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| ID | Type | Description | Link |
|---|---|---|---|
| https://osf.io/q5s4k/overview | Registry Identifier | Open Science Framework. This is a carbon-copy of an OSF preregistration on December 5, 2025. |
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| Name | Class |
|---|---|
| Sanadak | UNKNOWN |
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The primary aim of this research is to evaluate if ParentText for Crisis helps improve the following outcomes among Palestinian caregivers living in Jordan: a.) Improving caregiver mental health; b.) Improving positive parenting practices; c.) Reducing violence against children
Investigators are conducting an individually randomised controlled trial (cRCT) with 250 Palestinian participants recruited from Jerash Camp. This research is an evaluation of Palestinian ParentText for Crisis in Jordan, a rule-based chatbot to provide tips to strengthen parental mental health, improve parenting practices, and help parents support children in crisis settings. This randomised controlled trial is conducted through a collaboration with the University of Oxford, Parenting for Lifelong Health (PLH), and Sanadak. ParentText for Crisis content is adapted from PLH and "Hope Groups", which is a mental health and parenting programme originally developed from PLH for war and crisis settings. Hope Groups, delivered either in-person, have demonstrated effectiveness in improving caregiver mental health and parenting practices in crisis settings among Palestinians in Jerash Camp, Jordan. This study aims to evaluate the effectiveness of delivering this mental health and parenting content via 9 chatbot-delivered lessons over WhatsApp to Palestinian families within the same camp (Jerash Camp, Jordan). The RCT includes an intervention arm consisting of individuals who are randomised to join CrisisText immediately (n=125), and a waitlist control arm consisting of individuals who are randomised to join CrisisText (n=125) in a second cohort. This is an individually randomised study, with each individual participant as the unit of randomisation. Randomisation will be deployed using the treatment_assign function in the RCT package in R.
The primary aim is to test the effectiveness of ParentText for Crisis 30-days after enrolment, using an individually randomised controlled trial design. Investigators hypothesise that CrisisText will lead to statistically significant improvements in caregiver mental health and positive parenting practices, and reductions in violence against children.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ParentText for Crisis | Experimental | A rule-based chatbot to provide tips to strengthen parental mental health, improve parenting practices, and help parents support children in crisis settings |
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| Comparison Group | No Intervention | Wait-List Control Group |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ParentText for Crisis | Behavioral | A rule-based chatbot to provide tips to strengthen parental mental health, improve parenting practices, and help parents support children in crisis settings |
| Measure | Description | Time Frame |
|---|---|---|
| Caregiver Depression | Caregiver depression is measured via Patient Health Questionnaire - 2 (PHQ-2). PHQ-2 includes two questions on depression, with likert scale answer options ranging 0-3. Higher scores indicate higher levels of depression. | Intervention arm: Outcome is collected at trial baseline and +30 days post-baseline. Control arm: Outcome is collected at +30 days post-baseline. |
| Playful Parenting | Parenting Practices are measured via a positive parenting item adapted from Alabama Parenting Questionnaire, measuring frequency of playing with children in the past week. Survey responses are reported in days of occurrence within the past week (0-7), with higher scores indicating higher level of playful parenting. | Intervention arm: Outcome is collected at trial baseline and +30 days post-baseline. Control arm: Outcome is collected at +30 days post-baseline. |
| Measure | Description | Time Frame |
|---|---|---|
| Caregiver Hopefulness | Caregiver Hopefulness is measured through an item building on positive psychology theory, asking, "How many days in the past week did you feel hopeful about the future?" Answer options range from 0-7 to reflect days of occurrence in the past week. Higher scores indicate high levels of hopefulness. | Intervention arm: Outcome is collected at trial baseline and +30 days post-baseline. Control arm: Outcome is collected at +30 days post-baseline. |
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Sanadak, a charity in Jordan, will collaborate with the camp to recruit a list of 250 participants. All N=250 individuals, who indicate interested in participating, will be randomised to the intervention or wait-list control arm.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jerash Camp | Jerash | Jordan |
IPD, including all outcome and demographic outcomes, will be shared.
A brief protocol is available on Open Science Framework: https://osf.io/q5s4k/overview. The Statistical Analysis Plan will be registered on Open Science Framework prior to any analysis (estimated date: end of March 2026). Consent forms and analytic code will be posted on OSF at time of manuscript submission.
Requests for data access can be made to Sydney Tucker at sydney.tucker@spi.ox.ac.uk. Anonymous data will be made publicly available after RCT results are published.
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| ID | Term |
|---|---|
| D000092862 | Psychological Well-Being |
| ID | Term |
|---|---|
| D010549 | Personal Satisfaction |
| D001519 | Behavior |
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Analysts are blinded during all analyses.
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| Parenting Practices | Parenting Practices are measured through a parental involvement question adapted from Alabama Parenting Questionnaire and a Parental Supervision question adapted from Alabama Parenting Questionnaire. Answer options for both questions are reported in days of occurrence in the past week (0-7), with higher scores indicating higher levels of positive parenting practices. | Intervention arm: Outcome is collected at trial baseline and +30 days post-baseline. Control arm: Outcome is collected at +30 days post-baseline. |
| Violence Against Children | Violence Against Children is measured via 2 questions on physical and emotional violence actions from the ISPCAN Child Abuse Screening Tool for Trials (ICAST-Trial). Questions ask about frequency of occurrence in days in the past week, with answer options range from 0-7. Higher scores indicate higher frequency of violence against children. | Intervention arm: Outcome is collected at trial baseline and +30 days post-baseline. Control arm: Outcome is collected at +30 days post-baseline. |