Clinical trial NCT02165371: The Sinovuyo Caring Families Project: a Randomized Controlled Trial of a Parenting Programme
Official title: Sinovuyo Caring Families Project
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Child Behaviour Problems
Lead sponsor: University of Cape Town
Sponsor class: OTHER
Collaborators: name: University of Oxford
name: Bangor University
First posted: 2014-06-17
Enrollment: 296
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: It has been established that children in families affected by either intimate partner violence or Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) are at substantially increased risk of poor parenting and child maltreatment. In the sub-Saharan African context of high levels of HIV/AIDS and family violence, it is crucial that parents be supported to establish positive parenting practices and reduce harsh or abusive parenting within their families.This randomized controlled trial will be testing the Sinovuyo Caring Families Program (n = 296), a 12-session (2.5 hour per session) parenting intervention for primary caregivers of children between 2 and 9 years old. Participants will not be restricted to biological parents and include primary caregivers of children between 2 and 9 years old, who live in the same house as the child at least 4 nights per week. Participants will be recruited through systematic household sampling, liaising with Western Cape Department of Social Development and local community-based NGOs. Self-reporting questionnaires and qualitative observational assessment data for intervention and control groups will be collected at pre- and post-test evaluation as well as 12-month follow-up. Primary outcomes will include child behaviour problems, harsh and inconsistent parenting and positive parenting. Secondary outcomes will include parental depression, parental stress, parental monitoring and supervision and parent perceived social support.


Eligibility criteria: Inclusion Criteria:

* Caregiver must live with child at least 4 nights per week
* Child must be between 2 and 9 years old Live in Khayelitsha or Nyanga
* May include biological parents, relatives or non-kin foster caregivers, with no restrictions on biological relationship
* Participant must self-identify as the primary caretaker of the child
* Children scoring 15 or higher in the Eyberg Child Behaviour Inventory problem scale

Exclusion Criteria:

* Children scoring 14 or lower in the Eyber Child Behaviour Inventory problem scale
* Participants with child not between 2 and 9 years old
* Participants not self-identifying as the primary care take of the child
* Participants not living with the child at least 4 nights per week.

Primary outcomes:
measure: Eyberg Child Behavior Inventory
timeFrame: Baseline, post- intervention and 12-month post-intervention follow-up
measure: Parenting Young Children Scale (Supporting Positive Behaviour subscale; Setting Limits subscale)
timeFrame: Baseline, post- intervention and 12-month post-intervention follow-up
measure: Sinovuyo Observational Coding System
timeFrame: Baseline, post- intervention and 12-month post-intervention follow-up
Secondary outcomes:
measure: Beck Depression Inventory-II
timeFrame: Baseline, post- intervention and 12-month post-intervention follow-up
measure: Parenting Stress Index Short Form
timeFrame: Baseline, post- intervention and 12-month post-intervention follow-up
measure: Alabama Parenting Questionnaire (Poor monitoring/supervision subscale)
timeFrame: Baseline, post- intervention and 12-month post-intervention follow-up
measure: Medical Outcome Study Social Support Survey (Emotional Support subscale)
timeFrame: Baseline, post- intervention and 12-month post-intervention follow-up
Other outcomes:
Locations:
city: Cape Town
country: South Africa
facility: Ikamva Lanbantu Enkululekweni Wellness Centre
state: Western Cape
Study officials:
affiliation: University of Cape Town
name: Catherine Ward, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: University of Oxford
name: Lucie Cluver, DPhil
role: PRINCIPAL_INVESTIGATOR
References:
citation: Ward CL, Wessels IM, Lachman JM, Hutchings J, Cluver LD, Kassanjee R, Nhapi R, Little F, Gardner F. Parenting for Lifelong Health for Young Children: a randomized controlled trial of a parenting program in South Africa to prevent harsh parenting and child conduct problems. J Child Psychol Psychiatry. 2020 Apr;61(4):503-512. doi: 10.1111/jcpp.13129. Epub 2019 Sep 19.