Project Timeline

May- June 2018 Completed Project submission to USF Institutional Review Board; Begin Scopes of Work for contractors and Project Coordinator;

Scripted a preliminary draft of a working prototype of the various components of the video intervention based on extant literature;

June-July 2018 Submitted IRB application to National Bioethics Committee (MSPP);

June-August 2018 Began development of Krik Krak website;

July- August 2018 Prepared Semi-structured focus group guides, insuring they contain the relevant content based on what is known about teen pregnancy and about the study setting;

Aug -September 2018 Conducted and audio-recorded first series of 3 focus groups: 2 with pregnant teens, 1 with local Health providers. Collected essential data on: current skills, strengths, resources, protective factors or coping strategies, mental health symptoms teens experienced, their understanding of the transition to motherhood and of their roles as parents; data regarding how to make the intervention more relatable and meaningful, acceptability of the proposed Krik krak intervention and dissemination plan (i.e., the use of various media platforms). Also collected data on: (1) perceptions and relevant narratives regarding IPV, gender norms, MH, stigma, maternal-child attachment, and SA; (2) receptivity to and understanding of potential benefits of interventions that address IPV, SA, damaging gender norms, and mental health-related symptoms during the peripartum phase; (3) responses to specific planned components of the intervention; (4) perspectives on access and delivery of the proposed intervention, including ways to maximize access to the intervention; (5) fluency in technology, and (6) concerns regarding overall project. T

Met with and Screened potential teen “actors” who would role-play challenges drawn from focus groups of teens and health providers, in scenarios that precede the introduction of the intervention in each video;

Sep- October 2018 Transcribed and analyzed data from first series of focus groups and discussed findings with OREZON administration;

Oct -November 2018 Reviewed Mom Power curriculum in relation to focus group data obtained in first series of focus groups;

Nov 2018 – Jan 2019 Finalized pre-production drafts of scripts and pertinent interventions; shared scripts with OREZON administrators who provided feedback; modified content of script and intervention in collaboration with OREZON;

Hired and trained Haiti and US-based actors who would enact content of scripts; Trained actors; Videographer travelled to Haiti with Dr. Rahill to film scenarios inclusive of intervention for each particular problem/ challenge;

Jan- March 2019 Began preparing manuscript drafts from Krik Krak Study; Edited pre-production drafts of video intervention in preparation for second series of focus groups with teens and health providers; Developed likert scale (Satisfaction and knowledge gained survey) to administer to participants of second series of focus groups;

March-April 2019 Conducted second series of focus groups with teens from months 4-6 and health providers from months 1-3. Used Likert scale to assess participants’ perception of the Krik Krak video and poster intervention, level of satisfaction and level of interest.

April – May 2019 Transcribed data from from March-April 2019 focus groups.

May -August 2019 Analyzed data from months second series focus groups (months 10-12 of Krik Krak project).

Used the data from all focus groups and satisfaction and knowledge gained surveys to produce the video/ poster intervention via an iterative process.

September -October 2019 Began preparation of manuscripts for submission to peer-reviewed journals that would publish project findings open access.

October – November 2019 Continued preparation of manuscript(s) for submission to Peer-reviewed journal(s).

Compiled project reports to prepare submission of final report to GCE.

Submitted final report to GCE in November 2019.

December 2019

Began drafting application for Phase II proposal in which we would conduct a randomized control trial to test the effectiveness of the videos to reduce depression, anxiety and trauma, post-partum depression, and stigma in pregnant Haitian teens experiencing unplanned pregnancies; and to increase social support as well as bonding with infants.

March 2020 Received notice of priority shift at GCE which prevented submission of Phase II application.

April 2020 Opted in innovation marketplace for another opportunity to conduct the aforementioned randomized control trial of the videos’ effectiveness.

Current Goal: Obtain funding to conduct randomized control trial, and if the videos are found to be effective in reducing symptoms of depression, anxiety, and trauma in an intervention group relative to a control group of teens experiencing unplanned pregnancies, we will scale up production and distribution of the videos and posters to community-based organizations, schools, clinics, hospitals and Haitian Ministry of Health- at no cost.