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Impact of a Brief Healthcare-based Intervention to Support Early Childhood Development in India: A Pilot Randomized

Deepa C Metgud1, Ronita Ajgaonkar2, Shukra Chivate1

  • 1Pediatric Physiotherapy, KAHER Institute of Physiotherapy, Belagavi, Karnataka, India.

Indian Pediatrics
|August 8, 2023
PubMed

Insights

A brief early childhood development intervention, Sit Down and Play (SDP), improved parent-child interactions and infant neurodevelopment. This healthcare-integrated program shows promise for supporting early learning and child development.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Public Health

Background:

  • Early childhood development (ECD) is crucial for long-term outcomes.
  • Integrating interventions into routine healthcare can improve accessibility.
  • Parent-child interactions are key to early learning.

Purpose of the Study:

  • To evaluate the impact of the Sit Down and Play (SDP) intervention on parent and child outcomes.
  • To assess if a brief ECD intervention delivered during routine healthcare visits is effective.
  • To measure changes in parenting behaviors and infant neurodevelopment.

Main Methods:

  • Randomized controlled trial with 52 families and infants aged 5-6 months.
  • Intervention group received SDP during healthcare visits; control group received usual care.
  • Outcomes assessed at 12 months using Stim Q for parenting and DASII for neurodevelopment.

Main Results:

  • Significant improvement in parent-child stimulation and verbal interaction in the intervention group (P=0.002).
  • Infants in the intervention group showed significantly higher neurodevelopmental scores (DASII, P=0.04).
  • The SDP intervention positively impacted both parenting behaviors and infant neurodevelopment.

Conclusions:

  • A brief, healthcare-integrated intervention can effectively support early learning opportunities for caregivers.
  • The Sit Down and Play (SDP) program demonstrates positive effects on infant neurodevelopmental outcomes.
  • Routine healthcare visits are a viable platform for delivering early childhood development interventions.
Abstract

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