Optimising engagement in a digital parenting intervention to prevent violence against adolescents in Tanzania: protocol for a cluster randomised factorial trial
Abstract Background Violence against adolescents is a universal reality, with severe individual and societal costs. There is a critical need for scalable and effective violence prevention strategies such as parenting programmes, particularly in low- and middle-income countries where rates of maltrea...
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-023-15989-x |
| _version_ | 1797795487729844224 |
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| author | Roselinde Janowski Ohad Green Yulia Shenderovich David Stern Lily Clements Joyce Wamoyi Mwita Wambura Jamie M. Lachman G. J. Melendez-Torres Frances Gardner Lauren Baerecke Esmee Te Winkel Anna Booij Orli Setton Sibongile Tsoanyane Sussie Mjwara Laetitia Christine Abigail Ornellas Nicole Chetty Jonathan Klapwijk Isang Awah Nyasha Manjengenja Kudely Sokoine Sabrina Majikata Lucie D. Cluver |
| author_facet | Roselinde Janowski Ohad Green Yulia Shenderovich David Stern Lily Clements Joyce Wamoyi Mwita Wambura Jamie M. Lachman G. J. Melendez-Torres Frances Gardner Lauren Baerecke Esmee Te Winkel Anna Booij Orli Setton Sibongile Tsoanyane Sussie Mjwara Laetitia Christine Abigail Ornellas Nicole Chetty Jonathan Klapwijk Isang Awah Nyasha Manjengenja Kudely Sokoine Sabrina Majikata Lucie D. Cluver |
| author_sort | Roselinde Janowski |
| collection | DOAJ |
| description | Abstract Background Violence against adolescents is a universal reality, with severe individual and societal costs. There is a critical need for scalable and effective violence prevention strategies such as parenting programmes, particularly in low- and middle-income countries where rates of maltreatment are highest. Digital interventions may be a scalable and cost-effective alternative to in-person delivery, yet maximising caregiver engagement is a substantial challenge. This trial employs a cluster randomised factorial experiment and a novel mixed-methods analytic approach to assess the effectiveness, cost-effectiveness, and feasibility of intervention components designed to optimise engagement in an open-source parenting app, ParentApp for Teens. The app is based on the evidence-based Parenting for Lifelong Health for Teens programme, developed collaboratively by academic institutions in the Global South and North, the WHO, and UNICEF. Methods/design Sixteen neighbourhoods, i.e., clusters, will be randomised to one of eight experimental conditions which consist of any combination of three components (Support: self-guided/moderated WhatsApp groups; App Design: sequential workshops/non-sequential modules; Digital Literacy Training: on/off). The study will be conducted in low-income communities in Tanzania, targeting socioeconomically vulnerable caregivers of adolescents aged 10 to 17 years (16 clusters, 8 conditions, 640 caregivers, 80 per condition). The primary objective of this trial is to estimate the main effects of the three components on engagement. Secondary objectives are to explore the interactions between components, the effects of the components on caregiver behavioural outcomes, moderators and mediators of programme engagement and impact, and the cost-effectiveness of components. The study will also assess enablers and barriers to engagement qualitatively via interviews with a subset of low, medium, and high engaging participants. We will combine quantitative and qualitative data to develop an optimised ParentApp for Teens delivery package. Discussion This is the first known cluster randomised factorial trial for the optimisation of engagement in a digital parenting intervention in a low- and middle-income country. Findings will be used to inform the evaluation of the optimised app in a subsequent randomised controlled trial. Trial registration Pan African Clinical Trial Registry, PACTR202210657553944. Registered 11 October 2022, https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=24051 . |
| first_indexed | 2024-03-13T03:18:42Z |
| format | Article |
| id | doaj.art-fc142f51b9104265b414a39ae83c0cb9 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-13T03:18:42Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-fc142f51b9104265b414a39ae83c0cb92023-06-25T11:31:30ZengBMCBMC Public Health1471-24582023-06-0123111910.1186/s12889-023-15989-xOptimising engagement in a digital parenting intervention to prevent violence against adolescents in Tanzania: protocol for a cluster randomised factorial trialRoselinde Janowski0Ohad Green1Yulia Shenderovich2David Stern3Lily Clements4Joyce Wamoyi5Mwita Wambura6Jamie M. Lachman7G. J. Melendez-Torres8Frances Gardner9Lauren Baerecke10Esmee Te Winkel11Anna Booij12Orli Setton13Sibongile Tsoanyane14Sussie Mjwara15Laetitia Christine16Abigail Ornellas17Nicole Chetty18Jonathan Klapwijk19Isang Awah20Nyasha Manjengenja21Kudely Sokoine22Sabrina Majikata23Lucie D. Cluver24Department of Social Policy and Intervention, University of OxfordDepartment of Social Policy and Intervention, University of OxfordCentre for Development, Evaluation, Complexity and Implementation in Public Health Improvement (DECIPHer), School of Social Science, Cardiff UniversityInnovations in Development, Education, and the Mathematical Sciences (IDEMS International)Innovations in Development, Education, and the Mathematical Sciences (IDEMS International)National Institute for Medical Research Mwanza Research CentreNational Institute for Medical Research Mwanza Research CentreDepartment of Social Policy and Intervention, University of OxfordFaculty of Health and Life Sciences, University of ExeterDepartment of Social Policy and Intervention, University of OxfordCentre for Social Science Research, University of Cape TownInnovations in Development, Education, and the Mathematical Sciences (IDEMS International)Clowns Without Borders South AfricaFreelance Designer and IllustratorClowns Without Borders South AfricaClowns Without Borders South AfricaInnovations in Development, Education, and the Mathematical Sciences (INNODEMS)Centre for Social Science Research, University of Cape TownCentre for Social Science Research, University of Cape TownDepartment of Social Policy and Intervention, University of OxfordDepartment of Social Policy and Intervention, University of OxfordClowns Without Borders South AfricaInvesting in Children and Strengthening Their SocietiesInvesting in Children and Strengthening Their SocietiesDepartment of Social Policy and Intervention, University of OxfordAbstract Background Violence against adolescents is a universal reality, with severe individual and societal costs. There is a critical need for scalable and effective violence prevention strategies such as parenting programmes, particularly in low- and middle-income countries where rates of maltreatment are highest. Digital interventions may be a scalable and cost-effective alternative to in-person delivery, yet maximising caregiver engagement is a substantial challenge. This trial employs a cluster randomised factorial experiment and a novel mixed-methods analytic approach to assess the effectiveness, cost-effectiveness, and feasibility of intervention components designed to optimise engagement in an open-source parenting app, ParentApp for Teens. The app is based on the evidence-based Parenting for Lifelong Health for Teens programme, developed collaboratively by academic institutions in the Global South and North, the WHO, and UNICEF. Methods/design Sixteen neighbourhoods, i.e., clusters, will be randomised to one of eight experimental conditions which consist of any combination of three components (Support: self-guided/moderated WhatsApp groups; App Design: sequential workshops/non-sequential modules; Digital Literacy Training: on/off). The study will be conducted in low-income communities in Tanzania, targeting socioeconomically vulnerable caregivers of adolescents aged 10 to 17 years (16 clusters, 8 conditions, 640 caregivers, 80 per condition). The primary objective of this trial is to estimate the main effects of the three components on engagement. Secondary objectives are to explore the interactions between components, the effects of the components on caregiver behavioural outcomes, moderators and mediators of programme engagement and impact, and the cost-effectiveness of components. The study will also assess enablers and barriers to engagement qualitatively via interviews with a subset of low, medium, and high engaging participants. We will combine quantitative and qualitative data to develop an optimised ParentApp for Teens delivery package. Discussion This is the first known cluster randomised factorial trial for the optimisation of engagement in a digital parenting intervention in a low- and middle-income country. Findings will be used to inform the evaluation of the optimised app in a subsequent randomised controlled trial. Trial registration Pan African Clinical Trial Registry, PACTR202210657553944. Registered 11 October 2022, https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=24051 .https://doi.org/10.1186/s12889-023-15989-xParentingEngagementFactorial experimentOptimisationLow- and middle-income countriesDigital intervention |
| spellingShingle | Roselinde Janowski Ohad Green Yulia Shenderovich David Stern Lily Clements Joyce Wamoyi Mwita Wambura Jamie M. Lachman G. J. Melendez-Torres Frances Gardner Lauren Baerecke Esmee Te Winkel Anna Booij Orli Setton Sibongile Tsoanyane Sussie Mjwara Laetitia Christine Abigail Ornellas Nicole Chetty Jonathan Klapwijk Isang Awah Nyasha Manjengenja Kudely Sokoine Sabrina Majikata Lucie D. Cluver Optimising engagement in a digital parenting intervention to prevent violence against adolescents in Tanzania: protocol for a cluster randomised factorial trial BMC Public Health Parenting Engagement Factorial experiment Optimisation Low- and middle-income countries Digital intervention |
| title | Optimising engagement in a digital parenting intervention to prevent violence against adolescents in Tanzania: protocol for a cluster randomised factorial trial |
| title_full | Optimising engagement in a digital parenting intervention to prevent violence against adolescents in Tanzania: protocol for a cluster randomised factorial trial |
| title_fullStr | Optimising engagement in a digital parenting intervention to prevent violence against adolescents in Tanzania: protocol for a cluster randomised factorial trial |
| title_full_unstemmed | Optimising engagement in a digital parenting intervention to prevent violence against adolescents in Tanzania: protocol for a cluster randomised factorial trial |
| title_short | Optimising engagement in a digital parenting intervention to prevent violence against adolescents in Tanzania: protocol for a cluster randomised factorial trial |
| title_sort | optimising engagement in a digital parenting intervention to prevent violence against adolescents in tanzania protocol for a cluster randomised factorial trial |
| topic | Parenting Engagement Factorial experiment Optimisation Low- and middle-income countries Digital intervention |
| url | https://doi.org/10.1186/s12889-023-15989-x |
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