A parenting programme to prevent abuse of adolescents in South Africa: study protocol for a randomised controlled trial

被引:34
作者
Cluver, Lucie [1 ,2 ]
Meinck, Franziska [1 ]
Shenderovich, Yulia [3 ]
Ward, Catherine L. [4 ]
Romero, Rocio Herrero [1 ]
Redfern, Alice [1 ]
Lombard, Carl [5 ]
Doubt, Jenny [1 ]
Steinert, Janina [1 ]
Catanho, Ricardo [1 ]
Wittesaele, Camille [1 ]
De Stone, Sachin [1 ]
Salah, Nasteha [1 ]
Mpimpilashe, Phelisa [1 ]
Lachman, Jamie [1 ,6 ]
Loening, Heidi [7 ]
Gardner, Frances [1 ]
Blanc, Daphnee [1 ]
Nocuza, Mzuvekile [1 ]
Lechowicz, Meryn [1 ]
机构
[1] Univ Oxford, Dept Social Policy & Intervent, Ctr Evidence Based Intervent, Barnett House,32 Wellington Sq, Oxford OX1 2ER, England
[2] Univ Cape Town, Dept Psychiat & Mental Hlth, Cape Town, South Africa
[3] Univ Cambridge, Inst Criminol, Cambridge CB2 1TN, England
[4] Univ Cape Town, Dept Psychol, Cape Town, South Africa
[5] South African Med Res Council, Biostat Unit, Cape Town, South Africa
[6] Clowns Borders South Africa, POB 18670, ZA-4014 Durban, South Africa
[7] UNICEF, Off Res Innocenti, Florence, Italy
基金
欧洲研究理事会;
关键词
Child abuse; Parenting; Low- and middle-income countries; CHILD MALTREATMENT PREVENTION; INTERVENTION; MODERATORS; SCALE; POWER;
D O I
10.1186/s13063-016-1452-8
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Background: An estimated one billion children experience child abuse each year, with the highest rates in low- and middle-income countries. The Sinovuyo Teen programme is part of Parenting for Lifelong Health, a WHO/UNICEF initiative to develop and test violence-prevention programmes for implementation in low-resource contexts. The objectives of this parenting support programme are to prevent the abuse of adolescents, improve parenting and reduce adolescent behavioural problems. This trial aims to evaluate the effectiveness of Sinovuyo Teen compared to an attention-control group of a water hygiene programme. Methods/Design: This is a pragmatic cluster randomised controlled trial, with stratified randomisation of 37 settlements (rural and peri-urban) with 40 study clusters in the Eastern Cape of South Africa. Settlements receive either a 14-session parenting support programme or a 1-day water hygiene programme. The primary outcomes are child abuse and parenting practices, and secondary outcomes include adolescent behavioural problems, mental health and social support. Concurrent process evaluation and qualitative research are conducted. Outcomes are reported by both primary caregivers and adolescents. Brief follow-up measures are collected immediately after the intervention, and full follow-up measures collected at 3-8 months post-intervention. A 15-24-month follow-up is planned, but this will depend on the financial and practical feasibility given delays related to high levels of ongoing civil and political violence in the research sites. Discussion: This is the first known trial of a parenting programme to prevent abuse of adolescents in a low- or middle-income country. The study will also examine potential mediating pathways and moderating factors.
引用
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页数:10
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