Journal article
Moderators of design and delivery component effects on engagement with a digital parenting intervention: evidence from a factorial randomized trial in Tanzania
- Abstract:
- Lay Summary: Violence against children is a major global health concern, and parenting programs are among the most effective ways to prevent it. This study examined whether caregiver characteristics influenced how different design and delivery components affected engagement with ParentApp, a non-commercial smartphone app designed for caregivers of adolescents in low- and middle-income countries. A total of 614 caregivers from low-income communities in Tanzania used ParentApp over a 12-week period. Communities were randomly assigned to different combinations of app design and delivery components. These included app use supported by facilitator-led WhatsApp groups versus self-guided app use, app designs that varied in content access and illustration style, and enhanced versus basic app onboarding support. Women engaged more when they received an app design that provided immediate access to all content alongside culturally adapted illustrations. Older caregivers engaged more when they received WhatsApp group support or enhanced app onboarding support. Caregivers reporting depressive symptoms and those already practicing more positive parenting also engaged more with WhatsApp group support. Together, these findings suggest that tailoring design and delivery components to specific caregiver characteristics may enhance engagement and promote more equitable delivery of digital parenting interventions in low- and middle-income countries.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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(Preview, Version of record, pdf, 1.1MB, Terms of use)
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- Publisher copy:
- 10.1093/abm/kaag033
Authors
- Publisher:
- Oxford University Press
- Journal:
- Annals of Behavioral Medicine More from this journal
- Volume:
- 60
- Issue:
- 1
- Article number:
- kaag033
- Publication date:
- 2026-06-21
- Acceptance date:
- 2026-05-20
- DOI:
- EISSN:
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1532-4796
- ISSN:
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0883-6612
- Language:
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English
- Keywords:
- Source identifiers:
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4251960
- Deposit date:
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2026-06-21
- ARK identifier:
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- Copyright date:
- 2026
- Licence:
- CC Attribution (CC BY)
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