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Effects of a scalable home-visiting intervention on child development in slums of urban India: evidence from a randomised controlled trial / Alison ANDREW in Journal of Child Psychology and Psychiatry, 61-6 (June 2020)
[article]
Titre : Effects of a scalable home-visiting intervention on child development in slums of urban India: evidence from a randomised controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : Alison ANDREW, Auteur ; Orazio ATTANASIO, Auteur ; Britta AUGSBURG, Auteur ; Monimalika DAY, Auteur ; Sally GRANTHAM-MCGREGOR, Auteur ; Costas MEGHIR, Auteur ; Fardina MEHRIN, Auteur ; Smriti PAHWA, Auteur ; Marta RUBIO-CODINA, Auteur Article en page(s) : p.644-652 Langues : Anglais (eng) Mots-clés : Child development home visiting parent-child interaction Index. décimale : PER Périodiques Résumé : BACKGROUND: An estimated 63.4 million Indian children under 5 years are at risk of poor development. Home visits that use a structured curriculum to help caregivers enhance the quality of the home stimulation environment improve developmental outcomes. However, achieving effectiveness in poor urban contexts through scalable models remains challenging. METHODS: Using a cluster randomised controlled trial, we evaluated a psychosocial stimulation intervention, comprising weekly home visits for 18 months, in urban slums of Cuttack, Odisha, India. The intervention is complementary to existing early childhood services in India and was run and managed through a local branch of a national NGO. The study ran from August 2013 to July 2015. We enrolled 421 children aged 10-20 months from 54 slums. Slums were randomised to intervention or control. Primary outcomes were children's cognitive, receptive language, expressive language and fine motor development assessed using the Bayley-III. Prespecified intent-to-treat analysis investigated impacts and heterogeneity by gender. TRIAL REGISTRATIONS: ISRCTN89476603, AEARCTR-0000169. RESULTS: Endline data for 378 (89.8%) children were analysed. Attrition was balanced between groups. We found improvements of 0.349 of a standard deviation (SD; p = .005, stepdown p = .017) to cognition while impacts on receptive language, expressive language and fine motor development were, respectively, 0.224 SD (p = .099, stepdown p = .184), 0.192 SD (p = .085, stepdown p = .184) and 0.111 (p = .385, stepdown p = .385). A child development factor improved by 0.301 SD (p = .032). Benefits were larger for boys. The quality of the home stimulation environment also improved. CONCLUSIONS: This study shows that a potentially scalable home-visiting intervention is effective in poor urban areas. En ligne : http://dx.doi.org/10.1111/jcpp.13171 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=426
in Journal of Child Psychology and Psychiatry > 61-6 (June 2020) . - p.644-652[article] Effects of a scalable home-visiting intervention on child development in slums of urban India: evidence from a randomised controlled trial [Texte imprimé et/ou numérique] / Alison ANDREW, Auteur ; Orazio ATTANASIO, Auteur ; Britta AUGSBURG, Auteur ; Monimalika DAY, Auteur ; Sally GRANTHAM-MCGREGOR, Auteur ; Costas MEGHIR, Auteur ; Fardina MEHRIN, Auteur ; Smriti PAHWA, Auteur ; Marta RUBIO-CODINA, Auteur . - p.644-652.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 61-6 (June 2020) . - p.644-652
Mots-clés : Child development home visiting parent-child interaction Index. décimale : PER Périodiques Résumé : BACKGROUND: An estimated 63.4 million Indian children under 5 years are at risk of poor development. Home visits that use a structured curriculum to help caregivers enhance the quality of the home stimulation environment improve developmental outcomes. However, achieving effectiveness in poor urban contexts through scalable models remains challenging. METHODS: Using a cluster randomised controlled trial, we evaluated a psychosocial stimulation intervention, comprising weekly home visits for 18 months, in urban slums of Cuttack, Odisha, India. The intervention is complementary to existing early childhood services in India and was run and managed through a local branch of a national NGO. The study ran from August 2013 to July 2015. We enrolled 421 children aged 10-20 months from 54 slums. Slums were randomised to intervention or control. Primary outcomes were children's cognitive, receptive language, expressive language and fine motor development assessed using the Bayley-III. Prespecified intent-to-treat analysis investigated impacts and heterogeneity by gender. TRIAL REGISTRATIONS: ISRCTN89476603, AEARCTR-0000169. RESULTS: Endline data for 378 (89.8%) children were analysed. Attrition was balanced between groups. We found improvements of 0.349 of a standard deviation (SD; p = .005, stepdown p = .017) to cognition while impacts on receptive language, expressive language and fine motor development were, respectively, 0.224 SD (p = .099, stepdown p = .184), 0.192 SD (p = .085, stepdown p = .184) and 0.111 (p = .385, stepdown p = .385). A child development factor improved by 0.301 SD (p = .032). Benefits were larger for boys. The quality of the home stimulation environment also improved. CONCLUSIONS: This study shows that a potentially scalable home-visiting intervention is effective in poor urban areas. En ligne : http://dx.doi.org/10.1111/jcpp.13171 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=426 Minding the Baby(R): Enhancing parental reflective functioning and infant attachment in an attachment-based, interdisciplinary home visiting program / Arietta SLADE in Development and Psychopathology, 32-1 (February 2020)
[article]
Titre : Minding the Baby(R): Enhancing parental reflective functioning and infant attachment in an attachment-based, interdisciplinary home visiting program Type de document : Texte imprimé et/ou numérique Auteurs : Arietta SLADE, Auteur ; Margaret L. HOLLAND, Auteur ; Monica Roosa ORDWAY, Auteur ; Elizabeth A. CARLSON, Auteur ; Sangchoon JEON, Auteur ; Nancy CLOSE, Auteur ; Linda C. MAYES, Auteur ; Lois S. SADLER, Auteur Article en page(s) : p.123-137 Langues : Anglais (eng) Mots-clés : attachment home visiting mentalization reflective functioning Index. décimale : PER Périodiques Résumé : In this article, we describe the results of the second phase of a randomized controlled trial of Minding the Baby (MTB), an interdisciplinary reflective parenting intervention for infants and their families. Young first-time mothers living in underserved, poor, urban communities received intensive home visiting services from a nurse and social worker team for 27 months, from pregnancy to the child's second birthday. Results indicate that MTB mothers' levels of reflective functioning was more likely to increase over the course of the intervention than were those of control group mothers. Likewise, infants in the MTB group were significantly more likely to be securely attached, and significantly less likely to be disorganized, than infants in the control group. We discuss our findings in terms of their contribution to understanding the impacts and import of intensive intervention with vulnerable families during the earliest stages of parenthood in preventing the intergenerational transmission of disrupted relationships and insecure attachment. En ligne : http://dx.doi.org/10.1017/s0954579418001463 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=415
in Development and Psychopathology > 32-1 (February 2020) . - p.123-137[article] Minding the Baby(R): Enhancing parental reflective functioning and infant attachment in an attachment-based, interdisciplinary home visiting program [Texte imprimé et/ou numérique] / Arietta SLADE, Auteur ; Margaret L. HOLLAND, Auteur ; Monica Roosa ORDWAY, Auteur ; Elizabeth A. CARLSON, Auteur ; Sangchoon JEON, Auteur ; Nancy CLOSE, Auteur ; Linda C. MAYES, Auteur ; Lois S. SADLER, Auteur . - p.123-137.
Langues : Anglais (eng)
in Development and Psychopathology > 32-1 (February 2020) . - p.123-137
Mots-clés : attachment home visiting mentalization reflective functioning Index. décimale : PER Périodiques Résumé : In this article, we describe the results of the second phase of a randomized controlled trial of Minding the Baby (MTB), an interdisciplinary reflective parenting intervention for infants and their families. Young first-time mothers living in underserved, poor, urban communities received intensive home visiting services from a nurse and social worker team for 27 months, from pregnancy to the child's second birthday. Results indicate that MTB mothers' levels of reflective functioning was more likely to increase over the course of the intervention than were those of control group mothers. Likewise, infants in the MTB group were significantly more likely to be securely attached, and significantly less likely to be disorganized, than infants in the control group. We discuss our findings in terms of their contribution to understanding the impacts and import of intensive intervention with vulnerable families during the earliest stages of parenthood in preventing the intergenerational transmission of disrupted relationships and insecure attachment. En ligne : http://dx.doi.org/10.1017/s0954579418001463 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=415 School age effects of Minding the Baby?An attachment-based home-visiting intervention?On parenting and child behaviors / Amalia LONDONO TOBON in Development and Psychopathology, 34-1 (February 2022)
[article]
Titre : School age effects of Minding the Baby?An attachment-based home-visiting intervention?On parenting and child behaviors Type de document : Texte imprimé et/ou numérique Auteurs : Amalia LONDONO TOBON, Auteur ; Eileen CONDON, Auteur ; Lois S. SADLER, Auteur ; Margaret L. HOLLAND, Auteur ; Linda C. MAYES, Auteur ; Arietta SLADE, Auteur Article en page(s) : p.55-67 Langues : Anglais (eng) Mots-clés : child problem behaviors home visiting mentalization parenting reflective functioning Index. décimale : PER Périodiques Résumé : Multiple interventions have been developed to improve the caregiver?child relationship as a buffer to the effects of early life adversity and toxic stress. However, relatively few studies have evaluated the long-term effects of these early childhood interventions, particularly on parenting and childhood behaviors. Here we describe the early school-age follow-up results of a randomized controlled trial of Minding the Baby ® (MTB), a reflective, attachment-based, trauma-informed, preventive home-visiting intervention for first-time mothers and their infants. Results indicate that mothers who participated in MTB are less likely to show impaired mentalizing compared to control mothers two to eight years after the intervention ended. Additionally, MTB mothers have lower levels of hostile and coercive parenting, and their children have lower total and externalizing problem behavior scores when compared to controls at follow-up. We discuss our findings in terms of their contribution to understanding the long-term parenting and childhood socio-emotional developmental effects of early preventive interventions for stressed populations. En ligne : http://dx.doi.org/10.1017/s0954579420000905 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=474
in Development and Psychopathology > 34-1 (February 2022) . - p.55-67[article] School age effects of Minding the Baby?An attachment-based home-visiting intervention?On parenting and child behaviors [Texte imprimé et/ou numérique] / Amalia LONDONO TOBON, Auteur ; Eileen CONDON, Auteur ; Lois S. SADLER, Auteur ; Margaret L. HOLLAND, Auteur ; Linda C. MAYES, Auteur ; Arietta SLADE, Auteur . - p.55-67.
Langues : Anglais (eng)
in Development and Psychopathology > 34-1 (February 2022) . - p.55-67
Mots-clés : child problem behaviors home visiting mentalization parenting reflective functioning Index. décimale : PER Périodiques Résumé : Multiple interventions have been developed to improve the caregiver?child relationship as a buffer to the effects of early life adversity and toxic stress. However, relatively few studies have evaluated the long-term effects of these early childhood interventions, particularly on parenting and childhood behaviors. Here we describe the early school-age follow-up results of a randomized controlled trial of Minding the Baby ® (MTB), a reflective, attachment-based, trauma-informed, preventive home-visiting intervention for first-time mothers and their infants. Results indicate that mothers who participated in MTB are less likely to show impaired mentalizing compared to control mothers two to eight years after the intervention ended. Additionally, MTB mothers have lower levels of hostile and coercive parenting, and their children have lower total and externalizing problem behavior scores when compared to controls at follow-up. We discuss our findings in terms of their contribution to understanding the long-term parenting and childhood socio-emotional developmental effects of early preventive interventions for stressed populations. En ligne : http://dx.doi.org/10.1017/s0954579420000905 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=474 Building Healthy Children: A preventive intervention for high-risk young families / Elizabeth M. DEMEUSY in Development and Psychopathology, 33-2 (May 2021)
[article]
Titre : Building Healthy Children: A preventive intervention for high-risk young families Type de document : Texte imprimé et/ou numérique Auteurs : Elizabeth M. DEMEUSY, Auteur ; Elizabeth D. HANDLEY, Auteur ; Jody TODD MANLY, Auteur ; Robin STURM, Auteur ; Sheree L. TOTH, Auteur Année de publication : 2021 Article en page(s) : p.598-613 Langues : Anglais (eng) Mots-clés : Building Healthy Children child behavior home visiting preventive intervention young mothers Index. décimale : PER Périodiques Résumé : The Building Healthy Children (BHC) home-visiting preventive intervention was designed to provide concrete support and evidence-based intervention to young mothers and their infants who were at heightened risk for child maltreatment and poor developmental outcomes. This paper presents two studies examining the short- and long-term effectiveness of this program at promoting positive parenting and maternal mental health, while preventing child maltreatment and harsh parenting. It also examines the intervention's sustained effect on child symptomatology and self-regulation. At baseline, young mothers and their infants were randomly assigned to receive BHC or Enhanced Community Standard. Families were assessed longitudinally across four time points. Data were also collected from the child's teacher at follow-up. Mothers who received BHC evidenced significant reductions in depressive symptoms at mid-intervention, which was associated with improvements in parenting self-efficacy and stress as well as decreased child internalizing and externalizing symptoms at postintervention. The follow-up study found that BHC mothers exhibited less harsh and inconsistent parenting, and marginally less psychological aggression. BHC children also exhibited less externalizing behavior and self-regulatory difficulties across parent and teacher report. Following the impactful legacy of Dr. Edward Zigler, these findings underline the importance of early, evidence-based prevention to promote well-being in high-risk children and families. En ligne : http://dx.doi.org/10.1017/s0954579420001625 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444
in Development and Psychopathology > 33-2 (May 2021) . - p.598-613[article] Building Healthy Children: A preventive intervention for high-risk young families [Texte imprimé et/ou numérique] / Elizabeth M. DEMEUSY, Auteur ; Elizabeth D. HANDLEY, Auteur ; Jody TODD MANLY, Auteur ; Robin STURM, Auteur ; Sheree L. TOTH, Auteur . - 2021 . - p.598-613.
Langues : Anglais (eng)
in Development and Psychopathology > 33-2 (May 2021) . - p.598-613
Mots-clés : Building Healthy Children child behavior home visiting preventive intervention young mothers Index. décimale : PER Périodiques Résumé : The Building Healthy Children (BHC) home-visiting preventive intervention was designed to provide concrete support and evidence-based intervention to young mothers and their infants who were at heightened risk for child maltreatment and poor developmental outcomes. This paper presents two studies examining the short- and long-term effectiveness of this program at promoting positive parenting and maternal mental health, while preventing child maltreatment and harsh parenting. It also examines the intervention's sustained effect on child symptomatology and self-regulation. At baseline, young mothers and their infants were randomly assigned to receive BHC or Enhanced Community Standard. Families were assessed longitudinally across four time points. Data were also collected from the child's teacher at follow-up. Mothers who received BHC evidenced significant reductions in depressive symptoms at mid-intervention, which was associated with improvements in parenting self-efficacy and stress as well as decreased child internalizing and externalizing symptoms at postintervention. The follow-up study found that BHC mothers exhibited less harsh and inconsistent parenting, and marginally less psychological aggression. BHC children also exhibited less externalizing behavior and self-regulatory difficulties across parent and teacher report. Following the impactful legacy of Dr. Edward Zigler, these findings underline the importance of early, evidence-based prevention to promote well-being in high-risk children and families. En ligne : http://dx.doi.org/10.1017/s0954579420001625 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444 Randomized controlled trial of Family Connects: Effects on child emergency medical care from birth to 24 months / W. B. GOODMAN in Development and Psychopathology, 31-5 (December 2019)
[article]
Titre : Randomized controlled trial of Family Connects: Effects on child emergency medical care from birth to 24 months Type de document : Texte imprimé et/ou numérique Auteurs : W. B. GOODMAN, Auteur ; K. A. DODGE, Auteur ; Y. BAI, Auteur ; Kieran J. O'DONNELL, Auteur ; R. A. MURPHY, Auteur Année de publication : 2019 Article en page(s) : p.1863-1872 Langues : Anglais (eng) Mots-clés : home visiting population health prevention system of care Index. décimale : PER Périodiques Résumé : One of Tom Dishion's most significant contributions to prevention science was the development of affordable, ecologically valid interventions, such as the Family Check-Up, that screen for child and family risk factors broadly, but concentrate family-specific interventions on those with greatest potential for population impact. In the spirit of this approach, investigators examined effects of a brief, universal postnatal home visiting program on child emergency medical care and billing costs from birth to age 24 months. Family Connects is a community-wide public health intervention that combines identification and alignment of community services and resources with brief, postpartum nurse home visits designed to assess risk, provide supportive guidance, and connect families with identified risk to community resources. Over 18 months, families of all 4,777 resident Durham County, North Carolina, births were randomly assigned based on even or odd birth date to receive a postnatal nurse home visiting intervention or services as usual (control). Independently, 549 of these families were randomly selected and participated in an impact evaluation study. Families, blind to study goals, provided written consent to access hospital administrative records. Results indicate that children randomly assigned to Family Connects had significantly less total emergency medical care (by 37%) through age 24 months, with results observed across almost all subgroups. Examination of billing records indicate a $3.17 decrease in total billing costs for each $1 in program costs. Overall, results suggest that community-wide postpartum support program can significantly reduce population rates of child emergency medical care through age 24 months while being cost-beneficial to communities. En ligne : http://dx.doi.org/10.1017/s0954579419000889 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=412
in Development and Psychopathology > 31-5 (December 2019) . - p.1863-1872[article] Randomized controlled trial of Family Connects: Effects on child emergency medical care from birth to 24 months [Texte imprimé et/ou numérique] / W. B. GOODMAN, Auteur ; K. A. DODGE, Auteur ; Y. BAI, Auteur ; Kieran J. O'DONNELL, Auteur ; R. A. MURPHY, Auteur . - 2019 . - p.1863-1872.
Langues : Anglais (eng)
in Development and Psychopathology > 31-5 (December 2019) . - p.1863-1872
Mots-clés : home visiting population health prevention system of care Index. décimale : PER Périodiques Résumé : One of Tom Dishion's most significant contributions to prevention science was the development of affordable, ecologically valid interventions, such as the Family Check-Up, that screen for child and family risk factors broadly, but concentrate family-specific interventions on those with greatest potential for population impact. In the spirit of this approach, investigators examined effects of a brief, universal postnatal home visiting program on child emergency medical care and billing costs from birth to age 24 months. Family Connects is a community-wide public health intervention that combines identification and alignment of community services and resources with brief, postpartum nurse home visits designed to assess risk, provide supportive guidance, and connect families with identified risk to community resources. Over 18 months, families of all 4,777 resident Durham County, North Carolina, births were randomly assigned based on even or odd birth date to receive a postnatal nurse home visiting intervention or services as usual (control). Independently, 549 of these families were randomly selected and participated in an impact evaluation study. Families, blind to study goals, provided written consent to access hospital administrative records. Results indicate that children randomly assigned to Family Connects had significantly less total emergency medical care (by 37%) through age 24 months, with results observed across almost all subgroups. Examination of billing records indicate a $3.17 decrease in total billing costs for each $1 in program costs. Overall, results suggest that community-wide postpartum support program can significantly reduce population rates of child emergency medical care through age 24 months while being cost-beneficial to communities. En ligne : http://dx.doi.org/10.1017/s0954579419000889 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=412