Cargando…
A mixed methods evaluation of the large-scale implementation of a school- and community-based parenting program to reduce violence against children in Tanzania: a study protocol
BACKGROUND: Despite the rapid dissemination of parenting programs aiming to reduce and prevent violence against children (VAC) worldwide, there is limited knowledge about and evidence of the implementation of these programs at scale. This study addresses this gap by assessing the quality of delivery...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8136373/ https://www.ncbi.nlm.nih.gov/pubmed/34016191 http://dx.doi.org/10.1186/s43058-021-00154-5 |
_version_ | 1783695429608669184 |
---|---|
author | Martin, Mackenzie Lachman, Jamie Wamoyi, Joyce Shenderovich, Yulia Wambura, Mwita Mgunga, Samwel Ndyetabura, Esther Ally, Amal Barankena, Asheri Exavery, Amon Manjengenja, Nyasha |
author_facet | Martin, Mackenzie Lachman, Jamie Wamoyi, Joyce Shenderovich, Yulia Wambura, Mwita Mgunga, Samwel Ndyetabura, Esther Ally, Amal Barankena, Asheri Exavery, Amon Manjengenja, Nyasha |
author_sort | Martin, Mackenzie |
collection | PubMed |
description | BACKGROUND: Despite the rapid dissemination of parenting programs aiming to reduce and prevent violence against children (VAC) worldwide, there is limited knowledge about and evidence of the implementation of these programs at scale. This study addresses this gap by assessing the quality of delivery and impact of an evidence-based parenting program for parents/caregivers and their adolescent girls aged 9 to 14—Parenting for Lifelong Health Teens (PLH-Teens), known locally as Furaha Teens—on reducing VAC at scale in Tanzania. The study will explore participating family and staff perspectives on program implementation and examine factors associated with implementation and how implementation quality is associated with intervention outcomes when the program is delivered to approximately 50,000 parent-child dyads (N = 100,000) in schools and community centers across eight districts of Tanzania. METHODS: This mixed-methods study will answer the following research questions: (1) what is the implementation quality and fidelity of PLH-Teens at scale in Tanzania; (2) what factors are associated with the quality of delivery and implementation fidelity of PLH-Teens; (3) how are implementation quality and fidelity associated with intervention outcomes; (4) what are participant and implementing staff perspectives on the acceptability, appropriateness, feasibility, benefits, and challenges of delivering PLH-Teens in their schools and communities; (5) what is the impact of PLH-Teens on VAC and participant well-being; and (6) how much does it cost to deliver PLH-Teens at scale? Qualitative and quantitative data will be collected directly from implementers, parents/caregivers, and adolescents using pre-post questionnaires, observational assessments, cost surveys, focus groups, and interviews. Qualitative data will be analyzed thematically with the aid of NVIVO software. Quantitative data will be cleaned and analyzed using methods such as correlation, regression, and structural equation models using Stata and R. COREQ and TREND guidelines will be used, where appropriate. DISCUSSION: Findings will provide vital insights into some of the factors related to quality implementation at scale. Lessons learned regarding the implementation of PLH-Teens at scale will be applied in Tanzania, and also in the delivery of PLH parenting programs globally. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s43058-021-00154-5. |
format | Online Article Text |
id | pubmed-8136373 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-81363732021-05-21 A mixed methods evaluation of the large-scale implementation of a school- and community-based parenting program to reduce violence against children in Tanzania: a study protocol Martin, Mackenzie Lachman, Jamie Wamoyi, Joyce Shenderovich, Yulia Wambura, Mwita Mgunga, Samwel Ndyetabura, Esther Ally, Amal Barankena, Asheri Exavery, Amon Manjengenja, Nyasha Implement Sci Commun Study Protocol BACKGROUND: Despite the rapid dissemination of parenting programs aiming to reduce and prevent violence against children (VAC) worldwide, there is limited knowledge about and evidence of the implementation of these programs at scale. This study addresses this gap by assessing the quality of delivery and impact of an evidence-based parenting program for parents/caregivers and their adolescent girls aged 9 to 14—Parenting for Lifelong Health Teens (PLH-Teens), known locally as Furaha Teens—on reducing VAC at scale in Tanzania. The study will explore participating family and staff perspectives on program implementation and examine factors associated with implementation and how implementation quality is associated with intervention outcomes when the program is delivered to approximately 50,000 parent-child dyads (N = 100,000) in schools and community centers across eight districts of Tanzania. METHODS: This mixed-methods study will answer the following research questions: (1) what is the implementation quality and fidelity of PLH-Teens at scale in Tanzania; (2) what factors are associated with the quality of delivery and implementation fidelity of PLH-Teens; (3) how are implementation quality and fidelity associated with intervention outcomes; (4) what are participant and implementing staff perspectives on the acceptability, appropriateness, feasibility, benefits, and challenges of delivering PLH-Teens in their schools and communities; (5) what is the impact of PLH-Teens on VAC and participant well-being; and (6) how much does it cost to deliver PLH-Teens at scale? Qualitative and quantitative data will be collected directly from implementers, parents/caregivers, and adolescents using pre-post questionnaires, observational assessments, cost surveys, focus groups, and interviews. Qualitative data will be analyzed thematically with the aid of NVIVO software. Quantitative data will be cleaned and analyzed using methods such as correlation, regression, and structural equation models using Stata and R. COREQ and TREND guidelines will be used, where appropriate. DISCUSSION: Findings will provide vital insights into some of the factors related to quality implementation at scale. Lessons learned regarding the implementation of PLH-Teens at scale will be applied in Tanzania, and also in the delivery of PLH parenting programs globally. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s43058-021-00154-5. BioMed Central 2021-05-20 /pmc/articles/PMC8136373/ /pubmed/34016191 http://dx.doi.org/10.1186/s43058-021-00154-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Study Protocol Martin, Mackenzie Lachman, Jamie Wamoyi, Joyce Shenderovich, Yulia Wambura, Mwita Mgunga, Samwel Ndyetabura, Esther Ally, Amal Barankena, Asheri Exavery, Amon Manjengenja, Nyasha A mixed methods evaluation of the large-scale implementation of a school- and community-based parenting program to reduce violence against children in Tanzania: a study protocol |
title | A mixed methods evaluation of the large-scale implementation of a school- and community-based parenting program to reduce violence against children in Tanzania: a study protocol |
title_full | A mixed methods evaluation of the large-scale implementation of a school- and community-based parenting program to reduce violence against children in Tanzania: a study protocol |
title_fullStr | A mixed methods evaluation of the large-scale implementation of a school- and community-based parenting program to reduce violence against children in Tanzania: a study protocol |
title_full_unstemmed | A mixed methods evaluation of the large-scale implementation of a school- and community-based parenting program to reduce violence against children in Tanzania: a study protocol |
title_short | A mixed methods evaluation of the large-scale implementation of a school- and community-based parenting program to reduce violence against children in Tanzania: a study protocol |
title_sort | mixed methods evaluation of the large-scale implementation of a school- and community-based parenting program to reduce violence against children in tanzania: a study protocol |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8136373/ https://www.ncbi.nlm.nih.gov/pubmed/34016191 http://dx.doi.org/10.1186/s43058-021-00154-5 |
work_keys_str_mv | AT martinmackenzie amixedmethodsevaluationofthelargescaleimplementationofaschoolandcommunitybasedparentingprogramtoreduceviolenceagainstchildrenintanzaniaastudyprotocol AT lachmanjamie amixedmethodsevaluationofthelargescaleimplementationofaschoolandcommunitybasedparentingprogramtoreduceviolenceagainstchildrenintanzaniaastudyprotocol AT wamoyijoyce amixedmethodsevaluationofthelargescaleimplementationofaschoolandcommunitybasedparentingprogramtoreduceviolenceagainstchildrenintanzaniaastudyprotocol AT shenderovichyulia amixedmethodsevaluationofthelargescaleimplementationofaschoolandcommunitybasedparentingprogramtoreduceviolenceagainstchildrenintanzaniaastudyprotocol AT wamburamwita amixedmethodsevaluationofthelargescaleimplementationofaschoolandcommunitybasedparentingprogramtoreduceviolenceagainstchildrenintanzaniaastudyprotocol AT mgungasamwel amixedmethodsevaluationofthelargescaleimplementationofaschoolandcommunitybasedparentingprogramtoreduceviolenceagainstchildrenintanzaniaastudyprotocol AT ndyetaburaesther amixedmethodsevaluationofthelargescaleimplementationofaschoolandcommunitybasedparentingprogramtoreduceviolenceagainstchildrenintanzaniaastudyprotocol AT allyamal amixedmethodsevaluationofthelargescaleimplementationofaschoolandcommunitybasedparentingprogramtoreduceviolenceagainstchildrenintanzaniaastudyprotocol AT barankenaasheri amixedmethodsevaluationofthelargescaleimplementationofaschoolandcommunitybasedparentingprogramtoreduceviolenceagainstchildrenintanzaniaastudyprotocol AT exaveryamon amixedmethodsevaluationofthelargescaleimplementationofaschoolandcommunitybasedparentingprogramtoreduceviolenceagainstchildrenintanzaniaastudyprotocol AT manjengenjanyasha amixedmethodsevaluationofthelargescaleimplementationofaschoolandcommunitybasedparentingprogramtoreduceviolenceagainstchildrenintanzaniaastudyprotocol AT martinmackenzie mixedmethodsevaluationofthelargescaleimplementationofaschoolandcommunitybasedparentingprogramtoreduceviolenceagainstchildrenintanzaniaastudyprotocol AT lachmanjamie mixedmethodsevaluationofthelargescaleimplementationofaschoolandcommunitybasedparentingprogramtoreduceviolenceagainstchildrenintanzaniaastudyprotocol AT wamoyijoyce mixedmethodsevaluationofthelargescaleimplementationofaschoolandcommunitybasedparentingprogramtoreduceviolenceagainstchildrenintanzaniaastudyprotocol AT shenderovichyulia mixedmethodsevaluationofthelargescaleimplementationofaschoolandcommunitybasedparentingprogramtoreduceviolenceagainstchildrenintanzaniaastudyprotocol AT wamburamwita mixedmethodsevaluationofthelargescaleimplementationofaschoolandcommunitybasedparentingprogramtoreduceviolenceagainstchildrenintanzaniaastudyprotocol AT mgungasamwel mixedmethodsevaluationofthelargescaleimplementationofaschoolandcommunitybasedparentingprogramtoreduceviolenceagainstchildrenintanzaniaastudyprotocol AT ndyetaburaesther mixedmethodsevaluationofthelargescaleimplementationofaschoolandcommunitybasedparentingprogramtoreduceviolenceagainstchildrenintanzaniaastudyprotocol AT allyamal mixedmethodsevaluationofthelargescaleimplementationofaschoolandcommunitybasedparentingprogramtoreduceviolenceagainstchildrenintanzaniaastudyprotocol AT barankenaasheri mixedmethodsevaluationofthelargescaleimplementationofaschoolandcommunitybasedparentingprogramtoreduceviolenceagainstchildrenintanzaniaastudyprotocol AT exaveryamon mixedmethodsevaluationofthelargescaleimplementationofaschoolandcommunitybasedparentingprogramtoreduceviolenceagainstchildrenintanzaniaastudyprotocol AT manjengenjanyasha mixedmethodsevaluationofthelargescaleimplementationofaschoolandcommunitybasedparentingprogramtoreduceviolenceagainstchildrenintanzaniaastudyprotocol |