Effect of parenting intervention through "Care for Child Development Guideline" on early child development and
Maryam Bemanalizadeh1,2, Negin Badihian1, Mehri Khoshhali1
1Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
Insights
Parenting intervention programs improve early child development. Group sessions based on care for child development (CCD) guidelines showed significant effects on cognitive scores and reduced anxiety/depression in children.
Area of Science:
- Pediatrics
- Developmental Psychology
- Public Health
Background:
- Parenting intervention programs are crucial for early child development.
- Group-session interventions based on care for child development (CCD) guidelines may offer a cost-effective approach in resource-limited settings.
- Limited research exists on the effectiveness of such programs in developing countries.
Purpose of the Study:
- To evaluate the effectiveness of a parenting intervention program using CCD guidelines on child development and socio-emotional behavior.
- To assess the impact of group-based parenting education on cognitive development and behavioral problems in young children.
- To determine the cost-effectiveness of CCD-based group interventions in a public healthcare setting.
Main Methods:
- A randomized controlled trial was conducted with 210 pregnant women in Iran.
- The intervention group received 5 group sessions (45 minutes each) based on CCD guidelines.
- Children were assessed at 12 and 18 months using the Bayley Scales of Infant and Toddler Development-III (BSID-III) and the Children Behavior Checklist (CBCL).
Main Results:
- Data from 181 children were analyzed.
- The intervention group showed a significant improvement in cognitive scores (BSID-III) (p=0.032).
- A significant reduction in anxiety/depression scores (CBCL) was observed in the intervention group (p=0.046).
Conclusions:
- Parenting interventions through CCD group sessions demonstrated effectiveness in specific domains of child development and socio-emotional behavior.
- Potential ceiling and floor effects of the assessment tools may have limited the detection of broader intervention impacts.
- The findings suggest that CCD-based group sessions can be a valuable tool for enhancing child development and managing behavioral issues.
Background:
Several studies showed that parenting intervention programs play a core component in early child development. Considering the limited healthcare resources in developing countries, group-session intervention based on care for child development (CCD) guideline might be cost-effective.
Methods:
This randomized controlled trial was conducted at an outpatient public Pediatrics clinic in Isfahan, Iran. We included 210 pregnant women aged 18-45 years in their third trimester and followed their children for 18 months. The intervention group underwent 5 educational group sessions, each lasting for almost 45 minutes. The main outcomes were the children's development and socio-emotional behavior problems based on Bayley Scales of Infant and Toddler Development-III (BSID-III) at 12 months and the Children Behavior Checklist (CBCL) at 18 months.
Results:
Overall, data of 181 children were included in the current study, including 80 in the intervention group and 101 controls. The adjusted median/mean differences between intervention and control groups using median/linear regression were not significant for all BSID-III domains except for median differences for cognitive score based on BSID-III (β (SE): - 4.98(2.31), p:0.032) and mean differences for anxiety/depression score based on CBCL (β (SE): - 2.54(1.27), p:0.046).
Conclusion:
In this study, parenting interventions through CCD group sessions were significantly effective on just one subscale of children's socio-emotional behavior domains based on CBCL and one domain of children's development based on BSID-III. There might be a ceiling or floor effects for the BSID-III and CBCL assessment, respectively, leaving little room for improvement as almost all children have achieved their full developmental potential in our study.
Trial Registration:
IRCT20190128042533N2, Date of registration: 16/01/2020, www.irct.ir.
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