Table 1 Outline of each component of the FTT+ intervention and the content covered
Component | Topics covered |
Component 1: Face-to-face sessions with FTT+ CHWs delivered remotely Parents will receive face-to-face sessions, via Zoom, with FTT+ CHWs. CHWs will deliver the intervention content personalized to the family’s community and context, offer the opportunity to practice newly acquired skills, and serve as a resource for addressing questions and concerns. | • Parent-specific framing of content: CHWs will frame intervention content personalized to the family, community, and local health context. • Collaboration and scaffolding: Parents and CHWs will collaborate on the understanding of the material. Parents will role-play and receive feedback from the CHWs to ensure knowledge and skills for effective parent–adolescent communication. • Inquiry-based learning: CHWs will address questions and concerns and use questions as a guide to framing the intervention content to the needs of specific parents. • Deliberate pacing of materials: Discussion of FTT materials is paced throughout each session to allow for parents to learn the information in chunks, rather than at once. • Reciprocity and responsiveness: Parents will feel more inclined to actively engage with the material when a CHW reviews the content with them and encourages parent participation throughout the intervention sessions. |
Component 2: Written FTT workbook Parents will receive the written FTT workbook containing the entire FTT content organized in nine modules. | • Accessibility of intervention content and sexual risk avoidance resources: Complete FTT+ intervention content, structured and readily available at all times. • Ongoing parent support: The FTT+ workbook will serve as a resource to answer questions, clarify intervention session content, and provide guidance and support to parents who encounter problems implementing FTT+ parenting strategies. |
Component 3: Supplemental FTT communication aids for adolescents and parents FTT+ will contain communication aids that are designed for use at home to facilitate parent–adolescent communication about delaying sex and promoting correct and consistent condom use | • Adolescent materials for resource-based learning: Adolescents will receive two booklets that are designed for joint use by both parents and adolescents and contain key intervention messages regarding waiting to have sex as well as correct and consistent condom use. • Summary for parents to reinforce key intervention content: Parents will receive the short “The Basics” booklet that is designed to serve as a condensed resource to consolidate the key points of the intervention content and guide discussions with adolescents. • Homework assignments: CHWs will assign parent–adolescent dyads specific activities and exercises using the communication aids to reinforce FTT+ core content and provide shared activities to further understand and integrate the material in their daily lives. |
Component 4: FTT+ life opportunity resources The FTT+ intervention will contain specific content designed to support adolescent goal setting, success sequencing, and linkage to health and educational/vocational services in their community | • Establishment of long-term goals: CHWs will emphasize the importance of parent–adolescent discussions about setting long-term goals in relation to avoiding sexual risk behaviors and correctly using a condom every time if sexually active, as well as adolescent life opportunities. • Support for success sequencing: FTT+ intervention reading materials will provide guidance for effective parenting strategies to promote delaying sexual activity and correct and consistent condom use. • Linkages to community-based health and educational/vocational resources: CHWs will encourage engagement in community specific resources and services that are available to adolescents. The FTT+ packet will provide a directory of free educational and tutoring opportunities as well as vocational training and internship sites. |