PSY 399 Chapter Notes - Chapter 14: 6 Years, Clinicaltrials.Gov, Infant Mortality
14 May 2018
School
Department
Course
Professor
Class 14: May 16
Singla, et al. Effects of a
parenting intervention to
address maternal
psychological wellbeing
and child development
and growth in rural
Uganda: a community-
based, cluster-
randomised trial.
Background
● Parenting interventions have been implemented to improve
compromised developmental potential
○ Among 39% of children younger than 5 years living
in low-income and middle-income countries.
● Maternal wellbeing is important for child development,
especially in children younger than 3 years
○ Are vulnerable and dependent on their mothers for
nutrition and stimulation
● Assessed an integrated, community-based parenting
intervention that targeted
○ Both child development and maternal wellbeing in
rural Uganda
Methods
● Community-based, cluster randomised trial
○ Assessed the effectiveness of a manualised,
parenting intervention in Lira, Uganda
● Selected and randomly assigned 12 parishes to either:
○ Parenting intervention or control (inclusion on a
waitlist with a brief message on nutrition) groups
■ Using computer- generated list of random
numbers
● Within each parish, we selected two to three eligible
communities that had:
○ A parish office or a primary school where a
preschool could be established
○ More than 75 households with children younger than
6 years
○ At least 15 socially disadvantaged families with at
least one child younger than 36 months
● Participants within communities were mother–child dyads,
where child was 12–36 months of age at enrolment
○ Mother had low maternal education
● In parenting intervention group, participants attended 12
fortnightly peer-led group sessions
○ Focusing on child care and maternal wellbeing
● Primary outcomes were cognitive and receptive language
development
○ As measured with the Bayley Scales of Infant
Development, 3rd edn
● Secondary outcomes included self-reported maternal
depressive symptoms and child growth
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○ Using the Center for Epidemiologic Studies
Depression Scale
● Theoretically-relevant parenting practices, and mother care
variables were assessed as potential mediators
○ Home Observation for Measurement of the
Environment inventory
○ Perceived spousal support
● Baseline assessments were done in January, 2013, and
endline assessments were done in November, 2013
○ 3 months after completion of the programme
● Ethics approval was received from Mbarara and McGill
universities
○ Trial is registered with ClinicalTrials.gov
Findings
● Between December and January, 13 communities were
randomly assigned to receive intervention
○ 12 communities were assigned to a waitlist control.
● 319 dyads completed baseline measures
○ 171 in the intervention group and 148 in the control
group)
● 291 dyads completed endline measure
○ 160 in the intervention group and 131 in the control
group
● At endline, children in the intervention group had
significantly higher cognitive scores
○ And receptive language scores than did children in
the control group
● Mothers in intervention group reported significantly fewer
depressive symptoms than mothers in the control group
○ However, no differences were found in child growth
between groups
Interpretation
● 12 session integrated parenting intervention delivered by
non-professional community members
○ Improved child development and maternal wellbeing
in rural Uganda
● Intervention was largely managed and implemented by a
local organisation, using local community members and
minimal resources
○ Has the potential to be replicated and scaled up in
other low-resource, village-based settings.
NEOVITA Study Group.
Timing of initiation,
patterns of
Background
● Benefits of exclusive breastfeeding for child health and
survival are established, particularly after neonatal period
○ Independent beneficial effect of early breastfeeding
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find more resources at oneclass.com
Document Summary
Effects of a parenting intervention to address maternal psychological wellbeing and child development and growth in rural. Parenting interventions have been implemented to improve compromised developmental potential. Among 39% of children younger than 5 years living in low-income and middle-income countries. Maternal wellbeing is important for child development, especially in children younger than 3 years. Are vulnerable and dependent on their mothers for nutrition and stimulation. Assessed an integrated, community-based parenting intervention that targeted. Both child development and maternal wellbeing in rural uganda. Assessed the effectiveness of a manualised, parenting intervention in lira, uganda. Selected and randomly assigned 12 parishes to either: Parenting intervention or control (inclusion on a waitlist with a brief message on nutrition) groups. Within each parish, we selected two to three eligible numbers communities that had: A parish office or a primary school where a preschool could be established. More than 75 households with children younger than.
