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临床试验/NCT07599566
NCT07599566已完成不适用

Cluster Randomised Trial of a Hybrid Human-digital Playful Parenting Programme in the Malaysian Preschool System

University of Oxford1 个研究点 分布在 1 个国家目标入组 772 人开始时间: 2024年7月10日最近更新:

试验速览

阶段
不适用
状态
已完成
入组人数
772
试验地点
1

研究概览

简要总结

This study aims to evaluate the effectiveness of a hybrid human-digital playful parenting programme, "Naungan Kasih-Hybrid (NK-Hybrid)", in Malaysia. The programme is facilitated by teachers from Malaysian preschools for low-income families, consisting of a) one in-person session to introduce caregivers to the programme, b) teacher-facilitated WhatsApp support groups, and c) an interactive chatbot-led parenting programme featured on WhatsApp, called "Naungan Kasih-Text (NKText)". It tests the effectiveness of this package in a cluster-randomised trial, with 50 preschools as clusters, randomly assigned to either the treatment group or a waitlist control group. Findings from this study will provide evidence for the effectiveness of a low-cost and scalable intervention integrating digital modalities with a "light-touch" in-person component to improve educational outcomes in children attending preschools for low-income families, and thereby address social inequalities in Malaysia.

N = 50 Clusters, 772 Primary Caregivers, 304 Secondary Caregivers, and 754 Children. Enrolment reflects participating primary caregivers.

详细描述

The primary aims of the study are to:

Evaluate the effectiveness of NK-Hybrid on positive parenting at three months post-baseline in comparison to wait-list controls Evaluate the effectiveness of NK-Hybrid on child learning and development, as measured by parent and teacher reports of language and communication, literacy, socioemotional, and numeracy skills, and by direct assessments of literacy and numeracy skills, at approximately 12 months post-baseline in comparison to wait-list controls

Secondary aims of the study include:

Evaluate the sustained effectiveness of NK-Hybrid on positive parenting at approximately 12 months post-baseline.

Evaluate the effectiveness of NK-Hybrid on children's learning, namely their literacy and numeracy skills, in comparison to the control group, at three months post-baseline Evaluate the effectiveness of NK-Hybrid on secondary outcomes - parent involvement in playful learning, child maltreatment (physical and emotional abuse), caregiver anxiety and depression, parenting stress, child externalising symptoms, child learning and development, caregiver financial stress, intimate partner violence, marital health, co-parenting support, father involvement, and gender equitable behaviours - at approximately three months post-baseline and 12 months post-baseline.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
Single (Outcomes Assessor)

盲法说明

The trial statisticians (GJMT, SV) conducting randomisation and analyses will be blinded to condition. Blinding of participants is not possible given the nature of the intervention. Enumerators are blinded at baseline assessments (T0) and will remain blinded at the endline (T1) and follow-up (T2) assessments, although it is plausible that they may find out from participants which individuals received the intervention.

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Preschools (clusters):
  • Registered Ministry of Rural Development (KEMAS) preschool
  • Has a class of 20 or more children aged 4-6 years
  • Selected by KEMAS leadership as available to participate
  • Class teacher is willing to deliver the programme and participates in programme training
  • Parents/Caregivers:
  • Responsible for a child aged 4-6 years enrolled in a participating KEMAS preschool
  • Aged 18 years or older
  • Has access to a mobile phone compatible with WhatsApp
  • Provides informed consent
  • Enrolled in a participating KEMAS preschool
  • Aged 4-6 years
  • Parent provides consent
  • Provides verbal assent
  • Teachers (Facilitators):
  • Registered employee with a KEMAS preschool
  • Aged 18 years or older
  • Diploma/certificate in Early Childhood Education (ECE) or equivalent
  • Provides consent
  • Completed training
  • Available to deliver intervention

排除标准

  • Parents/caregivers who do not meet inclusion criteria
  • Children who do not meet inclusion criteria

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

DrJamieLachman

Professor

University of Oxford

研究点 (1)

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