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A Remote Parenting Program and Parent and Staff Perspectives: A Randomized Trial.

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Remote delivery of the Reach Up parenting program improved child development activities and praise use. This approach shows potential for scaling parenting interventions, despite challenges like phone access.

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Area of Science:

  • Public Health
  • Developmental Psychology
  • Global Health

Background:

  • The coronavirus disease 2019 (COVID-19) pandemic necessitated suspension of in-person parenting program visits.
  • Remote delivery methods became crucial for continuing essential support services.

Purpose of the Study:

  • To evaluate the impact and implementation of remote delivery for the Reach Up parenting program.
  • To assess changes in parenting practices and identify facilitators and barriers to remote program delivery.

Main Methods:

  • A randomized trial was conducted in Jamaica with mothers of children aged 5-24 months.
  • Intervention group received a manual, phone calls, and SMS messages; control group received usual care.
  • Parent practices were measured via telephone surveys; qualitative interviews explored implementation.

Main Results:

  • The intervention group showed increased parent activities supporting child development (effect size 0.34 SD) and higher use of praise (2x odds).
  • No significant benefits were observed for interactive language or play materials.
  • Qualitative data indicated parent appreciation and staff acceptance, but highlighted barriers like poor phone access and contact difficulties.

Conclusions:

  • Remote delivery of parenting programs, like Reach Up, is a viable strategy for scaling interventions.
  • Addressing implementation challenges is key to maximizing the reach and effectiveness of remote parenting support.