LaMonica Haley M, Song Yun J C, Loblay Victoria, Ekambareshwar Mahalakshmi, Naderbagi Aila, Zahed Iqthyer Uddin Md, Troy Jakelin, Hickie Ian B
Brain and Mind Centre, The University of Sydney, Sydney, Australia.
The Australian Prevention Partnership Centre, Sydney, Australia.
Digit Health. 2024 Apr 7;10:20552076241242559. doi: 10.1177/20552076241242559. eCollection 2024 Jan-Dec.
The Thrive by Five app promotes positive interactions between children and parents, extended family, and trusted community members that support optimal socio-emotional and cognitive development in the early years. This article aims to describe the protocol for a prospective mixed-methods multi-site study evaluating Thrive by Five using surveys, interviews, workshops, audio diaries from citizen ethnographers and app usage data.
The study activities and timelines differ by site, with an extensive longitudinal evaluation being conducted at two sites and a basic evaluation being conducted at five sites. The learnings from the more comprehensive evaluations inform the iterative research and development processes while also ensuring ongoing evaluation of usability, acceptability and effectiveness of the app and its content across varying contexts. The study evaluates: (1) the impact of the Thrive by Five content on caregiver knowledge, behaviours, attitudes and confidence; (2) how the content changes relationships at the familial, community and system level; (3) how cultural and contextual factors influence content engagement and effectiveness and (4) the processes that facilitate or disrupt the success of the implementation and dissemination.
All in-country partners have been identified and data collection has been completed in Indonesia, Malaysia, Afghanistan, Kyrgyzstan, Uzbekistan, Namibia and Cameroon.
Very few digital health solutions have been trialled for usability and effectiveness in diverse cultural contexts. By combining quantitative, qualitative, process and ethnographic methodologies, this innovative study informs the iterative and ongoing optimisation of the cultural and contextual sensitivity of the Thrive by Five content and the processes supporting implementation and dissemination.
“五岁茁壮成长”应用程序促进儿童与父母、大家庭以及支持早期最佳社会情感和认知发展的可信赖社区成员之间的积极互动。本文旨在描述一项前瞻性混合方法多地点研究的方案，该研究使用调查、访谈、工作坊、公民人种志学者的音频日记以及应用程序使用数据来评估“五岁茁壮成长”。
各地点的研究活动和时间表有所不同，在两个地点进行广泛的纵向评估，在五个地点进行基础评估。更全面评估的结果为迭代研究和开发过程提供信息，同时确保在不同背景下持续评估应用程序及其内容的可用性、可接受性和有效性。该研究评估：（1）“五岁茁壮成长”内容对照顾者知识、行为、态度和信心产生的影响；（2）该内容如何在家庭、社区和系统层面改变人际关系；（3）文化和背景因素如何影响内容参与度和有效性；以及（4）促进或阻碍实施和传播成功的过程。
所有国内合作伙伴均已确定，印度尼西亚、马来西亚、阿富汗、吉尔吉斯斯坦、乌兹别克斯坦、纳米比亚和喀麦隆的数据收集工作已经完成。
很少有数字健康解决方案在不同文化背景下进行可用性和有效性试验。通过结合定量、定性、过程和人种志方法，这项创新性研究为“五岁茁壮成长”内容的文化和背景敏感性以及支持实施和传播的过程的迭代和持续优化提供了信息。
