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Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
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Hybrid type 1 effectiveness/implementation trial of the international Guide for Monitoring Child Development:

Abhishek Raut1, Revan Mustafayev2, Roopa Srinivasan3

  • 1Department of Community Medicine, Dr. Sushila Nayar School of Public Health, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Maharashtra, India.

BMJ Paediatrics Open
|October 4, 2021
PubMed

Insights

The Guide for Monitoring Child Development (GMCD) intervention improves early childhood development in low-income countries. This study evaluates its effectiveness and implementation in India and Guatemala.

Area of Science:

  • Global child development
  • Early childhood intervention programs
  • Implementation science

Background:

  • Over 40% of young children in low- and middle-income countries risk developmental delays.
  • The Guide for Monitoring Child Development (GMCD) is an early intervention package designed to address these challenges.
  • Individualized intervention plans are crucial for supporting young children and their families.

Purpose of the Study:

  • To conduct a hybrid type 1 effectiveness-implementation evaluation of the GMCD intervention.
  • To assess the impact of GMCD on developmental functioning and nurturing care in young children.
  • To explore factors influencing the effectiveness of GMCD implementation in diverse settings.

Main Methods:

  • A cluster-randomised trial involving 624 children aged 0-24 months in India and Guatemala.
  • Intervention delivered via a digital mobile device interface by frontline workers over 12 months.
  • Outcomes assessed using the Bayley Scales of Infant Development and Home Observation for Measurement of the Environment Scale; implementation evaluated using the RE-AIM framework.

Main Results:

  • Effectiveness of the GMCD intervention on child development and nurturing care will be assessed.
  • Implementation effectiveness will be measured using the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework.
  • Qualitative analysis will identify determinants of high versus low implementation effectiveness.

Conclusions:

  • The GMCD intervention has the potential to address critical developmental needs in young children.
  • This study will provide valuable insights into the effectiveness and implementability of GMCD in resource-limited settings.
  • Findings will inform the scale-up of effective early childhood interventions globally.
Abstract

Keywords:
data collectionhealth services researchpsychology

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