通过现有的社区同行小组提供的一项育儿计划,以改善肯尼亚霍马巴伊和布西亚县的早期儿童发展:集群随机对照试验的研究协议
Joshua Jeong1, Juliet K McCann2, Silas Onyango3
1Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA. joshua.jeong@emory.edu.
BMC pediatrics
|September 17, 2024
概括
本研究评估了一个社区育儿计划,以改善肯尼亚农村的早期儿童发展 (ECD). 该计划使用同行团体来增强家长技能和照顾者福祉,旨在获得更好的ECD结果.
科学领域:
- 全球健康 全球健康
- 发展心理学 发展心理学
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 儿童早期发育不良 (ECD) 构成了具有终身后果的重大全球健康挑战.
- 父母的干预对心电障碍至关重要,特别是在生命早期.
- 关于肯尼亚农村社区对ECD的家长干预有效性的证据有限.
研究的目的:
- 开展基于社区的团体育儿计划的影响和实施评估.
- 改善肯尼亚农村地区的早期儿童发展 (ECD) 结果.
- 评估通过现有社区同行团体提供的育儿干预措施的有效性.
主要方法:
- 一个集群随机控制试验,涉及64个村庄集群在Homabay和Busia县,肯尼亚.
- 每个村庄招募10名主要照顾0-24个月龄的儿童的护理人员,随机分配到干预或等待名单控制中.
- 由训练有素的志愿者每两周提供一次21个会议的育儿计划,重点是培养护理,照顾者福祉和ECD推广.
主要成果:
- 该研究方案概述了对家长干预对ECD和护理的有效性进行严格的评估.
- 主要结果:通过全球早期发育量表测量整体ECD.
- 二次结果:育儿实践,护理人员心理健康,儿童社会情绪发展和饮食多样性.
结论:
- 这项试验将为肯尼亚农村地区ECD的社区育儿干预措施的有效性提供强有力的证据.
- 该研究将评估项目实施质量,忠实性和可持续性.
- 调查结果将为该模型在低收入和中等收入国家 (LMICs) 的潜在扩展提供信息.
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