Transferability of Evidence-Based Parenting Programs to Routine Implementation in Postconflict South Sudan

Janowski, Roselinde; Wessels, Inge; Bojo, Samuel; Monday, Felix; Maloney, Kaitlyn; Achut, Victoria; Oliver, Daniel; Lachman, Jamie M.; Cluver, Lucie; Ward, Catherine L.

doi:10.1177/1049731520932986

Cited by 8 publications

(10 citation statements)

References 56 publications

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“…Second, such interventions have the potential to be successfully integrated into programming by humanitarian organizations to reach war-affected families at scale. As the need for child protection and mental health treatment far exceeds available services in conflict settings, this study and other recently published evaluations (Janowski et al, 2020) highlight parenting interventions as a promising strategy for addressing the psychosocial consequences of the unprecedented levels of global displacement seen around the world today.…”

Section: Discussion and Applications To Practicementioning

confidence: 84%

Acceptability and Preliminary Outcomes of a Parenting Intervention for Syrian Refugees

Sim

Bowes

Maignant³

et al. 2020

Research on Social Work Practice

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Purpose: Forced displacement may increase the risk of child maltreatment and mental health problems among children and caregivers. This study assessed the acceptability and preliminary outcomes of a parenting intervention to prevent child maltreatment and improve parental and child mental health among Syrian refugees in Lebanon. Method: 292 parents and 88 children participated in a structured assessment before and after a group-based parenting intervention implemented by an international nongovernmental organization serving refugee and vulnerable Lebanese communities. Results: Paired sample t tests showed significant reductions in harsh punishment and rejecting parenting behavior and significant improvements in measures of parental and child mental health from pre- to postintervention. On average, parents completed 7.7 of 10 sessions. Discussion: Preliminary results suggest that the parenting intervention was acceptable to refugee parents and may show promise in reducing child maltreatment and improving parental and child mental health in a humanitarian setting.

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Section: Discussion and Applications To Practicementioning

confidence: 84%

Acceptability and Preliminary Outcomes of a Parenting Intervention for Syrian Refugees

Sim

Bowes

Maignant³

et al. 2020

Research on Social Work Practice

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“…Enrolment and attendance rates for fathers and mothers in Parwarish were significantly higher than in PLH-Teens implementations in South Africa, Philippines and Sudan 12 25 26. Factors likely to have increased attendance include context-relevant adaptations by the community-based facilitators and the pre-existing strong relationships and community development work of implementing teams.…”

Section: Discussionmentioning

confidence: 84%

“…This has positive implications for scaling across South Asia and beyond: implementation by local people receiving modest remuneration in meeting spaces provided by the community makes this a relatively low-cost intervention. 25 However, while the programme is likely to be feasible and acceptable in other disadvantaged settings in South Asia, the high level of commitment by facilitators (eg, being willing to conduct meetings at night in Jharkhand communities) may be harder to replicate. Implementers also underlined the value of structured, high-intensity programme buttressing to increase fidelity and quality of Parwarish, which was also identified as central in PLH-Teens implementation 14 22 23 and other community-based group interventions in South Asia.…”

Section: Discussionmentioning

confidence: 99%

“…The results demonstrate Parwarish was feasibly implemented by lay community facilitators and coaches. This has positive implications for scaling across South Asia and beyond: implementation by local people receiving modest remuneration in meeting spaces provided by the community makes this a relatively low-cost intervention 25. However, while the programme is likely to be feasible and acceptable in other disadvantaged settings in South Asia, the high level of commitment by facilitators (eg, being willing to conduct meetings at night in Jharkhand communities) may be harder to replicate.…”

Section: Discussionmentioning

confidence: 99%

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Is the Parwarish parenting intervention feasible and relevant for young people and parents in diverse settings in India? A mixed methods process evaluation

et al. 2022

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ObjectiveTo assess the feasibility, acceptability and relevance of the Parwarish, a positive parenting intervention (adapted from PLH-Teens) in three diverse settings in India.DesignThis mixed methods study used the Medical Research Council framework for process evaluations of complex interventions.SettingThis study was set in disadvantaged communities in urban Agra, rural Uttar Pradesh and tribal Jharkhand in India.ParticipantsData were collected from 86 facilitators, implementers, parents and teens who participated in the Parwarish intervention among 239 families.InterventionCouples from target communities facilitated groups of parents and teens over the 14-module structured, interactive Parwarish intervention which focused on building communication, reducing harsh parenting and building family budgeting skills.Outcome measuresWe assessed relevance, acceptability and feasibility of the intervention using mixed methods. Qualitative data collected included semistructured interviews and focus group discussions with implementers, facilitators, parents and young people who were transcribed, translated and thematically analysed to develop themes inherent in the data. Quantitative data which assessed attendance, fidelity to the intervention and facilitator training and coaching were analysed descriptively.ResultsFindings were grouped under the three domains of facilitation, community engagement and programme support with the following seven themes: (1) community-based facilitators increased contextual validity of the intervention; (2) gender relations were not only influenced by Parwarish implementation but were also influenced and transformed by Parwarish; (3) facilitator responsiveness to group concerns increased participation; (4) participation gathered momentum; (5) Parwarish’s strong core and porous periphery allowed adaptations to local contexts; (6) technology that included Skype and WhatsApp enhanced implementation and (7) critical reflection with community trained coaches strengthened facilitation quality and programme fidelity.ConclusionThis study found Parwarish engaging, feasible and acceptable in three diverse, low-income communities, although constrained by patriarchal gender relations. It paves the way for larger-scale implementation in other South Asian settings.

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“…These two programs have experienced rapid dissemination in over 25 Delivery has been led by non-governmental organizations working with varying numbers of families. For example, in South Sudan, delivery by Catholic Relief Services reached several hundred families in 2017-2018 [38], while Pact Tanzania worked with 16,000 families in 11 districts in 2018-2019 and plans to work with approximately 47,800 families in 2020-2021 in 8 districts of Tanzania. In several countries, including Montenegro, South Africa, the Philippines, and Thailand, governments have led delivery.…”

Section: Contributions To the Literaturementioning

confidence: 99%

Evaluating the dissemination and scale-up of two evidence-based parenting interventions to reduce violence against children: study protocol

Shenderovich

Ward

Lachman

et al. 2020

Implement Sci Commun

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Background Eliminating violence against children is a prominent policy goal, codified in the Sustainable Development Goals, and parenting programs are one approach to preventing and reducing violence. However, we know relatively little about dissemination and scale-up of parenting programs, particularly in low- and middle-income countries (LMICs). The scale-up of two parenting programs, Parenting for Lifelong Health (PLH) for Young Children and PLH for Parents and Teens, developed under Creative Commons licensing and tested in randomized trials, provides a unique opportunity to study their dissemination in 25 LMICs. Methods The Scale-Up of Parenting Evaluation Research (SUPER) study uses a range of methods to study the dissemination of these two programs. The study will examine (1) process and extent of dissemination and scale-up, (2) how the programs are implemented and factors associated with variation in implementation, (3) violence against children and family outcomes before and after program implementation, (4) barriers and facilitators to sustained program delivery, and (5) costs and resources needed for implementation. Primary data collection, focused on three case study projects, will include interviews and focus groups with program facilitators, coordinators, funders, and other stakeholders, and a summary of key organizational characteristics. Program reports and budgets will be reviewed as part of relevant contextual information. Secondary data analysis of routine data collected within ongoing implementation and existing research studies will explore family enrolment and attendance, as well as family reports of parenting practices, violence against children, child behavior, and child and caregiver wellbeing before and after program participation. We will also examine data on staff sociodemographic and professional background, and their competent adherence to the program, collected as part of staff training and certification. Discussion This project will be the first study of its kind to draw on multiple data sources and methods to examine the dissemination and scale-up of a parenting program across multiple LMIC contexts. While this study reports on the implementation of two specific parenting programs, we anticipate that our findings will be of relevance across the field of parenting, as well as other violence prevention and social programs.

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Transferability of Evidence-Based Parenting Programs to Routine Implementation in Postconflict South Sudan

Cited by 8 publications

References 56 publications

Acceptability and Preliminary Outcomes of a Parenting Intervention for Syrian Refugees

Acceptability and Preliminary Outcomes of a Parenting Intervention for Syrian Refugees

Is the Parwarish parenting intervention feasible and relevant for young people and parents in diverse settings in India? A mixed methods process evaluation

Evaluating the dissemination and scale-up of two evidence-based parenting interventions to reduce violence against children: study protocol

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