Impact of a Parenting Program in Liberia to Improve Parenting, Education, and Health Outcomes for Children in Liberia
22 januari 2016 bijgewerkt door: International Rescue Committee
Impact Evaluation of a Parenting Program to Improve Parenting, Education, and Health Outcomes for Young Children in Liberia
The aim of this study is to assess the impact of an intervention to improve parenting practices, pre-academic and developmental skills, and use of mosquito nets for children in kindergarten in Liberia.
A rigorous impact evaluation using a randomized, waitlist controlled design will be conducted to measure the impact of the intervention on three primary outcomes: positive parenting skills, children's cognitive and educational skills, and malaria knowledge and prevention behaviors.
Studie Overzicht
Toestand
Voltooid
Interventie / Behandeling
Studietype
Ingrijpend
Inschrijving (Werkelijk)
270
Fase
- Niet toepasbaar
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studie Locaties
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Lofa County
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Voinjama, Lofa County, Liberia
- International Rescue Committee
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Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
18 jaar en ouder (Volwassen, Oudere volwassene)
Accepteert gezonde vrijwilligers
Ja
Geslachten die in aanmerking komen voor studie
Allemaal
Beschrijving
Inclusion Criteria:
- Parents or primary caregivers (age 18 or above) of children ages 3-7 enrolled in kindergarten
- Resident in one of five study sites
Exclusion Criteria:
- Severe cognitive disability of caregiver affecting ability to provide informed consent
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Preventie
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Experimenteel: "Parents Make the Difference"
Caregivers are enrolled in the 10-session Parents Make the Difference intervention.
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The intervention, entitled "Parents Make the Difference," will include 10 sessions.
Parents will attend in a group, and sessions will include didactic information, guided discussion, and modeling and practice of new skills.
All sessions focus on positive parenting skills, with specific skills across three domains that have strong links to child outcomes: (a) positive, non-physical behavior management strategies, (b) strategies for promoting children's early learning, and (c) strategies, primarily use of bed nets, for preventing malaria in children.
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Ander: Waitlist Control
Caregivers assigned to the control group received the 10-session Parents Make the Difference intervention after the study was completed.
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The intervention, entitled "Parents Make the Difference," will include 10 sessions.
Parents will attend in a group, and sessions will include didactic information, guided discussion, and modeling and practice of new skills.
All sessions focus on positive parenting skills, with specific skills across three domains that have strong links to child outcomes: (a) positive, non-physical behavior management strategies, (b) strategies for promoting children's early learning, and (c) strategies, primarily use of bed nets, for preventing malaria in children.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Parenting Behavior Assessment (adapted from multiple scales for this context)
Tijdsspanne: 1 month
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This is a caregiver-report survey measures including items on various parenting practices, including: caregiver-child communication; discipline and behavior management practices; caregiver-child affection and shared activities; caregiver involvement in child's school and educational activities.
These items will yield several subscores for these different domains.
Some items may also be analyzed as single items, as they measure specific and important outcomes (e.g., use of a harsh discipline strategy)
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1 month
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Parenting Self-Efficacy and Beliefs Assessment (adapted from other scales for this context; includes unique items developed for this context)
Tijdsspanne: 1 month
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These items assess parents' confidence in their parenting abilities and their beliefs about caregiving practices.
This measure will yield separate scores for self-efficacy and beliefs about caregiving practices.
Some items may also be analyzed as single items, as they measure specific and important outcomes (e.g., parents' belief about an aspect of harsh discipline)
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1 month
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Child Behavior Assessment (items adapted from the Strengths and Difficulties Questionnaire)
Tijdsspanne: 1 month
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This tool assess children's behaviors and emotional well-being in the domains of hyperactivity, anger, aggression, mood, and peer relationships.
They will be analyzed as an overall score, and single items may be analyzed for certain behaviors or indicators of emotional well-being.
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1 month
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Parent-Child Interaction Observation
Tijdsspanne: 1 month
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Caregivers and children in the study will be asked to engage in a play interaction for five minutes, and their verbal interactions will be audio-recorded.
Recordings will be coded for specific behaviors.
The coding system is adapted from the Dyadic Parent Child Interaction Coding System.
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1 month
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Child Cognitive / Pre-Academic Abilities and Emotional Well-being
Tijdsspanne: 1 month
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Children will be administered activity-based items to assess a range of cognitive and learning skills, including verbal and language skills (as measured by several activities), numeracy, and pattern recognition.
Items will be combined into composite scores but may also be analyzed separately to measure outcomes on specific abilities (e.g., counting).
Children will also be asked five questions related to their emotional well-being adapted from the Strengths and Difficulties Questionnaire.
These items will be analyzed as a sum score, and individual items may be analyzed for specific indicators of emotional well-being.
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1 month
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Mosquito net usage
Tijdsspanne: 1 month
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A survey will be used to assess mosquito net usage by household members.
Items will be analyzed separately to assess discrete behaviors (e.g., whether child him/herself slept under the net; whether any adult(s) slept under the net)
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1 month
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Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Sponsor
Medewerkers
Onderzoekers
- Hoofdonderzoeker: Eve Puffer, PhD, Duke University
- Hoofdonderzoeker: Rhea Chase, PhD, Duke University
Publicaties en nuttige links
De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.
Algemene publicaties
- Annan J, Sim A, Puffer ES, Salhi C, Betancourt TS. Improving Mental Health Outcomes of Burmese Migrant and Displaced Children in Thailand: a Community-Based Randomized Controlled Trial of a Parenting and Family Skills Intervention. Prev Sci. 2017 Oct;18(7):793-803. doi: 10.1007/s11121-016-0728-2.
- Puffer ES, Green EP, Chase RM, Sim AL, Zayzay J, Friis E, Garcia-Rolland E, Boone L. Parents make the difference: a randomized-controlled trial of a parenting intervention in Liberia. Glob Ment Health (Camb). 2015 Aug 4;2:e15. doi: 10.1017/gmh.2015.12. eCollection 2015.
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start
1 augustus 2012
Primaire voltooiing (Werkelijk)
1 maart 2013
Studie voltooiing (Werkelijk)
1 maart 2013
Studieregistratiedata
Eerst ingediend
8 april 2013
Eerst ingediend dat voldeed aan de QC-criteria
8 april 2013
Eerst geplaatst (Schatting)
11 april 2013
Updates van studierecords
Laatste update geplaatst (Schatting)
25 januari 2016
Laatste update ingediend die voldeed aan QC-criteria
22 januari 2016
Laatst geverifieerd
1 januari 2016
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- 5108
Plan Individuele Deelnemersgegevens (IPD)
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