Mental and Behavioural Disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Parent or caregiver aged = 18 years. Parent/caregiver is an English, isiZulu, or siSwati speaker. Parent/caregiver is currently caring for an adolescent girl aged 10–17 years. Parent/caregiver resides in the same household as the adolescent girl for at least 4 nights per month over the previous 3 months. Parent/caregiver has access to a mobile phone compatible with WhatsApp. Parent/caregiver is willing to enroll in the ParentText chatbot and receive messages via WhatsApp. Parent/caregiver provides written informed consent to participate in the study. Eligible adolescents: female teenagers aged 10–17 years who have a parent enrolled in the trial and who provide written informed assent. Eligible clusters: communities with at least 60 households with a resident adolescent girl aged 10–17 years and assigned to an m2m CHAMP implementer.
Exclusion criteria
Exclusion criteria: Parent/caregiver younger than 18 years. Parent/caregiver not an English, isiZulu, or siSwati speaker. Parent/caregiver not currently caring for an adolescent girl aged 10–17 years. Parent/caregiver does not reside with the adolescent girl for = 4 nights/month over the previous 3 months. Parent/caregiver does not have a mobile phone compatible with WhatsApp. Parent/caregiver unwilling to enroll in ParentText or to receive messages via WhatsApp. Parent/caregiver does not provide written informed consent. Adolescents who are not female, outside 10–17 years, or whose parent is not enrolled or who do not assent. Clusters that do not have = 60 households with an eligible adolescent girl or are not assigned to an m2m CHAMP implementer.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall number of modules completed within the ParentText chatbot | — |
Secondary
| Measure | Time frame |
|---|---|
| Percentage of modules and goals completed;Rate of self-reported completion of home practice activities;Engagement Outcome - Number of days users interact with the chatbot;Engagement Outcome - Number of triggered safeguarding messages;Engagement Outcome - Number of active and passive dropout from the chatbot;Engagement Outcome - Number of times users use the menu and option functions;Engagement Outcome - Number of times users access learning through play activities and type of activity (ie, calm, active, quick, or group);Engagement Outcome - Type of media selected for engagement (ie, text, audio, or video);Engagement Outcome - Goal selected by users after completion of the first goal;Behavioral and Mental Health Outcome - Child maltreatment (adult and adolescent report) will be assessed using a subset of items from the physical abuse (2 items) and emotional abuse (2 items) subscales of the International Society for the Prevention of Child Abuse and Neglect Child Abuse Screening Tool–Trial Version.;Behavioral and Mental Health Outcome - Positive parenting (adult and adolescent report) will be assessed using a subset of items from the positive involvement (3 items), positive parenting (3 items), and parental supervision (3 items) subscales of the Alabama Parenting Questionnaire.;Behavioral and Mental Health Outcome - Parent support of education (adult and adolescent report) will be measured using 4 items assessing how often the parent engages the adolescent in behaviors that support learning.;Behavioral and Mental Health Outcome - Mental health distress (adult and adolescent report) will be measured using the 4-item Patient Health Questionnaire, which screens for anxiety and depression symptoms.;Behavioral and Mental Health Outcome - Parenting stress (adult report only) will be measured using the parental stressors subscale (6 items) of the Parental Stress Scale.;Behavioral and Mental Health Outcome - Economic strengthening (adult report only) will be measured using 1 | — |
Countries
South Africa
Contacts
Professor of Child and Family Global Health