Centre d'Information et de documentation du CRA Rhône-Alpes
CRA
Informations pratiques
-
Adresse
Centre d'information et de documentation
du CRA Rhône-Alpes
Centre Hospitalier le Vinatier
bât 211
95, Bd Pinel
69678 Bron CedexHoraires
Lundi au Vendredi
9h00-12h00 13h30-16h00Contact
Tél: +33(0)4 37 91 54 65
Mail
Fax: +33(0)4 37 91 54 37
-
Détail de l'auteur
Auteur Nilupa S. GUNARATNA |
Documents disponibles écrits par cet auteur (1)
Faire une suggestion Affiner la recherche
Effects of engaging fathers and bundling parenting and nutrition interventions on early child development and maternal and paternal parenting in Mara, Tanzania: a factorial cluster-randomized controlled trial / Joshua JEONG in Journal of Child Psychology and Psychiatry, 65-5 (May 2024)
[article]
Titre : Effects of engaging fathers and bundling parenting and nutrition interventions on early child development and maternal and paternal parenting in Mara, Tanzania: a factorial cluster-randomized controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : Joshua JEONG, Auteur ; Marilyn N. AHUN, Auteur ; Nilupa S. GUNARATNA, Auteur ; Ramya AMBIKAPATHI, Auteur ; Frank MAPENDO, Auteur ; Lauren GALVIN, Auteur ; Mary Pat KIEFFER, Auteur ; Mary MWANYIKA-SANDO, Auteur ; Dominic MOSHA, Auteur ; Savannah Froese O'MALLEY, Auteur ; Cristiana K. VERISSIMO, Auteur ; George PRAYGOD, Auteur ; Aisha K. YOUSAFZAI, Auteur Article en page(s) : p.694-709 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Background Multicomponent interventions are needed to address the various co-occurring risks that compromise early child nutrition and development. We compared the independent and combined effects of engaging fathers and bundling parenting components into a nutrition intervention on early child development (ECD) and parenting outcomes. Methods We conducted a 2*2 factorial cluster-randomized controlled trial across 80 villages in Mara Region, Tanzania, also known as EFFECTS (Engaging Fathers for Effective Child Nutrition and Development in Tanzania; ClinicalTrials.gov, NCT03759821). Households with children under 18?months of age residing with their mother and father were enrolled. Villages were randomly assigned to one of five groups: a nutrition intervention for mothers, a nutrition intervention for couples, a bundled nutrition and parenting intervention for mothers, a bundled intervention for couples, and a standard-of-care control. Interventions were delivered by trained community health workers through peer groups and home visits over 12?months. Mothers, fathers, and children were assessed at baseline, midline, and endline or postintervention. We used a difference-in-difference approach with intention-to-treat analysis to estimate intervention effects on ECD (Bayley Scales of Infant and Toddler Development, third edition) and maternal and paternal parenting and psychosocial well-being. Results Between October 29, 2018, and May 24, 2019, 960 households were enrolled (n = 192 per arm). Compared to nutrition interventions, bundled interventions improved children's cognitive (? = .18 [95% CI: 0.01, 0.36]) and receptive language development (? = .23 [0.04, 0.41]). There were no differences between interventions for other ECD domains. Compared to nutrition interventions, bundled interventions achieved additional benefits on maternal stimulation (? = .21 [0.04, 0.38]) and availability of home learning materials (? = .25 [0.07-0.43]) and reduced paternal parenting distress (? = ?.34 [?0.55, ?0.12]). Compared to interventions with mothers only, interventions that engaged fathers improved paternal stimulation (? = .45 [0.27, 0.63]). Conclusions Jointly bundling parenting components into nutrition interventions while also engaging both mothers and fathers is most effective for improving maternal and paternal parenting and ECD outcomes. En ligne : https://doi.org/10.1111/jcpp.13897 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=526
in Journal of Child Psychology and Psychiatry > 65-5 (May 2024) . - p.694-709[article] Effects of engaging fathers and bundling parenting and nutrition interventions on early child development and maternal and paternal parenting in Mara, Tanzania: a factorial cluster-randomized controlled trial [Texte imprimé et/ou numérique] / Joshua JEONG, Auteur ; Marilyn N. AHUN, Auteur ; Nilupa S. GUNARATNA, Auteur ; Ramya AMBIKAPATHI, Auteur ; Frank MAPENDO, Auteur ; Lauren GALVIN, Auteur ; Mary Pat KIEFFER, Auteur ; Mary MWANYIKA-SANDO, Auteur ; Dominic MOSHA, Auteur ; Savannah Froese O'MALLEY, Auteur ; Cristiana K. VERISSIMO, Auteur ; George PRAYGOD, Auteur ; Aisha K. YOUSAFZAI, Auteur . - p.694-709.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 65-5 (May 2024) . - p.694-709
Index. décimale : PER Périodiques Résumé : Background Multicomponent interventions are needed to address the various co-occurring risks that compromise early child nutrition and development. We compared the independent and combined effects of engaging fathers and bundling parenting components into a nutrition intervention on early child development (ECD) and parenting outcomes. Methods We conducted a 2*2 factorial cluster-randomized controlled trial across 80 villages in Mara Region, Tanzania, also known as EFFECTS (Engaging Fathers for Effective Child Nutrition and Development in Tanzania; ClinicalTrials.gov, NCT03759821). Households with children under 18?months of age residing with their mother and father were enrolled. Villages were randomly assigned to one of five groups: a nutrition intervention for mothers, a nutrition intervention for couples, a bundled nutrition and parenting intervention for mothers, a bundled intervention for couples, and a standard-of-care control. Interventions were delivered by trained community health workers through peer groups and home visits over 12?months. Mothers, fathers, and children were assessed at baseline, midline, and endline or postintervention. We used a difference-in-difference approach with intention-to-treat analysis to estimate intervention effects on ECD (Bayley Scales of Infant and Toddler Development, third edition) and maternal and paternal parenting and psychosocial well-being. Results Between October 29, 2018, and May 24, 2019, 960 households were enrolled (n = 192 per arm). Compared to nutrition interventions, bundled interventions improved children's cognitive (? = .18 [95% CI: 0.01, 0.36]) and receptive language development (? = .23 [0.04, 0.41]). There were no differences between interventions for other ECD domains. Compared to nutrition interventions, bundled interventions achieved additional benefits on maternal stimulation (? = .21 [0.04, 0.38]) and availability of home learning materials (? = .25 [0.07-0.43]) and reduced paternal parenting distress (? = ?.34 [?0.55, ?0.12]). Compared to interventions with mothers only, interventions that engaged fathers improved paternal stimulation (? = .45 [0.27, 0.63]). Conclusions Jointly bundling parenting components into nutrition interventions while also engaging both mothers and fathers is most effective for improving maternal and paternal parenting and ECD outcomes. En ligne : https://doi.org/10.1111/jcpp.13897 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=526