Martin Mackenzie, Lachman Jamie, Wamoyi Joyce, Shenderovich Yulia, Wambura Mwita, Mgunga Samwel, Ndyetabura Esther, Ally Amal, Barankena Asheri, Exavery Amon, Manjengenja Nyasha
Department of Social Policy and Intervention, University of Oxford, Oxford, UK.
MRC/CSO Social and Public Health Science Unit, University of Glasgow, Glasgow, UK.
Implement Sci Commun. 2021 May 20;2(1):52. doi: 10.1186/s43058-021-00154-5.
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.
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.
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.
尽管旨在减少和预防全球范围内针对儿童暴力行为（VAC）的育儿项目迅速传播，但对于这些项目大规模实施的了解和证据却很有限。本研究通过评估一项针对父母/照料者及其9至14岁青春期女孩的循证育儿项目——“终身健康育儿青少年项目”（PLH - Teens，当地称为“Furaha Teens”）在坦桑尼亚大规模减少VAC方面的实施质量和影响，来填补这一空白。该研究将探讨参与项目的家庭和工作人员对项目实施的看法，并研究与实施相关的因素，以及当该项目在坦桑尼亚八个地区的学校和社区中心向约5万个亲子二元组（N = 100,000）实施时，实施质量与干预结果之间的关联。
这项混合方法研究将回答以下研究问题：（1）PLH - Teens在坦桑尼亚大规模实施的质量和保真度如何；（2）哪些因素与PLH - Teens的实施质量和保真度相关；（3）实施质量和保真度与干预结果有何关联；（4）参与者和实施工作人员对在其学校和社区实施PLH - Teens的可接受性、适宜性、可行性、益处和挑战有何看法；（5）PLH - Teens对VAC和参与者福祉有何影响；（6）大规模实施PLH - Teens的成本是多少？定性和定量数据将通过前后问卷调查、观察评估、成本调查、焦点小组和访谈直接从实施者、父母/照料者和青少年那里收集。定性数据将借助NVIVO软件进行主题分析。定量数据将使用Stata和R等软件，通过相关性、回归和结构方程模型等方法进行清理和分析。将酌情使用COREQ和TREND指南。
研究结果将为大规模高质量实施的一些相关因素提供重要见解。在坦桑尼亚大规模实施PLH - Teens所吸取的经验教训将应用于该国，并推广到全球范围内的PLH育儿项目实施中。
