Dataset Information
CASITA: a controlled pilot study of community-based family coaching to stimulate early child development in Lima, Peru.
Ontology highlight
ABSTRACT: Objective
To determine whether the 3-month, community-based early stimulation coaching and social support intervention 'CASITA', delivered by community health workers, could improve early child development and caregiver-child interaction in a resource-limited district in Lima, Peru.Design
A controlled two-arm proof-of-concept study.Setting
Six neighbourhood health posts in Carabayllo, a mixed rural/urban district in Lima. Sessions were held in homes and community centres.Participants
Children aged 6-24 months who screened positive for risk of neurodevelopmental delay (using validated developmental delay tool) and poverty (using progress out of poverty tool) were enrolled with their caregivers. Dyads with children born >21 days early were excluded.Intervention
12-week parenting/support intervention plus nutritional support (n=41) or nutrition alone (n=19).Outcome measures
Development and home environment differences and mean changes from baseline to 3 months postintervention were evaluated using age-adjusted z-scores on the Extended Ages and Stages Questionnaire (EASQ) and the Home Observation Measurement of the Environment (HOME) scores, respectively.Results
Development in CASITA improved significantly in all EASQ domains, whereas the control group's z-scores did not improve significantly in any domain. The mean adjusted difference (MAD) in change in EASQ age-adjusted z-scores between the two study arms was 1.39 (95% CI 0.55 to 2.22); Cohen's d effect size of 0.87 (95% CI 0.23 to 1.50). Likewise, intervention significantly improved global HOME scores versus control group (MAD change of 6.33 (95% CI 2.12 to 10.55); Cohen's d of 0.85 (95% CI 0.28 to 1.41)).Conclusions
An evidence-based early intervention delivered weekly during 3 months by a community health worker significantly improved children's communication, motor and personal/social development in this proof-of-concept study.
SUBMITTER: Nelson AK
PROVIDER: S-EPMC5976100 | biostudies-literature | 2018
REPOSITORIES: biostudies-literature
Publications
CASITA: a controlled pilot study of community-based family coaching to stimulate early child development in Lima, Peru.
BMJ paediatrics open 20180526 1
<h4>Objective</h4>To determine whether the 3-month, community-based early stimulation coaching and social support intervention 'CASITA', delivered by community health workers, could improve early child development and caregiver-child interaction in a resource-limited district in Lima, Peru.<h4>Design</h4>A controlled two-arm proof-of-concept study.<h4>Setting</h4>Six neighbourhood health posts in Carabayllo, a mixed rural/urban district in Lima. Sessions were held in homes and community centres. ...[more]