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Trial record 8 of 16 for:    Liberia

Impact of a Parenting Program in Liberia to Improve Parenting, Education, and Health Outcomes for Children in Liberia

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ClinicalTrials.gov Identifier: NCT01829815
Recruitment Status : Completed
First Posted : April 11, 2013
Last Update Posted : January 25, 2016
Sponsor:
Collaborator:
Duke University
Information provided by (Responsible Party):
International Rescue Committee

Brief Summary:
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.

Condition or disease Intervention/treatment Phase
Parenting Behavior Pre-academic and Developmental Skills Malaria Prevention Behavioral: Parents Make the Difference Not Applicable

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 270 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Impact Evaluation of a Parenting Program to Improve Parenting, Education, and Health Outcomes for Young Children in Liberia
Study Start Date : August 2012
Actual Primary Completion Date : March 2013
Actual Study Completion Date : March 2013

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Malaria Parenting

Arm Intervention/treatment
Experimental: "Parents Make the Difference"
Caregivers are enrolled in the 10-session Parents Make the Difference intervention.
Behavioral: Parents Make the Difference
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.

Waitlist Control
Caregivers assigned to the control group received the 10-session Parents Make the Difference intervention after the study was completed.
Behavioral: Parents Make the Difference
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.




Primary Outcome Measures :
  1. Parenting Behavior Assessment (adapted from multiple scales for this context) [ Time Frame: 1 month ]
    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)

  2. Parenting Self-Efficacy and Beliefs Assessment (adapted from other scales for this context; includes unique items developed for this context) [ Time Frame: 1 month ]
    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)

  3. Child Behavior Assessment (items adapted from the Strengths and Difficulties Questionnaire) [ Time Frame: 1 month ]
    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.

  4. Parent-Child Interaction Observation [ Time Frame: 1 month ]
    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.

  5. Child Cognitive / Pre-Academic Abilities and Emotional Well-being [ Time Frame: 1 month ]
    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.


Secondary Outcome Measures :
  1. Mosquito net usage [ Time Frame: 1 month ]
    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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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01829815


Locations
Liberia
International Rescue Committee
Voinjama, Lofa County, Liberia
Sponsors and Collaborators
International Rescue Committee
Duke University
Investigators
Principal Investigator: Eve Puffer, PhD Duke University
Principal Investigator: Rhea Chase, PhD Duke University

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: International Rescue Committee
ClinicalTrials.gov Identifier: NCT01829815     History of Changes
Other Study ID Numbers: 5108
First Posted: April 11, 2013    Key Record Dates
Last Update Posted: January 25, 2016
Last Verified: January 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided
Plan Description: File needs to be anonymized

Keywords provided by International Rescue Committee:
Child
Parents
Parenting
Child Development
Parent Child Relations
Malaria
Primary Prevention
Punishment
Education

Additional relevant MeSH terms:
Malaria
Protozoan Infections
Parasitic Diseases