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Implementation Quality of an Early Childhood Parenting Program in Colombia and Child Development
Raquel Bernal1, María Lucía Gómez2, Santiago Pérez-Cardona1
1Universidad de los Andes and CEDE, Bogota, Colombia.
Pediatrics
|May 1, 2023
Summary
Enhancing the Family, Women, and Infancy Program (FAMI) in Colombia improved intervention quality. Higher session quality was linked to better maternal engagement, parenting practices, and child development outcomes.
Area of Science:
- Public Health
- Developmental Psychology
- Program Implementation Science
Background:
- Existing parenting programs can be enhanced to improve outcomes.
- Intervention quality is crucial for program effectiveness.
- Rural Colombian context presents unique challenges for program delivery.
Purpose of the Study:
- To evaluate the impact of an enhancement on the quality of the Family, Women, and Infancy Program (FAMI).
- To examine the association between intervention quality and child and maternal outcomes.
- To assess the role of session quality in mediating intervention effects.
Main Methods:
- Cluster-randomized trial involving 340 mothers and 1460 children in rural Colombia.
- Intervention group received enhanced FAMI with structured curricula, materials, and tutor support.
- Independent observation assessed group session quality; child development and parenting practices were measured.
Main Results:
- The enhancement significantly improved the observed quality of group parenting sessions (1.67 SD increase).
- Improved session quality predicted increased maternal attendance (4.68 additional sessions).
- Session quality partially mediated the intervention's positive effects on parental practices and child development.
Conclusions:
- Enhancing existing parenting programs can substantially improve implementation quality.
- High-quality intervention implementation is associated with better maternal engagement, parenting, and child development.
- Observational quality measures can support scalable program quality promotion and maintenance.
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