Effectiveness of a Parenting Programme to Reduce Violence in a Cash Transfer System in the Philippines: RCT With Follow-up
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 tw...
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2021
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ph-ateneo-arc.psychology-faculty-pubs-13162022-01-27T06:00:01Z Effectiveness of a Parenting Programme to Reduce Violence in a Cash Transfer System in the Philippines: RCT With Follow-up Lachman, Jamie M Alampay, Liane Peña Jocson, Rosanne M Alinea, Cecilia Madrid, Bernadette J Ward, Catherine L Hutchings, Judy Mamauag, Bernice Landoy Garilao, Maria Ana Victoria Felize V Gardner, Frances 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). 2021-10-05T07:00:00Z text application/pdf https://archium.ateneo.edu/psychology-faculty-pubs/321 https://archium.ateneo.edu/cgi/viewcontent.cgi?article=1316&context=psychology-faculty-pubs Psychology Department Faculty Publications Archīum Ateneo parenting conditional cash transfer Philippines violence against children RCT Psychology Social Welfare |
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parenting conditional cash transfer Philippines violence against children RCT Psychology Social Welfare Lachman, Jamie M Alampay, Liane Peña Jocson, Rosanne M Alinea, Cecilia Madrid, Bernadette J Ward, Catherine L Hutchings, Judy Mamauag, Bernice Landoy Garilao, Maria Ana Victoria Felize V Gardner, Frances Effectiveness of a Parenting Programme to Reduce Violence in a Cash Transfer System in the Philippines: RCT With Follow-up |
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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). |
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Lachman, Jamie M Alampay, Liane Peña Jocson, Rosanne M Alinea, Cecilia Madrid, Bernadette J Ward, Catherine L Hutchings, Judy Mamauag, Bernice Landoy Garilao, Maria Ana Victoria Felize V Gardner, Frances |
author_facet |
Lachman, Jamie M Alampay, Liane Peña Jocson, Rosanne M Alinea, Cecilia Madrid, Bernadette J Ward, Catherine L Hutchings, Judy Mamauag, Bernice Landoy Garilao, Maria Ana Victoria Felize V Gardner, Frances |
author_sort |
Lachman, Jamie M |
title |
Effectiveness of a Parenting Programme to Reduce Violence in a Cash Transfer System in the Philippines: RCT With Follow-up |
title_short |
Effectiveness of a Parenting Programme to Reduce Violence in a Cash Transfer System in the Philippines: RCT With Follow-up |
title_full |
Effectiveness of a Parenting Programme to Reduce Violence in a Cash Transfer System in the Philippines: RCT With Follow-up |
title_fullStr |
Effectiveness of a Parenting Programme to Reduce Violence in a Cash Transfer System in the Philippines: RCT With Follow-up |
title_full_unstemmed |
Effectiveness of a Parenting Programme to Reduce Violence in a Cash Transfer System in the Philippines: RCT With Follow-up |
title_sort |
effectiveness of a parenting programme to reduce violence in a cash transfer system in the philippines: rct with follow-up |
publisher |
Archīum Ateneo |
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2021 |
url |
https://archium.ateneo.edu/psychology-faculty-pubs/321 https://archium.ateneo.edu/cgi/viewcontent.cgi?article=1316&context=psychology-faculty-pubs |
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