Masayang Pamilya Feasibility Study

NCT ID: NCT03903445

Last Updated: 2020-02-24

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 120 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-04-04
• Study Completion Date: 2019-10-30

Brief Summary

The aim of this study is to test the feasibility of (1) an 8-session version of the Masayang Pamilya (MaPa) parenting program for families with children aged 2-9 (MaPa Kids) and (2) a culturally and contextually adapted 9-session MaPa parenting program for families with children aged 10-17 (MaPa Teens).

The feasibility of MaPa Kids and MaPa Teens will be assessed through self-report questionnaires, in-depth interviews and focus group discussions, and implementation data. Together, the focus groups, questionnaires, interviews, and implementation data will assess the overall feasibility of the MaPa Kids and MaPa Teen programs in the Philippines by examining program delivery, participation, acceptability, scalability, and preliminary effectiveness on reducing child maltreatment and associated risks.

Detailed Description

Child maltreatment occurs at much higher rates in low- and middle-income countries (LMIC) than in high-income countries. Parenting programs have shown particular promise in preventing child maltreatment, as well as improving child health and educational outcomes. However, there are currently very few parenting programs that are both evidence-based and affordable for LMIC, such as the Philippines, where the need is the greatest. For instance, the 2015 national baseline survey on violence against children (VAC) revealed that 80% of Filipino youth respondents had experienced violence in childhood, with 60% of these cases occurring at home. Mothers, fathers, and siblings were the most commonly reported perpetrators of harsh physical and psychological punishment (UNICEF, 2016). A logical recourse to decrease child maltreatment in the country is to implement interventions/programs that improve parents' relationships with their children and their knowledge and skills in child behavior management.

There is extensive scientific evidence that parenting support programs are effective in reducing child maltreatment and associated risk factors such as corporal punishment and parent negative psychological health (e.g., Desai, Reece & Shakespeare-Pellington, 2017; Mikton & Butchart, 2009). Parenting for Lifelong Health (PLH) is one such initiative led by UNICEF and WHO to support evidence-based parenting programs to reduce VAC in low and middle-income contexts.

In 2016-2017, PLH-Philippines embarked on the cultural adaptation, feasibility study (N=30), and pilot randomized control trial (RCT) (N=120) of the MaPa Kids program in the National Capital Region, which was implemented with families with children ages 2-6 and who were beneficiaries of the Department of Social Welfare and Development (DSWD) Pantawid Pamilyang Pilipino Program (4Ps). The results of this initial RCT were promising with reduced child maltreatment, dysfunctional parenting, less support of corporal punishment, lower levels of child problem behavior intensity, and higher sense of parenting efficacy at post-intervention reported by parents who participated in MaPa Kids compared to control group families who underwent the 4Ps Family Development Sessions (FDS). Reduced child maltreatment persisted at one-year follow-up assessment.

Building on the aforementioned trial, this study aims to expand the development, implementation, and evaluation of the parenting programs in the Philippines as part of a systematic effort to further assess the feasibility of (1) an 8-session version of the MaPa Kids program for families with children aged 2-9 and (2) a culturally adapted 9-session parenting program for families with children aged 10-17 (MaPa Teens).

The 8-session MaPa Kids and 9-session MaPa Teens modules will be piloted through a pre-post feasibility study. Both MaPa Kids and MaPa Teens parenting intervention modules will be implemented by eight local facilitators and two coaches in a low-income community - in Quezon City, Philippines - identified in collaboration with DSWD. Following participant recruitment and informed consent and assent procedures, baseline sociodemographic information and primary, proximal, and secondary information will be collected from parents/caregivers and their children (aged 10-17 in MaPa Teens).

Standardized baseline and one-month post-program questionnaires assessing primary and secondary outcomes, as well as demographic data, will be administered to 60 parents/primary caregivers and 30 children who participate in the program. Implementation data will be collected from parents/caregivers and program facilitators through report forms/checklists and video-recordings of each program session. Focus group discussions will be held with 60 parents/primary caregivers, 30 children aged 10-17, and eight program facilitators.

Conditions

Parent-Child Relations; Child Maltreatment; Child Behavior Problem; Parenting

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

MaPa Kids

Masayang Pamilya Para Sa Batang Pilipino Program (MaPa Kids) Parenting training for parents of children aged 2-9

• Program length: 8 consecutive weekly sessions
• Incentive: PHP 500 or approximately £7 per participant
• Participants: N=15 per group

Group Type: EXPERIMENTAL

Masayang Pamilya Para Sa Batang Pilipino Program (MaPa Kids)

Intervention Type: BEHAVIORAL

MaPa Kids is an 8-session parenting program delivered weekly to groups of parents (N=15 per group).

The program includes the following content: 1) spending one-on-one time with children; 2) describing actions and feelings for cognitive development and socio-emotional awareness; 3) using praise and rewards to encourage positive behavior; 4) establishing limits through effective instruction giving and consistent household rules; 5) nonviolent discipline such as ignoring negative attention seeking behavior, and consequences for noncompliance, rule-breaking, and aggressive behavior; 6) problem solving with children; and 7) mindfulness based stress reduction.

MaPa Teens

Masayang Pamilya Para Sa Tinedyer Pilipino Program (MaPa Teens) Parenting training for parents of children aged 10-17

• Program length: 9 consecutive weekly sessions
• Adult Incentive: PHP 500 or approximately £7 per participant
• Child incentive: PHP 300 or approximately £4 per participant
• Participants: N=15 per group

Group Type: EXPERIMENTAL

Masayang Pamilya Para Sa Tinedyer Pilipino Program (MaPa Teens)

Intervention Type: BEHAVIORAL

MaPa Teens is a 9-session parenting program delivered to groups of parents and children aged 10-17 (N=15 dyads per group).

The program includes the following content: 1) one-on-one time with parents and teens, 2) positive reinforcement of positive behavior, 3) managing anger and stress, 4) establishing rules and routines, 5) family budgeting, 6) accepting responsibility for actions, 7) resolving family conflicts, 8) keeping safe in the community and resolving conflicts, and 9) reflection and moving on.

Interventions

Masayang Pamilya Para Sa Batang Pilipino Program (MaPa Kids)

MaPa Kids is an 8-session parenting program delivered weekly to groups of parents (N=15 per group).

The program includes the following content: 1) spending one-on-one time with children; 2) describing actions and feelings for cognitive development and socio-emotional awareness; 3) using praise and rewards to encourage positive behavior; 4) establishing limits through effective instruction giving and consistent household rules; 5) nonviolent discipline such as ignoring negative attention seeking behavior, and consequences for noncompliance, rule-breaking, and aggressive behavior; 6) problem solving with children; and 7) mindfulness based stress reduction.

Intervention Type: BEHAVIORAL

Masayang Pamilya Para Sa Tinedyer Pilipino Program (MaPa Teens)

MaPa Teens is a 9-session parenting program delivered to groups of parents and children aged 10-17 (N=15 dyads per group).

The program includes the following content: 1) one-on-one time with parents and teens, 2) positive reinforcement of positive behavior, 3) managing anger and stress, 4) establishing rules and routines, 5) family budgeting, 6) accepting responsibility for actions, 7) resolving family conflicts, 8) keeping safe in the community and resolving conflicts, and 9) reflection and moving on.

Intervention Type: BEHAVIORAL

Other Intervention Names

Parenting for Lifelong Health for Young Children (PLH); Parenting for Lifelong Health (PLH) for Adolescents

Eligibility Criteria

Inclusion Criteria

1. Age 18 or older;

2. Primary caregiver responsible for the care of a child between the ages 2-9 (Kids) or 10-17 (Teens);

3. Spend at least four nights a week in the same household as the child in the previous month;

4. Recipient of the 4Ps conditional cash transfer program;

5. Provision of consent to participate in the full study;

6. Provision of consent for their child to participate in the full study (for MaPa Teens only).

1. Age 10 to 17 years at initial assessment;

2. Lives in the house at least 4 nights per week;

3. Must have an adult primary caregiver who lives in the household, who provides consent, and who participates in the study;

4. Provides assent to participate in the full study.

1. Age 18 or older;

2. Prior participation in a 5-day facilitator training workshop;

3. Agreement to implement the entire program;

4. Provision of consent to participate in the full study.

Exclusion Criteria

1. Any adult who has already participated in the Parent Effectiveness Service;

2. Any adult exhibiting severe mental health problems or acute mental disabilities;

3. Any adult that has been referred to child protection services due to child abuse.

1. Any child who is either experiencing severe mental health problems, has acute developmental disabilities and

2. If the child participant has been referred to social services during baseline data collection due to reported or observed indications of significant harm.

• Minimum Eligible Age: 10 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

University of Oxford

OTHER

Sponsor Role: collaborator

University of Cape Town

OTHER

Sponsor Role: collaborator

Philippines Department of Social Welfare and Development

UNKNOWN

Sponsor Role: collaborator

Philippines Child Protection Network

UNKNOWN

Sponsor Role: collaborator

Ateneo de Manila University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Rosanne Jocson, PhD

Role: PRINCIPAL_INVESTIGATOR

Ateneo de Manila University

Liane P Alampay, PhD

Role: PRINCIPAL_INVESTIGATOR

Ateneo de Manila University

Jamie M Lachman, DPhil

Role: PRINCIPAL_INVESTIGATOR

University of Oxford

Frances Gardner, DPhil

Role: PRINCIPAL_INVESTIGATOR

University of Oxford

Engels Del Rosario

Role: PRINCIPAL_INVESTIGATOR

Department of Social Welfare and Development, Philippines

Bernadette Madrid, PhD

Role: PRINCIPAL_INVESTIGATOR

Child Protection Network, Philippines

Catherine L Ward, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Cape Town

Locations

Ateneo de Manila University

Quezon City, , Philippines

Countries

Philippines

Provided Documents

Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

AdMUREC_19_092PA

Identifier Type: -

Identifier Source: org_study_id