The aim of this study is to conduct a multi-country randomized waitlist controlled trial to evaluate the effectiveness, cost-effectiveness, and scalability of the optimized Parenting for Lifelong Health (PLH) for Parents and Teens program in Moldova and North Macedonia. In Phase 2 of the FLOURISH project, a factorial trial tested multiple intervention components and identified the optimized intervention package. In Phase 3, this trial will assess the implementation, outcomes, and economic impact of the optimized PLH program delivered to adolescents aged 10-14 and their caregivers. ALTERNATIVA will deliver the program in North Macedonia and the Health for Youth Association in the Republic of Moldova.
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Change in levels of emotional and behavioral problems in adolescents (caregiver report): Pediatric Symptom Checklist (PSC-17), internalizing subscale
Timeframe: Pre-assessment, 8-12 weeks after pre-assessment, and 6-month follow-up
Change in levels of family functioning in caregivers: Family Assessment Device (FAD), subscale general functioning
Timeframe: Pre-assessment, 8-12 weeks after pre-assessment, and 6-month follow-up
Change in frequency of parenting practices in caregivers (caregiver-report): Alabama Parenting Questionnaire (APQ), subscales involved and positive parenting
Timeframe: Pre-assessment, 8-12 weeks after pre-assessment, and 6-month follow-up
Change in caregiver health-related quality of life: EQ-5D-5L
Timeframe: Pre-assessment, 8-12 weeks after pre-assessment, and 6-month follow-up
Change in adolescent health-related quality of life: EQ-5D-Y-3L
Timeframe: Pre-assessment, 8-12 weeks after pre-assessment, and 6-month follow-up