Promoting family well-being at scale: Optimising and re-designing a digital parenting programme for reducing violence against children in lmics using the 6squid framework
 
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1
University of Oxford Postgraduate student United Kingdom
 
2
Global Parenting Initiative, University of Oxford, United Kingdom
 
3
University of Oxford United Kingdom
 
4
IDEMS International United Kingdom
 
5
University of Oxford
 
6
Unviersity of Oxford United Kingdom
 
7
Clowns Without Borders South Africa (NGO)
 
8
UNICEF - Jamaica
 
9
UNICEF United States
 
10
UNICEF - Jamaica Jamaica
 
11
University of the Philippines Visayas Philippines
 
12
Ateneo de Manila University Philippines
 
13
University of the Philippines Diliman Philippines
 
14
University Putri Malaysia Malaysia
 
 
Publication date: 2023-04-26
 
 
Popul. Med. 2023;5(Supplement):A1276
 
ABSTRACT
Background and Objective:
In response to the increased levels of emotional and physical violence against children due to the covid-19 pandemic and existing barriers to taking parenting programs to scale in lmics, parenting for lifelong health (plh) adapted its parenting programmes into a self-guided chatbot, parenttext. Initial acceptability and engagement with parenttext was tested in multiple pilot studies with results indicating that engagement was a significant barrier to the impact and effectiveness of the digital intervention. Using pilot data, this presentation describes the process of re-designing the intervention to increase engagement and retention.

Methods:
Mixed methods pilot studies were conducted in jamaica, malaysia, and the philippines. Quantitative data from jamaica (n = 1,114), malaysia (n = 82), and the philippines (n = 97) was analysed descriptively, examining average length of participation, number of modules completed, and interaction rates with different message types. Qualitative interviews with parenttext participants from philippines and malaysia (n = 9), and implementers in jamaica and malaysia were conducted and thematic analysis was performed. After data collection, a working group conducted workshops to re-design the intervention using the 6squid/mrc framework.

Results:
Quantitative analysis showed an average length in the programme of 5 days before disengaging regardless of the percentage of the intervention completed. The working group identified four main areas for re-design: 1) adding personalisation features, 2) introducing mechanisms to trigger re-engagement within the intervention, 3) removing structural features contributing to disengagement, and 4) ease of use given a lack of in-person technical support. A new structure for parenttext was created along with a set of recommendations to address limitations of the current programme.

Conclusion:
Our findings demonstrate a pragmatic approach for improving digital violence-reduction interventions in lmics and also represent the first use of the 6squid framework for designing a digital programme for family wellbeing.

 
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ISSN:2654-1459
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