A parenting intervention delivered at routine primary health visits improved child cognitive development and parenting knowledge
In. Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Monography
in English
| MedCarib
| ID: med-17984
Responsible library:
TT2.1
ABSTRACT
OBJECTIVE:
Several agencies have recommended integrating early child development interventions with health services. We developed and evaluated a parent training programme integrated into primary health visits. DESIGN ANDMETHODS:
A cluster randomised trial conducted in Jamaica, Antigua and St Lucia with health centre as the unit of randomization. Fifteen centres were randomised to control (n=250 mother-child pairs) and 14 to intervention (n=251). Participants were recruited at the 6-8 week child health visit. Intervention was provided at routine health visits from age 3-18 months and comprised short films of child development messages followed by discussion and demonstration led by community health workers, and mothers practice of activities. Nurses distributed message cards and a few play materials. Primary outcomes were child development, measured 2 weeks after the 18 month visit, with the Griffiths Mental Development Scales and the Communicative Development Inventory (CDI).RESULTS:
85% of enrolled children were tested (control = 210; intervention=216). Loss did not differ by group. Multilevel analyses showed significant intervention benefits for cognitive development, (3.09 points; 95% CI 1.31, 4.87), effect size 0.30 SD. There were no benefits to language or hand and eye subscales, or CDI vocabulary score. Of six secondary outcomes there was a significant benefit to parenting knowledge, treatment effect 1.59 (95% CI 1.01 to 2.17), effect size 0.40.CONCLUSION:
An innovative parenting intervention, requiring no additional clinic staff or mothers time, can be integrated into health services, with benefits to cognitive development and parent knowledge.
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Collection:
International databases
Database:
MedCarib
Main subject:
Primary Health Care
/
Child Development
/
Parenting
/
Saint Lucia
/
Jamaica
/
Antigua and Barbuda
Type of study:
Controlled clinical trial
Country/Region as subject:
Antigua and Barbuda
/
English Caribbean
/
Jamaica
/
Saint Lucia
Language:
English
Journal:
West Indian Medical Journal Supplement
Year:
2015
Document type:
Monography