Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India; School of Epidemiology and Public Health, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India.
Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India.
Acta Psychol (Amst). 2022 Sep;229:103669. doi: 10.1016/j.actpsy.2022.103669. Epub 2022 Jul 22.
Responsive parenting constitutes an essential part of the context in which children live and has shown a positive effect on child development in the early years of life.
This study aimed to assess the effectiveness of family parenting programs for enhancing competencies of responsive parenting among caregivers.
Cluster-RCT in 50 Anganwadi center areas. Twenty-five intervention clusters received responsive parenting intervention. Anganwadi workers delivered sessions after support and training.
We enrolled 530 mother-child dyads; 264 (49.9 %) from the intervention arm and 266 (50.1 %) from the control arm.
We assessed caregivers' knowledge and skills about child development using a parenting quiz. We evaluated the effect of an intervention on the home environment, mother-child interaction, and development outcomes at the endpoint.
We conducted 200 parenting sessions in 25 intervention clusters. Caregivers attended, on average, five sessions out of the nine scheduled. Caregivers with improved knowledge and skills about nutrition, shelter & care, play & stimulation for responsive parenting were significantly more in the intervention than in the control arm (p < 0.05). Mean difference in scores of home environment (1.24; SE-0.75 & ICC-0.088) and mother to child interaction (2.36; SE-0.87 & ICC-0.023) motor development (1.71; SE-0.61 & ICC-0.002), language development (2.97; SE-0.85 & ICC-0.002) and socioemotional development (1.45; SE-0.56 & ICC-0.066) between intervention and control arm was statistically significant (p < 0.05).
A locally adapted, family parenting curriculum was a practical approach for enhancing parents' competencies and confidence to promote early child development.
响应式育儿构成了儿童生活环境的重要组成部分，对儿童生命早期的发展具有积极影响。
本研究旨在评估家庭育儿计划对增强照顾者响应式育儿能力的效果。
在 50 个安格万迪中心区域进行了群组随机对照试验。25 个干预组接受了响应式育儿干预。安格万迪工作人员在获得支持和培训后提供课程。
我们招募了 530 对母婴对子；干预组 264 名（49.9%），对照组 266 名（50.1%）。
我们使用育儿测验评估照顾者对儿童发展的知识和技能。我们评估了干预对家庭环境、母婴互动以及终点时发展结果的影响。
我们在 25 个干预组中进行了 200 次育儿课程。照顾者平均参加了 9 次课程中的 5 次。在营养、住所和护理、游戏和刺激方面，对响应式育儿有更好的知识和技能的照顾者，在干预组中明显多于对照组（p<0.05）。家庭环境（1.24；SE-0.75 和 ICC-0.088）、母婴互动（2.36；SE-0.87 和 ICC-0.023）、运动发育（1.71；SE-0.61 和 ICC-0.002）、语言发育（2.97；SE-0.85 和 ICC-0.002）和社会情感发育（1.45；SE-0.56 和 ICC-0.066）方面，干预组与对照组之间的得分差异均具有统计学意义（p<0.05）。
一种本土化、家庭育儿课程是增强父母能力和信心以促进儿童早期发展的实用方法。
