Effectiveness of a parenting program in Bangladesh to address early childhood health, growth and development
Effectiveness of a parenting program in Bangladesh to address early childhood health, growth and development
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DOI：
10.1016/j.socscimed.2013.06.020
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发表时间：
2013-11-01
影响因子：
5.4
通讯作者：
Borisova, Ivelina
中科院分区：
文献类型：
--
作者：
Aboud, Frances E.;Singla, Daisy R.;Borisova, Ivelina
分层整群设计被用来评估一个10个月的育儿计划提供给孟加拉国农村儿童的母亲。通过小组会议和家访相结合的干预措施，母亲们收到了沿着的信息，以及一张关于卫生、反应性喂养、玩耍、交流、温和的纪律和营养食品的说明性卡片。对照组的母亲接受标准的政府护理。三个月前，463名4至14个月的儿童在孟加拉国西部的一个分区进行了认知，接受语言和表达语言Bayley III子测试，他们的长度和过去一周的疾病记录。由母亲报告粗大运动里程碑，并通过观察进行验证。母亲们接受了采访，就他们的做法：预防性保健措施，饮食多样性，家庭刺激，和知识的发展里程碑。母亲的抑郁症状被评估为情感可用性的衡量标准。家庭社会人口学变量包括母亲的教育，家庭资产，决策和流动自主权。在项目结束一个月后，母亲和她们的孩子再次接受评估。在项目开始时，对12个月以下的干预儿童和12个月以上的对照儿童进行了比较。这可能是一个关键的年龄，当孩子开始直立和移动的足够的探索自己和不太依赖于父母的刺激。分析产生了强烈的干预效果的三个贝利子测试和育儿的做法有关的刺激和知识的发展里程碑。年龄的影响只被发现为饮食多样性，在该计划中，年龄较小的儿童比年龄较大的受益更多。然而，所有的孩子都变得更加发育不良。研究结果进行了讨论，在理论的行为变化和养育子女，关键年龄的养育方案，并对方案交付的影响。(C)2013爱思唯尔有限公司保留所有权利。
A stratified cluster design was used to evaluate a 10-month parenting program delivered to mothers of children in rural Bangladesh. Intervention mothers through a combination of group meetings and home visits received messages along with an illustrative card concerning hygiene, responsive feeding, play, communication, gentle discipline, and nutritious foods. Control mothers received the standard government care. Three months prior, 463 children between 4 and 14 months in a subdistrict of western Bangladesh were administered the cognitive, receptive language and expressive language Bayley III subtests, their length was taken and past week illness recorded. Gross motor milestones were reported by the mother and verified through observation. Mothers were interviewed concerning their practices: preventive health practices, dietary diversity, home stimulation, and knowledge about development milestones. Maternal depressive symptoms were assessed as a measure of emotional availability. Family sociodemographic variables included maternal education, family assets, decision-making and mobility autonomy. One month after the end of the program, mothers and their children were again assessed. Comparisons were made between intervention and control children who were under-12 months vs. 12 months and older at the start of the program. This may be a critical age, when children begin to be upright and mobile enough to explore on their own and be less dependent on parenting stimulation. Analyses yielded strong intervention effects on the three Bayley subtests and on parenting practices related to stimulation and knowledge of development milestones. Age effects were found only for dietary diversity in that younger children in the program benefited more than older ones. However, all children became more stunted. Findings are discussed in terms of theories of behaviour change and parenting, critical ages for parenting programs, and implications for program delivery. (C) 2013 Elsevier Ltd. All rights reserved.