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Do Playful Parenting Programs Implemented at Scale Improve Caregiver Practices and Child Development?

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Summary
This summary is machine-generated.

Parenting programs showed minimal to modest improvements in parenting practices but small or no gains in child development outcomes across Bhutan, Serbia, and Zambia. Scaled implementation requires careful monitoring for effectiveness.

Keywords:
BhutanSerbiaZambiaearly childhood developmentparentingprogram evaluationscaling up

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Area of Science:

  • Developmental Psychology
  • Public Health Interventions
  • Global Child Development

Background:

  • Examined outcomes of scaled parenting programs in Bhutan, Serbia, and Zambia.
  • Programs implemented by various organizations with diverse approaches.
  • Focused on parent and child outcomes in real-world settings.

Purpose of the Study:

  • To evaluate the effectiveness of three large-scale parenting programs.
  • To assess impacts on parenting practices and child development.
  • To identify factors influencing program success in diverse cultural contexts.

Main Methods:

  • Mixed-methods approach: HOME Inventory, Global Scales of Early Development (GSED), and focus group discussions (FGD).
  • Random sampling for HOME/GSED (Bhutan n=432, Serbia n=636, Zambia n=1024).
  • Purposive sampling for FGD (over 40 parents); intention-to-treat and regression analyses.

Main Results:

  • Minimally (Bhutan) or modestly (Zambia) improved parenting practices for program attendees.
  • Recall of play messages linked to higher HOME scores in Serbia.
  • Child outcomes showed small (Bhutan) or no significant differences (Serbia, Zambia) with participation.

Conclusions:

  • Scaled program participation may have limitations impacting effectiveness.
  • Pilot evaluations are crucial to ensure program design efficacy.
  • Continuous monitoring of delivery quality and implementation processes is essential.