Designing an app for parents and caregivers to promote cognitive and socio-emotional development and wellbeing among children aged 0-5 in diverse cultural settings: Scientific framework (Preprint)

UNSTRUCTURED Recent years have seen remarkable progress in our scientific understanding of early childhood social, emotional, and cognitive development, as well as our capacity to widely disseminate health information using digital technologies. Together, these scientific and technological advances offer exciting opportunities to deliver high-quality information about early childhood development (ECD) to parents and families globally, which may ultimately lead to greater knowledge and confidence among parents and better outcomes among children (particularly in lower-and-middle income countries). With these potential benefits in mind, we set out to design, develop, implement, and evaluate a new parenting app – “Thrive by Five” – that will be available in 30 countries, providing caregivers and families with evidence-based and culturally appropriate information about ECD, accompanied by sets of “collective actions” that go beyond mere “tips” for parenting practices. Here, we describe this ongoing global project and discuss the components of our scientific framework for developing and prototyping the app’s content. Specifically, we describe: (1) five domains used to organise the content and goals of the app’s information and associated practices; (2) five neurobiological systems that are relevant to ECD and can be “targeted” behaviourally to potentially influence social, emotional, and cognitive development; (3) our anthropological and cultural framework to learn about local contexts and appreciate decolonisation perspectives; and (4) our approach to tailor the app’s content to local contexts, involving collaboration with in-country partner organisations and local and international subject-matter experts in ECD, education, medicine, psychology, and anthropology, among others. Finally, we provide examples of content that has been incorporated in Thrive by Five’s global launch in Indonesia.