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一项研究针对性家长教育干预对识别幼儿发育障碍影响的方案——多中心干预研究。

A protocol to study the effect of targeted parental education intervention to identify early childhood development disorder - multisite interventional study.

作者信息

Kanniappan Vadivelan, Muthuperumal Prakash, Venkataraman P, Murugesan Anuradha, Chinnasami Balaji, Muthiah Manikumar, Sethuraman Subramanian, J R Abishek, Suresh Shrisruthi, Nambirajan Murali Krishnan, G Angeline Grace, T S Veeragoudhaman, Deivasigamani Kuberan

机构信息

SRM College of Physiotherapy, Faculty of Medicine and Health Sciences, SRM Institute of Science and Technology, Chengalpattu, Kattankulathur, 603203, India.

School of Public Health, Faculty of Medicine and Health Sciences, SRM Institute of Science and Technology, Chengalpattu, Kattankulathur, 603203, India.

出版信息

Arch Public Health. 2025 Jan 10;83(1):7. doi: 10.1186/s13690-024-01495-y.

Abstract

BACKGROUND

In India, approximately 3.5 million children are affected by Developmental Delay (DD), often stemming from preterm births. These delays contribute to neurological and motor development delays, placing a significant financial burden on families. Maternal unemployment rates are also elevated in such cases. Delayed Developmental Milestones identification, often due to a lack of parental awareness, further compounds these challenges. This study introduces a multiphasic approach aimed at educating antenatal women on monitoring neurological maturation, with the overarching objective of assessing the effectiveness of a targeted multi-method parental education intervention in improving parents' knowledge and early detection of developmental disorders in early childhood.

METHODS

Antenatal women will be assigned to intervention or control groups. The intervention group will undergo specialized training in a multiphasic study, while the control group will receive routine care. A meticulously developed intervention module for early detection of neurodevelopmental disorders will empower mothers to monitor their newborns for potential deficits. Outcomes will be assessed through questionnaires, analyzing knowledge improvement and early identification of DD using statistical methods such as chi-square tests. The study involves three phases: preparatory, implementation, and evaluation, aiming to empower mothers to detect developmental concerns early and improve maternal awareness of child development. The study was approved by the SRM Institutional Ethical Committee with the reference number 8688/IEC/2023.

DISCUSSION

This study will identify DD and improve parental awareness by providing tools for early detection thereby empowers parents to identify developmental concerns early. The study supports policy goals to reduce the burden of DD, enhance early intervention, and improve long-term outcomes for children. It is anticipated that this intervention will complement existing health policies, contributing to better child health and developmental outcomes in India.

TRIAL REGISTRATION

Trail is registered under Clinical Trails Registry - India (CTRI/2024/04/065008) registered on 01 April 2024.

摘要

背景

在印度,约350万儿童受到发育迟缓(DD)的影响,这通常源于早产。这些发育迟缓会导致神经和运动发育延迟,给家庭带来巨大经济负担。在这种情况下,母亲的失业率也会升高。由于缺乏父母意识,发育里程碑延迟识别进一步加剧了这些挑战。本研究引入了一种多阶段方法,旨在对产前妇女进行神经成熟监测教育,其总体目标是评估有针对性的多方法父母教育干预在提高父母知识水平和早期发现幼儿发育障碍方面的有效性。

方法

产前妇女将被分配到干预组或对照组。干预组将在多阶段研究中接受专门培训,而对照组将接受常规护理。一个精心制定的神经发育障碍早期检测干预模块将使母亲能够监测新生儿是否存在潜在缺陷。将通过问卷调查评估结果,使用卡方检验等统计方法分析知识改善情况和发育迟缓的早期识别情况。该研究包括三个阶段:准备、实施和评估,旨在使母亲能够早期发现发育问题并提高母亲对儿童发育的认识。该研究已获得SRM机构伦理委员会批准,参考编号为8688/IEC/2023。

讨论

本研究将通过提供早期检测工具来识别发育迟缓并提高父母意识,从而使父母能够早期发现发育问题。该研究支持减轻发育迟缓负担、加强早期干预以及改善儿童长期结局的政策目标。预计这一干预措施将补充现有卫生政策,为改善印度儿童健康和发育结局做出贡献。

试验注册

该试验已在印度临床试验注册中心(CTRI/2024/04/065008)注册,于2024年4月1日注册。

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