Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, South Carolina.
International Center for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Ann N Y Acad Sci. 2014 Jan;1308:68-88. doi: 10.1111/nyas.12319. Epub 2013 Dec 26.
When implementing interventions integrating nutrition, health, and early childhood development, evaluation studies of effectiveness that assess the intermediate and ultimate impacts on the four domains of food and nutrition, family care, health, and child development are needed. Such studies should demonstrate impact, both benefits and potential harms, and understand mechanisms through which impact has been achieved. This article reviews and suggests measures and indicators suitable for use in evaluation studies of effectiveness of integrated interventions for children under 5 years of age. Within each of the four domains, multiple constructs and subconstructs were considered. For each construct and subconstruct, we identified measures and indicators, using several search processes, and reviewed them in relation to validity, responsiveness to intervention inputs and activities, equivalence in constructs and items across contexts with appropriate adaptation, and feasibility for use in effectiveness studies. Suggested measures and indicators for each domain, construct, and subconstruct are tabulated and described. We discuss the strengths and weaknesses of measures and indicators across domains and constructs, further research establishing validity, and guidance on adaptation of measures to particular contexts.
在实施整合营养、健康和儿童早期发展的干预措施时，需要进行评估研究，以评估这些干预措施对食物和营养、家庭照顾、健康和儿童发展这四个领域的中期和最终影响。这些研究应该展示影响，包括益处和潜在危害，并了解实现影响的机制。本文回顾并提出了适合评估 5 岁以下儿童综合干预措施有效性的措施和指标。在这四个领域中，我们考虑了多个结构和子结构。对于每个结构和子结构，我们使用多种搜索过程确定了测量和指标，并根据干预投入和活动的有效性、在不同背景下的等效性、适当调整的结构和项目的等效性以及在有效性研究中的可行性对其进行了审查。每个域、结构和子结构的建议措施和指标都以表格形式列出并进行了描述。我们讨论了不同领域和结构之间的措施和指标的优缺点，进一步的验证研究，以及针对特定情况调整措施的指南。
