Masayang Pamilya Feasibility Study

NCT03903445 | Completed DMC

• 1 other identifier: AdMUREC_19_092PA
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to test the feasibility of (1) an 8-session version of the Masayang Pamilya (MaPa) parenting program for families with children aged 2-9 (MaPa Kids) and (2) a culturally and contextually adapted 9-session MaPa parenting program for families with children aged 10-17 (MaPa Teens). The feasibility of MaPa Kids and MaPa Teens will be assessed through self-report questionnaires, in-depth interviews and focus group discussions, and implementation data. Together, the focus groups, questionnaires, interviews, and implementation data will assess the overall feasibility of the MaPa Kids and MaPa Teen programs in the Philippines by examining program delivery, participation, acceptability, scalability, and preliminary effectiveness on reducing child maltreatment and associated risks.

Conditions

Parent-Child Relations; Child Maltreatment; Child Behavior Problem; Parenting

Keywords

Parenting Program

Outcome Measures

Primary Outcomes (3)

• Child maltreatment of young children - physical and emotional abuse: ISPCAN Child Abuse Screening Tool-Trial Parent-Child Version (ICAST-TPC) - Parent Report

  Physical abuse and emotional abuse will be measured using items from an adapted and expanded version of the ISPCAN Child Abuse Screening Tool-Trial Parent version (ICAST-TP). The ICAST-T is an adaptation of the multi-national and consensus-based survey instrument ICAST-Parent version (ICAST-P), and has been used successfully in low and middle-income countries. The ICAST-TP measures parental reports of the incidence of abuse perpetrated against their child over the past month using a frequency score on a scale of 0 to 7, or 8 or more times (e.g., "In the past 4 weeks, how often did you discipline \[Child Nickname\] by pushing, grabbing, or kicking him/her?"). This study will assess incidence of child maltreatment for physical abuse (16 items), emotional abuse (10 items), as well as an overall indication of previous child abuse (0 = no abuse; 1 = previous abuse). We will also assess frequency of overall abuse by summing all of the subscales as well as for each individual subscale.

  Change between Baseline and Post (approx. 1 month after end of intervention, i.e., 4 months post pre-assessment)

• Child maltreatment of adolescents - physical and emotional abuse: ISPCAN Child Abuse Screening Tool-Trial Parent-Adolescent Version (ICAST-TPA) - Parent Report

  Physical and emotional abuse will be measured using items from an adapted and expanded version of the ISPCAN Child Abuse Screening Tool-Trial Parent version (ICAST-TP). The ICAST-T is an adaptation of the multi-national and consensus-based survey instrument ICAST-Parent version (ICAST-P), and has been used successfully in low and middle-income countries. The ICAST-TP measures parental reports of the incidence of abuse perpetrated against their child over the past month using a frequency score on a scale of 0 to 7, or 8 or more times (e.g., "In the past 4 weeks, how often did you discipline \[Child Nickname\] by pushing, grabbing, or kicking him/her?"). This study will assess incidence of child maltreatment for physical abuse (14 items), emotional abuse (10 items), as well as an overall indication of previous child abuse (0 = no abuse; 1 = previous abuse). We will also assess frequency of overall abuse by summing all of the subscales as well as for each individual subscale.

  Change between Baseline and Post (approx. 1 month after end of intervention, i.e., 4 months post pre-assessment)

• Child maltreatment of adolescents - physical and emotional abuse: ISPCAN Child Abuse Screening Tool-Trial Adolescent Version (ICAST-TA) - Child Report

  Physical abuse (including abusive discipline) and emotional abuse will be measured using items from an adapted and expanded version of the ISPCAN Child Abuse Screening Tool-Trial Adolescent version (ICAST-TA). The ICAST-TA measures child reports of the incidence of abuse perpetrated against them over the past month using a frequency score on a scale of 0 to 7, or 8 or more times (e.g., "In the past 4 weeks, how often did your caregiver push, grab, or kick you?"). This study will assess incidence of child maltreatment for physical (10 items) and emotional (10 items), as well as an overall indication of previous child abuse (0 = no abuse; 1 = previous abuse). We will also assess frequency of overall abuse by summing all of the subscales as well as for each individual subscale.

  Change between Baseline and Post (approx. 1 month after end of intervention, i.e., 4 months post pre-assessment)

Secondary Outcomes (43)

• Child maltreatment of young children - physical abuse: ISPCAN Child Abuse Screening Tool-Trial Parent-Child Version (ICAST-TPC) - Parent Report

  Change between Baseline and Post (approx. 1 month after end of intervention, i.e., 4 months post pre-assessment)

• Child maltreatment of young children - emotional abuse: ISPCAN Child Abuse Screening Tool-Trial Parent-Child Version (ICAST-TPC) - Parent Report

  Change between Baseline and Post (approx. 1 month after end of intervention, i.e., 4 months post pre-assessment)

• Child maltreatment of adolescents - physical abuse: ISPCAN Child Abuse Screening Tool-Trial Parent-Adolescent Version (ICAST-TPA) - Parent Report

  Change between Baseline and Post (approx. 1 month after end of intervention, i.e., 4 months post pre-assessment)

• Child maltreatment of adolescents -emotional abuse: ISPCAN Child Abuse Screening Tool-Trial Parent-Adolescent Version (ICAST-TPA) - Parent Report

  Change between Baseline and Post (approx. 1 month after end of intervention, i.e., 4 months post pre-assessment)

• Child maltreatment - physical abuse: ISPCAN Child Abuse Screening Tool-Trial Adolescent Version (ICAST-TA) - Child Report

  Change between Baseline and Post (approx. 1 month after end of intervention, i.e., 4 months post pre-assessment)

Other Outcomes (19)

• Recruitment rate

  Post (approx. 1 month after end of intervention, i.e., 4 months post pre-assessment)

• Enrollment rate

  Post (approx. 1 month after end of intervention, i.e., 4 months post pre-assessment)

• Participation rate

  Post (approx. 1 month after end of intervention, i.e., 4 months post pre-assessment)

Study Arms (2)

MaPa Kids

EXPERIMENTAL

Masayang Pamilya Para Sa Batang Pilipino Program (MaPa Kids) Parenting training for parents of children aged 2-9 * Program length: 8 consecutive weekly sessions * Incentive: PHP 500 or approximately £7 per participant * Participants: N=15 per group

Behavioral: Masayang Pamilya Para Sa Batang Pilipino Program (MaPa Kids)

MaPa Teens

EXPERIMENTAL

Masayang Pamilya Para Sa Tinedyer Pilipino Program (MaPa Teens) Parenting training for parents of children aged 10-17 * Program length: 9 consecutive weekly sessions * Adult Incentive: PHP 500 or approximately £7 per participant * Child incentive: PHP 300 or approximately £4 per participant * Participants: N=15 per group

Behavioral: Masayang Pamilya Para Sa Tinedyer Pilipino Program (MaPa Teens)

Interventions

Masayang Pamilya Para Sa Batang Pilipino Program (MaPa Kids) BEHAVIORAL

MaPa Kids is an 8-session parenting program delivered weekly to groups of parents (N=15 per group). The program includes the following content: 1) spending one-on-one time with children; 2) describing actions and feelings for cognitive development and socio-emotional awareness; 3) using praise and rewards to encourage positive behavior; 4) establishing limits through effective instruction giving and consistent household rules; 5) nonviolent discipline such as ignoring negative attention seeking behavior, and consequences for noncompliance, rule-breaking, and aggressive behavior; 6) problem solving with children; and 7) mindfulness based stress reduction.

Also known as: Parenting for Lifelong Health for Young Children (PLH)

MaPa Kids

Masayang Pamilya Para Sa Tinedyer Pilipino Program (MaPa Teens) BEHAVIORAL

MaPa Teens is a 9-session parenting program delivered to groups of parents and children aged 10-17 (N=15 dyads per group). The program includes the following content: 1) one-on-one time with parents and teens, 2) positive reinforcement of positive behavior, 3) managing anger and stress, 4) establishing rules and routines, 5) family budgeting, 6) accepting responsibility for actions, 7) resolving family conflicts, 8) keeping safe in the community and resolving conflicts, and 9) reflection and moving on.

Also known as: Parenting for Lifelong Health (PLH) for Adolescents

MaPa Teens

Eligibility Criteria

• Age: 10 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 18 or older;
• Primary caregiver responsible for the care of a child between the ages 2-9 (Kids) or 10-17 (Teens);
• Spend at least four nights a week in the same household as the child in the previous month;
• Recipient of the 4Ps conditional cash transfer program;
• Provision of consent to participate in the full study;
• Provision of consent for their child to participate in the full study (for MaPa Teens only).

You may not qualify if:

• Any adult who has already participated in the Parent Effectiveness Service;
• Any adult exhibiting severe mental health problems or acute mental disabilities;
• Any adult that has been referred to child protection services due to child abuse.
• Age 10 to 17 years at initial assessment;
• Lives in the house at least 4 nights per week;
• Must have an adult primary caregiver who lives in the household, who provides consent, and who participates in the study;
• Provides assent to participate in the full study.
• Any child who is either experiencing severe mental health problems, has acute developmental disabilities and
• If the child participant has been referred to social services during baseline data collection due to reported or observed indications of significant harm.
• Age 18 or older;
• Prior participation in a 5-day facilitator training workshop;
• Agreement to implement the entire program;
• Provision of consent to participate in the full study.

Sponsors & Collaborators

• Ateneo de Manila University: lead
• University of Oxford: collaborator
• University of Cape Town: collaborator
• Philippines Department of Social Welfare and Development: collaborator
• Philippines Child Protection Network: collaborator

Study Sites (1)

Ateneo de Manila University

Quezon City, 1108, Philippines

Location

Study Officials

• Rosanne Jocson, PhD

  Ateneo de Manila University

  PRINCIPAL INVESTIGATOR

• Liane P Alampay, PhD

  Ateneo de Manila University

  PRINCIPAL INVESTIGATOR

• Jamie M Lachman, DPhil

  University of Oxford

  PRINCIPAL INVESTIGATOR

• Frances Gardner, DPhil

  University of Oxford

  PRINCIPAL INVESTIGATOR

• Engels Del Rosario

  Department of Social Welfare and Development, Philippines

  PRINCIPAL INVESTIGATOR

• Bernadette Madrid, PhD

  Child Protection Network, Philippines

  PRINCIPAL INVESTIGATOR

• Catherine L Ward, PhD

  University of Cape Town

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Pre-post evaluation of 2 separate interventions (no comparison)

Study Record Dates

• First Submitted: April 1, 2019
• First Posted: April 4, 2019
• Study Start: April 4, 2019
• Primary Completion: August 30, 2019
• Study Completion: October 30, 2019
• Last Updated: February 24, 2020

Record last verified: 2020-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
• Time Frame: After the primary papers from the study have been published, all participant data will be de-identified and stored indefinitely using United Kingdom Data Archive standards (www.data-archive.ac.uk/create-manage/planning-for-sharing).
• Access Criteria: Following the data analyses from the feasibility pilot, all participant data will be de-identified and stored using United Kingdom Data Archive standards (www.data-archive.ac.uk/create-manage/planning-for-sharing). De-identification will include removal of direct identifiers (names, addresses, postcode information, telephone numbers or pictures) as well as indirect identifiers (information on location, occupation or any other information that could be linked to a public source). This will include removing or aggregating variables or reducing the precision or detailed textual meaning of a variable in the dataset. Access to this data will be controlled and require authorisation from the research team for further use.

Locations

PH (1)