Optimising engagement in a digital parenting intervention to prevent violence against adolescents in Tanzania: protocol for a cluster randomised factorial trial

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dc.contributor.authorJanowski, Roselinde
dc.contributor.authorGreen, Ohad
dc.contributor.authorShenderovich, Yulia
dc.contributor.authorStern, David
dc.contributor.authorClements, Lily
dc.contributor.authorWamoyi, Joyce
dc.contributor.authorWambura, Mwita
dc.contributor.authorLachman, Jamie M.
dc.contributor.authorMelendez-Torres, G. J.
dc.contributor.authorGardner, Frances
dc.contributor.authorBaerecke, Lauren
dc.contributor.authorTe Winkel, Esmee
dc.contributor.authorBooij, Anna
dc.contributor.authorSetton, Orli
dc.contributor.authorTsoanyane, Sibongile
dc.contributor.authorMjwara, Sussie
dc.contributor.authorChristine, Laetitia
dc.contributor.authorOrnellas, Abigail
dc.contributor.authorChetty, Nicole
dc.contributor.authorKlapwijk, Jonathan
dc.contributor.authorAwah, Isang
dc.contributor.authorManjengenja, Nyasha
dc.contributor.authorSokoine, Kudely
dc.contributor.authorMajikata, Sabrina
dc.contributor.authorCluver, Lucie D.
dc.date.accessioned2023-09-20T12:25:59Z
dc.date.available2023-09-20T12:25:59Z
dc.date.issued2023-06-23
dc.date.updated2023-06-26T09:29:58Z
dc.description.abstractBackground 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 .
dc.identifier.apacitationJanowski, R., Green, O., Shenderovich, Y., Stern, D., Clements, L., Wamoyi, J., ... Cluver, Lucie D. (2023). Optimising engagement in a digital parenting intervention to prevent violence against adolescents in Tanzania: protocol for a cluster randomised factorial trial. <i>BMC Public Health</i>, 23(1), 1224. http://hdl.handle.net/11427/38798en_ZA
dc.identifier.chicagocitationJanowski, Roselinde, Ohad Green, Yulia Shenderovich, David Stern, Lily Clements, Joyce Wamoyi, Mwita Wambura, et al "Optimising engagement in a digital parenting intervention to prevent violence against adolescents in Tanzania: protocol for a cluster randomised factorial trial." <i>BMC Public Health</i> 23, 1. (2023): 1224. http://hdl.handle.net/11427/38798en_ZA
dc.identifier.citationJanowski, R., Green, O., Shenderovich, Y., Stern, D., Clements, L., Wamoyi, J., Wambura, M. & Lachman, Jamie M. et al. 2023. Optimising engagement in a digital parenting intervention to prevent violence against adolescents in Tanzania: protocol for a cluster randomised factorial trial. <i>BMC Public Health.</i> 23(1):1224. http://hdl.handle.net/11427/38798en_ZA
dc.identifier.risTY - Journal Article AU - Janowski, Roselinde AU - Green, Ohad AU - Shenderovich, Yulia AU - Stern, David AU - Clements, Lily AU - Wamoyi, Joyce AU - Wambura, Mwita AU - Lachman, Jamie M. AU - Melendez-Torres, G. J. AU - Gardner, Frances AU - Baerecke, Lauren AU - Te Winkel, Esmee AU - Booij, Anna AU - Setton, Orli AU - Tsoanyane, Sibongile AU - Mjwara, Sussie AU - Christine, Laetitia AU - Ornellas, Abigail AU - Chetty, Nicole AU - Klapwijk, Jonathan AU - Awah, Isang AU - Manjengenja, Nyasha AU - Sokoine, Kudely AU - Majikata, Sabrina AU - Cluver, Lucie D. AB - 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 . DA - 2023-06-23 DB - OpenUCT DP - University of Cape Town KW - Parenting KW - Engagement KW - Factorial experiment KW - Optimisation KW - Low- and middle-income countries KW - Digital intervention KW - Multiphase optimisation strategy (MOST) LK - https://open.uct.ac.za PY - 2023 T1 - Optimising engagement in a digital parenting intervention to prevent violence against adolescents in Tanzania: protocol for a cluster randomised factorial trial TI - Optimising engagement in a digital parenting intervention to prevent violence against adolescents in Tanzania: protocol for a cluster randomised factorial trial UR - http://hdl.handle.net/11427/38798 ER -en_ZA
dc.identifier.urihttps://doi.org/10.1186/s12889-023-15989-x
dc.identifier.urihttp://hdl.handle.net/11427/38798
dc.identifier.vancouvercitationJanowski R, Green O, Shenderovich Y, Stern D, Clements L, Wamoyi J, et al. Optimising engagement in a digital parenting intervention to prevent violence against adolescents in Tanzania: protocol for a cluster randomised factorial trial. BMC Public Health. 2023;23(1):1224. http://hdl.handle.net/11427/38798.en_ZA
dc.language.rfc3066en
dc.publisherBioMed Central
dc.publisher.departmentPsychiatry and Mental Health
dc.publisher.facultyHealth Sciences
dc.rights.holderThe Author(s)
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceBMC Public Health
dc.source.journalissue1
dc.source.journalvolume23
dc.source.pagination1224
dc.source.urihttps://bmcpublichealth.biomedcentral.com/
dc.subjectParenting
dc.subjectEngagement
dc.subjectFactorial experiment
dc.subjectOptimisation
dc.subjectLow- and middle-income countries
dc.subjectDigital intervention
dc.subjectMultiphase optimisation strategy (MOST)
dc.titleOptimising engagement in a digital parenting intervention to prevent violence against adolescents in Tanzania: protocol for a cluster randomised factorial trial
dc.typeJournal Article
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