Parenting for Lifelong Health for Teens - Hybrid Delivery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Child Maltreatment
- Sponsor
- University of Oxford
- Enrollment
- 1128
- Locations
- 1
- Primary Endpoint
- Child Maltreatment: ISPCAN Child Abuse Screening Tools-Trial Version - Parent Report
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
This study aims to examine the implementation and effectiveness of the original version of PLH Teens delivered in-person (PLH Teens-Original) and a hybrid in-person and remote delivery of the programme (PLH Teens-Hybrid) as part of the Mothers2Mothers' (M2M) Children and Adolescents are My Priority (CHAMP) project in Mpumalanga, South Africa. It will also examine differential effects between PLH Teens-Original and PLH Teens-Hybrid on reducing risks of violence against children using propensity score matching. Lastly, it will examine the implementation feasibility of PLH Teens-Hybrid in terms of implementation fidelity; recruitment, retention, and engagement of parents and adolescents; and the relevance, acceptability, and satisfaction of the programme.
Detailed Description
Study Design This study will use a mixed-methods approach to qualitatively and quantitatively address the research aims. It will be implemented from May to July 2021 in the Mpumalanga province of South Africa. The study design will involve a) pre-post quantitative analyses of primary and secondary outcomes for both PLH Teens-Original and PLH Teens-Hybrid, b) difference in analyses to compare effects between the two delivery modalities, and c) qualitative interviews and quantitative analyses of programme feasibility and implementation. Recruitment Recruitment of parents/caregivers and adolescents will be integrated into CHAMP's current recruitment strategy which includes engaging with schools, faith-based organisations, local NGOs, health facilities, United States Agency for International Development (USAID) DREAMS (Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe) partners, door-to-door engagement and other contextually relevant approaches. CHAMP leverages its partnerships for recruitment and the CHAMP partner, Grassroots Soccer, actively engages in recruitment for the DREAMS programme. Participants enrolled into the hybrid PLH programme will be screened using the USAID approved Vulnerability Assessment Tool to ensure that the most vulnerable households are reached. The pilot will target caregivers in the Nelspruit area to ensure adequate access to internet connectivity.
Investigators
DrJamieLachman
Principal Investigator
University of Oxford
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Child Maltreatment: ISPCAN Child Abuse Screening Tools-Trial Version - Parent Report
Time Frame: Change between Baseline and Post (approx. 4 months post-baseline)
Child maltreatment will be assessed using a shortened version of the ISPCAN Child Abuse Screening Tools-Trial Version (9-item subscale ICAST-T). Parent respondents will be asked to indicate the frequency of emotional and physical discipline practices over the past month using a 9-point frequency count scale (0 = never; 8 = 8 or more times). Items include, "In the past 4 weeks, how often did you/your caregiver discipline your child/you by spanking, slapping or hitting with a hand?" and "In the past 4 weeks, how often did you/your caregiver shout, yell or scream at you?" In the past 4 weeks, how often did you/your caregiver discipline your child/you with an object like a stick or a belt?". Items are summed, with higher scores indicating greater use of harsh parenting.
Child Maltreatment: ISPCAN Child Abuse Screening Tools-Trial Version - Teen Report
Time Frame: Change between Baseline and Post (approx. 4 months post-baseline)
Child maltreatment will be assessed using a shortened version of the ISPCAN Child Abuse Screening Tools-Trial Version (9-item subscale ICAST-T). Teen respondents will be asked to indicate the frequency of emotional and physical discipline practices over the past month using a 9-point frequency count scale (0 = never; 8 = 8 or more times). Items include, "In the past 4 weeks, how often did you/your caregiver discipline your child/you by spanking, slapping or hitting with a hand?" and "In the past 4 weeks, how often did you/your caregiver shout, yell or scream at you?" In the past 4 weeks, how often did you/your caregiver discipline your child/you with an object like a stick or a belt?". Items are summed, with higher scores indicating greater use of harsh parenting.
Secondary Outcomes
- Parenting Stress: Parenting Stress Scale(Change between Baseline and Post (approx. 4 months post-baseline))
- Positive Parenting: Alabama Parenting Questionnaire - Teen Report(Change between Baseline and Post (approx. 4 months post-baseline))
- Attitude Toward Punishment: UNICEF Multiple Indicator Cluster Survey (MICS) 5 Child Discipline Module - Parent Report(Change between Baseline and Post (approx. 4 months post-baseline))
- Risk Avoidance: Risk Avoidance Planning Scale - Parent Report(Change between Baseline and Post (approx. 4 months post-baseline))
- Attitude Toward Punishment: UNICEF Multiple Indicator Cluster Survey (MICS) 5 Child Discipline Module - Teen Report(Change between Baseline and Post (approx. 4 months post-baseline))
- Child Behaviour Problems: Strengths and Difficulties Questionnaire - Teen Report(Change between Baseline and Post (approx. 4 months post-baseline))
- Economic Strengthening: Family Financial Coping Scale - Teen Report(Change between Baseline and Post (approx. 4 months post-baseline))
- Parent Support of Education: Parental Support for School Scale - Parent Report(Change between Baseline and Post (approx. 4 months post-baseline))
- Child Maltreatment - Physical Abuse and Emotional Abuse: ISPCAN Child Abuse Screening Tool-Intervention (ICASTTP) - Physical and Emotional Abuse Subscales(Change between Baseline and Post (approx. 4 months post-baseline))
- Positive Parenting: Alabama Parenting Questionnaire - Parent Report(Change between Baseline and Post (approx. 4 months post-baseline))
- Child Behaviour Problems: Strengths and Difficulties Questionnaire - Parent Report(Change between Baseline and Post (approx. 4 months post-baseline))
- Parental Depression: Centre for Epidemiologic Studies Depression Scale - Parent Report(Change between Baseline and Post (approx. 4 months post-baseline))
- Teens Internalising Behaviours: Strength and Difficulties Questionnaire (SDQ) - Parent Report(Change between Baseline and Post (approx. 4 months post-baseline))
- Economic Strengthening: Family Financial Coping Scale - Parent Report(Change between Baseline and Post (approx. 4 months post-baseline))
- Parent Support of Education: Parental Support for School Scale - Teen Report(Change between Baseline and Post (approx. 4 months post-baseline))
- Risk Avoidance: Risk Avoidance Planning Scale - Teen Report(Change between Baseline and Post (approx. 4 months post-baseline))