Evidence map›Paper›PMID 37353844›Full record

ArticleBMC public health2023

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

Roselinde Janowski, Ohad Green, Yulia Shenderovich, David Stern, Lily Clements, Joyce Wamoyi, Mwita Wambura, Jamie M Lachman, G J Melendez-Torres, Frances Gardner and 15 more

Open access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
6.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors at 8 institutions in 3 countries.

Roselinde JanowskiDepartment of Social Policy and Intervention, University of Oxford, Barnett House, 32-37 Wellington Square, Oxford, Ox1 2ER, UK. roselinde.janowski@spi.ox.ac.uk.ORCID 0000-0003-2082-9281
Ohad GreenDepartment of Social Policy and Intervention, University of Oxford, Barnett House, 32-37 Wellington Square, Oxford, Ox1 2ER, UK.
Yulia ShenderovichCentre for Development, Evaluation, Complexity and Implementation in Public Health Improvement (DECIPHer), School of Social Science, Cardiff University, Cardiff, UK.
David SternInnovations in Development, Education, and the Mathematical Sciences (IDEMS International), Reading, UK.
Lily ClementsInnovations in Development, Education, and the Mathematical Sciences (IDEMS International), Reading, UK.
Joyce WamoyiNational Institute for Medical Research Mwanza Research Centre, Mwanza, Tanzania.
Mwita WamburaNational Institute for Medical Research Mwanza Research Centre, Mwanza, Tanzania.
Jamie M LachmanDepartment of Social Policy and Intervention, University of Oxford, Barnett House, 32-37 Wellington Square, Oxford, Ox1 2ER, UK.
G J Melendez-TorresFaculty of Health and Life Sciences, University of Exeter, Exeter, UK.
Frances GardnerDepartment of Social Policy and Intervention, University of Oxford, Barnett House, 32-37 Wellington Square, Oxford, Ox1 2ER, UK.
Lauren BaereckeCentre for Social Science Research, University of Cape Town, Cape Town, South Africa.
Esmee Te WinkelInnovations in Development, Education, and the Mathematical Sciences (IDEMS International), Reading, UK.
Anna BooijClowns Without Borders South Africa, Durban, South Africa.
Orli SettonFreelance Designer and Illustrator, Cape Town, South Africa.
Sibongile TsoanyaneClowns Without Borders South Africa, Durban, South Africa.
Sussie MjwaraClowns Without Borders South Africa, Durban, South Africa.
Laetitia ChristineInnovations in Development, Education, and the Mathematical Sciences (INNODEMS), Kakamega, Kenya.
Abigail OrnellasCentre for Social Science Research, University of Cape Town, Cape Town, South Africa.
Nicole ChettyCentre for Social Science Research, University of Cape Town, Cape Town, South Africa.
Jonathan KlapwijkDepartment of Social Policy and Intervention, University of Oxford, Barnett House, 32-37 Wellington Square, Oxford, Ox1 2ER, UK.
Isang AwahDepartment of Social Policy and Intervention, University of Oxford, Barnett House, 32-37 Wellington Square, Oxford, Ox1 2ER, UK.
Nyasha ManjengenjaClowns Without Borders South Africa, Durban, South Africa.
Kudely SokoineInvesting in Children and Strengthening Their Societies, Shinyanga, Tanzania.
Sabrina MajikataInvesting in Children and Strengthening Their Societies, Shinyanga, Tanzania.
Lucie D CluverDepartment of Social Policy and Intervention, University of Oxford, Barnett House, 32-37 Wellington Square, Oxford, Ox1 2ER, UK.
Oxford Policy Management · GBUniversity of Cape Town · ZAMédecins Sans Frontières · ZAIDEMS International Community Interest CompanyNational Institute for Medical Research · TZCardiff University · GBRight to Care · ZAUniversity of Exeter · GB

Funding

European Research Council 101067451
6 · The paper itself

Abstract

backgroundViolence 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/

designSixteen 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 registrationPan African Clinical Trial Registry, PACTR202210657553944. Registered 11 October 2022, https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=24051 .

Indexed as

ParentingViolenceAdolescentCaregiversChildHumansPovertyRandomized Controlled Trials as TopicTanzaniaDigital interventionEngagementFactorial experimentLow- and middle-income countriesMultiphase optimisation strategy (MOST)OptimisationParenting

Identifiers

PMID37353844
PMCPMC10288745
OpenAlexW4381839064

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.