Building Community Health Volunteers' Capacity to Support Parents With Young Children With SafeCare Kenya

Pacific University369 enrolled

Overview

The goal of this clinical trial is to implement and examine the impact of SafeCare Kenya, an adapted parenting program, to improve parents' skills and knowledge related to the care of their children between the ages of 18 months and 5 years old. The main questions it aims to answer are: * Will SafeCare Kenya improve child and parent outcomes? * Is virtual delivery as effective as in-person delivery of SafeCare Kenya? * Is SafeCare Kenya feasible to deliver by community health volunteers? Mothers will: * Complete study assessments at three timepoints: baseline, 6 months and 18 months * Mothers in the SafeCare Kenya group will receive the program from their community health volunteer Researchers will compare SafeCare Kenya to care as usual by community health volunteers to see if SafeCare Kenya families show improvements in parent interaction skills, safety and health knowledge, potential for child abuse, child behavior problems, child injuries, parenting stress, and child and parent quality of life.

After being informed about the study and potential risks, all community health volunteers consented to the study will be randomized to continue their usual services with families or be trained to deliver SafeCare Kenya to add to their usual services with families. All community health volunteers will inform their eligible families about the study and share with the research team mothers who express interest in the study. After being informed about the study and potential risks, all mothers giving informed consent will complete a baseline assessment, along with a 6 month and 18 month follow up assessment. Mothers whose community health volunteer is assigned to the SafeCare Kenya program will receive the program from their community health volunteers. All SafeCare Kenya mothers will be randomized to receive the program either in-person or virtually. Trainers and Stakeholders will provide information about their involvement in the project.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Interventions

SafeCare KenyaBEHAVIORAL

Adapted from SafeCare, this is a strengths-based program for parents with children ages 18 months through age 5, teaching parents skills and knowledge in three areas: 1) parent-child interactions, 2) child health, and 3) home safety.

Care as Usual by Community Health VolunteersOTHER

Community Health Volunteers support families with children up to age 5 around the physical health needs of family members, including delivering key health messages (e.g., importance of immunizations); treating minor injuries and illnesses; identifying/treating/referring common childhood illnesses (e.g., diarrhea, malaria); conducting home visits to evaluate the home environment and discuss improvements; and encouraging care at home and appropriate health seeking behaviors. These support services are not highly structured but rather tailored to the needs of each family.

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Parents Inclusion Criteria: * being the female primary caregiver * at least 18 years old of age * at least one child between 18 months and age 5 * reside in Kibera * have ability to participate virtually (i.e., owns a smart phone) in English or Swahili. Parent Exclusion Criteria: * younger than 18 years old * unable to participate in English or Swahili * does not own smart phone to participate in virtual sessions. CHV Inclusion Criteria: * 18 years or older * able to participate in English or Swahili * has ability to participate virtually (i.e., owns a smart phone) * female community health volunteer who is affiliated with one of the project's agencies in Kibera CHV Exclusion Criteria: * younger than 18 years old * not able to participate in English or Swahili * does not have a smart phone * is not female * is not a community health volunteer affiliated with one of the project's agencies Trainer Inclusion Criteria: * 18 years or older * able to participate in English and Swahili * trained as a SafeCare trainer Trainer Exclusion Criteria: * younger than 18 years old * not able to participate in English and Swahili * not trained as a SafeCare Trainer Stakeholder Inclusion Criteria: * 18 years or older * able to participate in English * involved in the project as a stakeholder Stakeholder Exclusion Criteria: * younger than 18 years old * not able to participate in English * not a stakeholder for this project

Outcomes

Primary Outcomes

Change from Baseline in score on Child Planned Activities Training (cPAT) at 6 months

The SafeCare Kenya form, cPAT, will be used to assess positive parent interaction skills. It is an observation of the 10 targeted skills in the SCK program. The assessor will virtually observe 1 play interaction. They rate parents using a minus when no skills present, check when some, and check plus when all aspects of the skill are present.