Effectiveness of a parenting programme to reduce violence in a cash transfer system in the Philippines: RCT with follow-up

The Lancet Regional Health. Western Pacific

Rosanne M. Jocson¹  Liane Peña Alampay²  Bernadette Madrid³  Cecilia Alinea³  Maria Ana Victoria Felize V. Garilao⁴  Judy Hutchings⁵  Bernice Landoy Mamauag⁶  Frances Gardner⁷  Catherine Ward⁸  Jamie M. Lachman⁹ 

[1] Corresponding author: Dr Jamie M. Lachman, Centre for Evidence-Based Interventions, 01865 270 325;University of Glasgow, MRC/CSO Social and Public Health Sciences Unit, 200 Renfield Street, Glasgow, G2 3AX, United Kingdom, [phone];Ateneo de Manila University, Department of Psychology, 3/F Leong Hall, Quezon City, 1108, Philippines;Centre for Evidence Based Early Intervention, Department of Psychology, Bangor University, Nantlle Building, Normal Site, Bangor, Gwynedd LL57 2PX, United Kingdom;Child Protection Unit, Philippine General Hospital, University of the Philippines, Taft Avenue, Manila, Philippines;Department of Psychology, University of Cape Town, Rondebosch 7701, South Africa;Division of Social Sciences, College of Arts and Sciences, University of Philippines Visayas;Philippine Ambulatory Pediatric Association, Unit 1409 Balagtas Royal Mansions, 168 Balagtas St., Pasay City, 1300, Philippines;University of Oxford, Centre for Evidence-Based Interventions, Department of Social Policy and Intervention, Wellington Square, Oxford, OX1 2ER, United Kingdom;

关键词: parenting;    conditional cash transfer;    Philippines;    violence against children;    RCT;   

DOI  :  

来源: DOAJ

【 摘 要 】

Background: Parenting interventions and conditional cash transfer (CCT) programmes are promising strategies to reduce the risk of violence against children, but evidence of the effectiveness of combining such programmes is lacking for families in low- and middle-income countries with children over two years of age. This study examined the effectiveness of a locally adapted parenting programme delivered as part of a government CCT system to low-income families with children aged two to six years in Metro Manila, Philippines. Methods: Participants were randomly assigned (1:1) to either a 12-session group-based parenting programme or treatment-as-usual services (N = 120). Participation in either service was required among the conditions for receiving cash grants. Baseline assessments were conducted in July 2017 with one-month post-intervention assessments in January-February 2018 and 12-month follow-up in January-February 2019. All assessments were parent-report (ClinicalTrials.gov: NCT03205449). Findings: One-month post-intervention assessments indicated moderate intervention effects for primary outcomes of reduced overall child maltreatment (d = -0.50 [-0.86, -0.13]), emotional abuse (d = -0.59 [-0.95; -0.22]), physical abuse (IRR = 0.51 [0.27; 0.74]), and neglect (IRR = 0.52 [0.18; 0.85]). There were also significant effects for reduced dysfunctional parenting, child behaviour problems, and intimate partner violence, and increased parental efficacy and positive parenting. Reduced overall maltreatment, emotional abuse, and neglect effects were sustained at one-year follow-up. Interpretation: Findings suggest that a culturally adapted parenting intervention delivered as part of a CCT programme may be effective in sustaining reductions in violence against children in low- and middle-income countries. Funding: This research was supported by UBS Optimus Foundation and UNICEF Philippines, and by the Complexity and Relationships in Health Improvement Programmes of the Medical Research Council MRC UK and Chief Scientist Office (Grant: MC_UU_00022/1 and CSO SPHSU16, MC_UU_00022/3 and CSO SPHSU18).

【 授权许可】

Unknown