ePLH Pilot Study: Online Support Parent Groups - ParentChat

NCT04809272 | Completed

• 1 other identifier: R72537/RE001
• Study Type: interventional
• Target: 522
• Locations: 1 country
• Sites: 1

Brief Summary

Pilot trial： The feasibility study of the programme modules has a pre-post design with no control group, with the aims of assessing programme implementation, cultural and contextual relevance, and study feasibility. Although there will be no comparison group and it is not designed to test effects, the study also has a provisional goal of reductions in child physical and emotional abuse at immediate post-intervention. Pre-post design: The ePLH parent support groups will be delivered over a 8 week period (i.e., 7-8 short online interactive group sessions, two per week). The programme will include text/audio messages, illustrated comics, videos, and activity assignments for parents to do with their children. ePLH facilitators will moderate discussions around the parenting theme, support parents on an individual basis, and encourage them to apply the parenting skills at home. Parents will be prompted to give feedback regarding successes and challenges applying these parenting skills via audio or text messages during the week. The facilitators will begin the next group engagement with a brief voice summary of the feedback and address possible solutions to 2-3 key challenges. Facilitators will also be provided with weekly supervision by an ePLH coach or trainer. A designated research assistant will provide parent support groups with needed technical support during the implementation - including IT-related support. Data bundles will be provided for internet access and to incentivise engagement.

Conditions

Child Maltreatment; Positive Parenting

Keywords

Parenting programme; Child physical and emotional abuse

Outcome Measures

Primary Outcomes (4)

• Child maltreatment - physical abuse and emotional abuse: ISPCAN Child Abuse Screening Tool-Intervention (ICAST-TP) - Physical and Emotional Abuse Subscales

  Physical abuse (including abusive discipline), emotional abuse, and neglect will be measured using 4 items from reduced version of the ISPCAN Child Abuse Screening Tool-Trial Parent version (ICAST-TP). 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 spanking, slapping, or hitting with your hand?"). This study will assess frequency of child maltreatment for physical abuse (2 items) and emotional abuse (2 items), as well as an overall indication of previous child abuse (0 = no abuse; 1 = previous abuse).

  Change between Baseline and Post (approx. 1 month after end of intervention, i.e., 3 months post pre-assessment)

• Child maltreatment - physical abuse and emotional abuse: Frequency of overall 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., 3 months post pre-assessment)

• Positive parenting: Parent Daily Report Checklist

  Two items adapted from the Parent Daily Report (PDR) will be used to assess positive parenting \[19\] at baseline, post-test, and every week during programme delivery. Parents will report about their behaviour within the past week instead of the past 24 hours. The two items are "how many times in the past week did you and your child do something fun together?" and "how many times in the past week did you praise your child for doing well?" The items will be rated on a frequency scale of 0 to 7, or 8 or more times.

  Change between Baseline and Post (approx. 1 month after end of intervention, i.e., 3 months post pre-assessment)

• Parenting stress: Parent Daily Report Checklist

  One item adapted from the Parent Daily Report (PDR) will be used to assess parenting stress \[19\] at baseline, post-test, and every week during programme delivery. Parents will report about their behaviour within the past week instead of the past 24 hours. The item asks, "how many times in the past week did you feel very stressed as a parent/caregiver?" The items will be rated on a frequency scale of 0 to 7, or 8 or more times.

  Change between Baseline and Post (approx. 1 month after end of intervention, i.e., 3 months post pre-assessment)

Secondary Outcomes (10)

• Child maltreatment - physical abuse and emotional abuse: Fortnightly Assessments

  Change between T0 (baseline), T2 (2 weeks), T4 (4 weeks), T6 (6 weeks), T8 (8 weeks) and post-test at T10 (approx. 1 month after end of intervention, i.e., 3 months post pre-assessment)

• Positive parenting: Fortnightly Assessments

  Change between T0 (baseline), T2 (2 weeks), T4 (4 weeks), T6 (6 weeks), T8 (8 weeks) and post-test at T10 (approx. 1 month after end of intervention, i.e., 3 months post pre-assessment)

• Parenting Stress: Fortnightly Assessments

  Change between T0 (baseline), T2 (2 weeks), T4 (4 weeks), T6 (6 weeks), T8 (8 weeks) and post-test at T10 (approx. 1 month after end of intervention, i.e., 3 months post pre-assessment)

• Child behaviour problems: Child and Adolescent Behaviour Inventory (CAPI) - Parent Report

  Change between Baseline and Post (approx. 1 month after end of intervention, i.e., 3 months post pre-assessment)

• Child behaviour problems: Three Problem Rating Scale - Parent Report

  Change between Baseline and Post (approx. 1 month after end of intervention, i.e., 3 months post pre-assessment)

Other Outcomes (12)

• Sociodemographic information: UNICEF Multiple Indicators Cluster Survey (MICS) Household Survey

  Baseline

• COVID-19 information: Parent Report

  Baseline

• Implementation Fidelity: Facilitator check-lists

  Post (approx. 1 month after end of intervention, i.e., 3 months post pre-assessment)

Study Arms (1)

ParentChat for parents of children ages 2-17

EXPERIMENTAL

The ePLH parent support groups will be delivered over a 8 week period (i.e., 7-8 short online interactive group sessions, two per week). ePLH facilitators will moderate discussions around the parenting theme, support parents on an individual basis, and encourage them to apply the parenting skills at home. The facilitators will begin the next group engagement with a brief voice summary of the feedback and address possible solutions to 2-3 key challenges. Facilitators will also be provided with weekly supervision by an ePLH coach or trainer. A designated research assistant will provide parent support groups with needed technical support during the implementation - including IT-related support. Data bundles will be provided for internet access and to incentivise engagement.

Behavioral: ParentChat for parents of children ages 2-17

Interventions

ParentChat for parents of children ages 2-17 BEHAVIORAL

The programme will include text/audio messages, illustrated comics, videos, and activity assignments for parents to do with their children. Parents will be prompted to give feedback regarding successes and challenges applying these parenting skills via audio or text messages during the week.

ParentChat for parents of children ages 2-17

Eligibility Criteria

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

You may qualify if:

• Any person over the age of 18 years currently caring for child between the ages of 2 to 17 years
• Has regular contact with the child and spends time with the child at least two times a week
• Has access to a smartphone and is willing to join an online parenting support group to share, learn and discuss parenting
• Has provided consent to participate in the study
• Age 18 or older
• Prior participation in a facilitator or moderator training workshop
• Agreement to implement the entire programme
• Provision of consent to participate in the full study

You may not qualify if:

• Children below 18 years old
• Those who do not give consent to participate in the research.

Sponsors & Collaborators

• University of Oxford: lead
• Universiti Putra Malaysia: collaborator
• Health for Youth Association, Moldova: collaborator
• Ateneo de Manila University: collaborator
• UNICEF Montenegro: collaborator
• Alternativa: collaborator
• University of Cape Town: collaborator

Study Sites (1)

University of Oxford

Oxford, Oxfordshire, OX1 2ER, United Kingdom

Location

Study Officials

• Jamie M. Lachman, DPhil

  University of Oxford

  PRINCIPAL INVESTIGATOR

• Rumaya Juhari, PhD

  University Putra Malaysia

  PRINCIPAL INVESTIGATOR

• Galina Lesco, PhD

  Health for Youth Association, Moldova

  PRINCIPAL INVESTIGATOR

• Ida Ferdinandi, PhD

  UNICEF Montenegro

  PRINCIPAL INVESTIGATOR

• Marija Raleva, PhD

  Alternativa

  PRINCIPAL INVESTIGATOR

• Rosanne Jocson, PhD

  Ateneo de Manila University

  PRINCIPAL INVESTIGATOR

• Kufre Okop, PhD

  University of Cape Town

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: This is a pre-post study with assessments at baseline and immediate post-intervention.

Study Record Dates

• First Submitted: March 15, 2021
• First Posted: March 22, 2021
• Study Start: March 8, 2021
• Primary Completion: December 1, 2021
• Study Completion: June 1, 2022
• Last Updated: November 2, 2022

Record last verified: 2022-11

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: Indefinitely
• Access Criteria: Accessibility of the data will require approval from the study team. The study investigators, led by the PI, will jointly make decisions on whether to supply research data to potential new users. Research data will be deposited in and available in the UK Data Archive solely for non-profit use.

Locations

GB (1)