Scaling a parenting program to reduce child maltreatment in Tanzania: The role of facilitator fidelity in adolescent and parent outcomes
Bibliographic record
Abstract
There is limited and mixed evidence on the relationship between facilitator fidelity and the outcomes of parents/caregivers and children participating in parenting programs aiming to reduce violence against children. The evidence is particularly limited from program delivery in low- and middle-countries, at scale, and in community settings. The study used data collected by implementing partners during the 2020–2021 scale-up of Parenting for Lifelong Health for Parents and Adolescents (PLH-Teens) to 75,061 parents/caregivers and adolescents in rural and semi-urban Tanzania. This study examined the predictive validity of an observational measure used to assess the fidelity of facilitators delivering PLH-Teens. To examine the relationship between facilitator fidelity and outcomes, multi-level Poisson regressions were conducted. A total of 24 facilitator assessments could be linked with pre-post surveys from 3057 families. Analyses found mixed results, with fidelity having positive, negative, and insignificant associations with participant outcomes. The observational measure used in PLH-Teens was not found to demonstrate consistent predictive validity across multiple outcomes. As cfidelity was positively associated with some participant outcomes, including the primary outcome (child maltreatment) according to adolescent- but not caregiver-reports, facilitator fidelity appears beneficial for participants to some extent. There are a variety of potential explanations for the inconsistent results which suggest avenues for future research. Exploration of these avenues would benefit the ongoing dissemination of PLH and other parent programs as these communities strive to maximize the ability of families globally to benefit from evidence-based parenting programs. • Focuses on a parenting program aiming to reduce child maltreatment in Tanzania. • Investigates the relationship between facilitator fidelity and child maltreatment. • Multi-level Poisson regressions found mixed results. • While findings are mixed, the findings are not unlike those of other studies.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".