在规模上实施的游戏式育儿计划是否会改善照顾者实践和儿童发展?
Carina Omoeva1, Rafael Contreras Gomez1, Rachel Hatch1
1FHI 360 Research and Evaluation, Washington, DC 20036, USA.
Children (Basel, Switzerland)
|September 27, 2025
概括
育儿计划在育儿实践中显示出微小到适度的改进,但在不丹,塞尔维亚和赞比亚的儿童发展结果中几乎没有或几乎没有收益. 规模化的实施需要仔细监测有效性.
科学领域:
- 发展心理学 发展心理学
- 公共卫生干预 公共卫生干预
- 全球儿童发展全球儿童发展
背景情况:
- 检查了不丹,塞尔维亚和赞比亚规模化的育儿计划的结果.
- 由各种组织以不同的方法实施的项目.
- 专注于父母和孩子的结果在现实世界中设置.
研究的目的:
- 评估三个大规模育儿计划的有效性.
- 评估对育儿实践和儿童发展的影响.
- 在不同的文化背景下识别影响计划成功的因素.
主要方法:
- 混合方法方法: HOME 库存,全球早期发展量表 (GSED) 和焦点小组讨论 (FGD).
- 对HOME/GSED进行随机抽样 (不丹 n=432,塞尔维亚 n=636,赞比亚 n=1024).
- 针对FGD (超过40个父母) 进行有目的抽样;治疗意图和回归分析.
主要成果:
- 极少 (不丹) 或适度 (赞比亚) 改善了计划参与者的育儿实践.
- 召回与塞尔维亚更高的HOME分数相关的游戏消息.
- 儿童的结果显示与参与的差异很小 (不丹) 或没有显著差异 (塞尔维亚,赞比亚).
结论:
- 规模化的项目参与可能有影响有效性的局限性.
- 试点评估对于确保计划设计效率至关重要.
- 持续监测交付质量和实施过程是必不可少的.
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