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Mapping What Works to Strengthen the Relational Ecology of Early Child Development: A Systematic Scoping Review
Matthew Fuller-Tyszkiewicz1, Suzanne Vassallo2, Tracy Evans-Whipp2
1Faculty of Health, School of Psychology, SEED Lifespan Strategic Research Centre, Deakin University, 221 Burwood Highway, Burwood, VC, 3125, Australia. matthew.fuller-tyszkiewicz@deakin.edu.au.
Insights
Secure child-carer bonds depend on relationships within families and communities. Interventions primarily target mother-child dyads, neglecting fathers and broader support systems, hindering optimal early child development.
Area of Science:
- Developmental Psychology
- Family Studies
- Public Health Interventions
Background:
- Secure child-carer bonds are influenced by a complex relational ecology, including parents, other care providers, and societal structures.
- Understanding the development of evidence-based interventions across this relational ecology is crucial for early child development.
Purpose of the Study:
- To conduct a scoping review mapping scientific progress in developing evidence-based interventions for early child development.
- To examine interventions across family, community, and structural levels of the relational ecology.
Main Methods:
- A systematic literature search was performed across Ovid MEDLINE, PsychInfo, and Embase databases.
- 123 papers, representing 110 unique interventions involving 30,207 families, were included in the final analysis.
Main Results:
- Intervention development predominantly focused on the mother-child relationship, with limited attention to father involvement or extended family/community care systems.
- Many scalable, population-based programs were integrated into universal newborn healthcare services, demonstrating potential for broad reach.
- Significant gaps exist in interventions targeting broader relational systems beyond the immediate family unit.
Conclusions:
- Current interventions for fostering secure child-carer bonds are narrowly focused, primarily on mothers.
- Greater investment is needed in developing interventions that encompass fathers, extended family, and community support systems.
- Addressing these gaps is essential for creating supportive environments where child-carer emotional bonds can thrive.
Abstract:
The development of secure bonds between children and adult carers, particularly parents, is determined by a complex ecosystem of relationships that includes parents, care providers in other settings, and the values and institutions that care for those who care for children. Here we conduct a scoping review to map scientific progress in the development of evidence based interventions across all levels of relational ecology of early child development, form families to communities, the connections between them, and the structures that support them. A systematic search for relevant studies was conducted across three databases: Ovid MEDLINE, PsychInfo, and Embase. A total of 4970 articles were retrieved, with a final retained set of 123 papers (30207 families across 110 unique interventions). Most intervention development has focused on the relationship between children and their mothers. Few interventions directly targeted father involvement in parenting, or broader systems of care within the family (e.g., grandparents) and beyond (e.g., early childcare workers, family friendly workplaces, and the healthcare system). Many population-based programs were situated within existing universal healthcare services for parents of newborns, highlighting scalability and potential for delivering programs proportionate to need. However, further work is needed to convert this potential scalability into a reality. Further investment in intervention development in relational systems beyond the family is urgently needed if we are to create the broader conditions needed to ensure that emotional bonds between children and their adult carers can flourish.
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