mothers giving informed consent will complete a baseline assessment, along with a 6 month and 18 month follow up assessment. Mothers whose community health volunteer is assigned to the SafeCare Kenya program will receive the program from their community health volunteers. All SafeCare Kenya mothers will be randomized to receive the program either in-person or virtually. Trainers and Stakeholders will provide information about their involvement in the project.
Investigators
Eligibility Criteria
Inclusion Criteria
- •being the female primary caregiver
- •at least 18 years old of age
- •at least one child between 18 months and age 5
- •reside in Kibera
- •have ability to participate virtually (i.e., owns a smart phone) in English or Swahili.
Exclusion Criteria
- •younger than 18 years old
- •unable to participate in English or Swahili
- •does not own smart phone to participate in virtual sessions.
- •CHV Inclusion Criteria:
- •18 years or older
- •able to participate in English or Swahili
- •has ability to participate virtually (i.e., owns a smart phone)
- •female community health volunteer who is affiliated with one of the project's agencies in Kibera
- •CHV Exclusion Criteria:
- •younger than 18 years old
Outcomes
Primary Outcomes
Change from Baseline in score on How to Keep your Child Safe and Healthy Quiz at 6 months
Time Frame: Baseline and 6 months
The Quiz will be used to assess knowledge and skills related to the health and safety portions of the SafeCare Kenya intervention.
Change from Baseline in score on Child Planned Activities Training (cPAT) at 6 months
Time Frame: Baseline and 6 months
The SafeCare Kenya form, cPAT, will be used to assess positive parent interaction skills. It is an observation of the 10 targeted skills in the SCK program. The assessor will virtually observe 1 play interaction. They rate parents using a minus when no skills present, check when some, and check plus when all aspects of the skill are present.
Change from Baseline in scores on Parenting Young Children (PARYC) at 6 months
Time Frame: Baseline and 6 months
21 items assess a range of positive parenting practices, such as praise/rewards, planning for transitions, and providing choices among other practices. Items are summed to create an overall parent-child interaction score.
Change from Baseline in score on Brief Child Abuse Potential Inventory (BCAPI) at 6 months
Time Frame: Baseline and 6 months
The BCAPI assesses parents' potential to engage in child maltreatment related behaviors. The 24 risk scale items are summed to create a total abuse potential score, with higher scores indicating higher abuse potential.
Change from Baseline in score on Brief Child Abuse Potential Inventory (BCAPI) at 18 months
Time Frame: Baseline and 18 months
The BCAPI assesses parents' potential to engage in child maltreatment related behaviors. The 24 risk scale items are summed to create a total abuse potential score, with higher scores indicating higher abuse potential.
Change from Baseline in score on How to Keep your Child Safe and Healthy Quiz at 18 months
Time Frame: Baseline and 18 months
The Quiz will be used to assess knowledge and skills related to the health and safety portions of the SafeCare Kenya intervention.
Change from Baseline in score on Child Planned Activities Training (cPAT) at 18 months
Time Frame: Baseline and 18 months
The SafeCare Kenya form, cPAT, will be used to assess positive parent interaction skills. It is an observation of the 10 targeted skills in the SCK program. The assessor will virtually observe 1 play interaction. They rate parents using a minus when no skills present, check when some, and check plus when all aspects of the skill are present.
Change from Baseline in scores on Parenting Young Children (PARYC) at 18 months
Time Frame: Baseline and 18 months
21 items assess a range of positive parenting practices, such as praise/rewards, planning for transitions, and providing choices among other practices. Items are summed to create an overall parent-child interaction score.
Secondary Outcomes
- Change from Baseline in scores on Parenting Stress Index at 6 months(Baseline and 6 months)
- Change from Baseline in score on Child Behavior Checklist (CBCL) at 18 months(Baseline and 18 months)
- Change from Baseline in score on Childhood injuries at 18 months(Baseline and 18 months)
- Change from Baseline in score on Childhood injuries at 6 months(Baseline and 6 months)
- Change from Baseline in score on Parent Quality of Life at 18 months(Baseline and 18 months)
- Change from Baseline in score on Child Behavior Checklist (CBCL) at 6 months(Baseline and 6 months)
- Change from Baseline in score on Child Quality of Life at 18 months(Baseline and 18 months)
- Change from Baseline in scores on Parenting Stress Index at 18 months(Baseline and 18 months)
- Change from Baseline in score on Child Quality of Life at 6 months(Baseline and 6 months)
- Change from Baseline in score on Parent Quality of Life at 6 months(Baseline and 6 months)