Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
Master of Mathematical Statistics, University of Isfahan, Isfahan, Iran.
BMC Pediatr. 2024 Nov 27;24(1):772. doi: 10.1186/s12887-024-05253-5.
Studies have investigated the role of different parenting intervention programs in the early development of children. Here we aimed to determine the long-term efficacy of Care for Child Development (CCD) guideline interventions on behavioral dimensions of children's development.
This randomized clinical trial took place at an outpatient public Pediatrics clinic in Isfahan, Iran from February 2020 to May 2024. Pregnant women between the ages of 18 and 45 in their third trimester were included in the study, and their children were followed for 48 months. The intervention group participated in 5 educational group sessions, each session lasting approximately 45 min. The control group underwent routine education on childcare, as suggested by WHO. The main outcome was the children's socio-emotional behavior problems using the Children Behavior Checklist (CBCL) at 18, 36, and 48 months. The comparisons between groups were done using independent two-sample t-tests, or the Mann-Whitney test and the Chi-square test. Statistical software SPSS 22 was utilized for data analysis.
Finally, the data of 166 participants (70 in the intervention group and 96 in the control group) were included in the current study. The adjusted mean differences between the intervention and control groups significantly differed in some scales after follow-up. After 36 months of follow-up, the scores in the following aspects were significantly lower in the intervention group: emotional problems, anxiety, seclusion problems, sleep disorders, aggressive behavior, and the total problem. After 48 months, only sleep problems were significantly lower in the intervention group.
According to the results of this intervention, delivering parenting interventions through group sessions according to the CCD recommendation indicated weak efficacy during long-term follow-ups. Further trials are needed to assess the effects of these programs on parents.
IRCT20190128042533N2, Date of Registration: 16 January 2020, www.irct.ir .
已有研究探讨了不同育儿干预方案在儿童早期发展中的作用。在此，我们旨在确定“关爱儿童发展”（CCD）指导方针干预措施对儿童发展行为维度的长期效果。
本随机临床试验于 2020 年 2 月至 2024 年 5 月在伊朗伊斯法罕的一家门诊儿科诊所进行。研究纳入年龄在 18-45 岁的妊娠晚期妇女，并对其子女进行 48 个月的随访。干预组参加了 5 次教育小组课程，每次课程持续约 45 分钟。对照组接受了世界卫生组织建议的儿童保育常规教育。主要结局为 18、36 和 48 个月时采用儿童行为检查表（CBCL）评估儿童的社会情感行为问题。采用独立样本 t 检验、Mann-Whitney 检验和卡方检验比较组间差异。数据分析采用 SPSS 22 统计软件。
最终，166 名参与者（干预组 70 名，对照组 96 名）的数据纳入本研究。随访后，干预组与对照组在一些量表上的调整后平均差异具有统计学意义。在 36 个月随访后，干预组在情绪问题、焦虑、孤立问题、睡眠障碍、攻击行为和总问题方面的评分显著降低。在 48 个月时，仅睡眠问题在干预组中显著降低。
根据本干预研究的结果，按照 CCD 建议通过小组课程进行育儿干预在长期随访中效果较弱。需要进一步试验来评估这些方案对父母的影响。
IRCT20190128042533N2，注册日期：2020 年 1 月 16 日，www.irct.ir。
