The University of Southampton
University of Southampton Institutional Repository

A community-based responsive caregiving program improves neurodevelopment in two-year old children in a middle-income country, Grenada, West Indies. Psychosocial Intervention

A community-based responsive caregiving program improves neurodevelopment in two-year old children in a middle-income country, Grenada, West Indies. Psychosocial Intervention
A community-based responsive caregiving program improves neurodevelopment in two-year old children in a middle-income country, Grenada, West Indies. Psychosocial Intervention
Many young children in low- and middle-income countries (LMICs) are at risk of developmental delays. Early child development (ECD) interventions have been shown to improve outcomes, but few interventions have targeted culturally normative violence such as corporal punishment (CP). We partnered with an existing community-based ECD organization in the LMIC of Grenada to implement a parallel controlled-trial single-blind responsive caregiving intervention that educates parents about the developing brain and teaches alternatives to corporal punishment while building parental self-regulation skills and strengthening social-emotional connections between parent and child. Parents and primary caregivers with children under age two were eligible. Allocation to the intervention and waitlist control arms was unblinded and determined by recruitment into the program. Neurodevelopment was assessed by blinded testers when each child turned age two. Primary comparison consisted of neurodevelopmental scores between the intervention and waitlist control groups (Clinicaltrials.gov registration xxx NCT04697134). Secondary comparison consisted of changes in maternal mental health, home environment, and attitudes towards CP. Children in the intervention group (n = 153) had significantly higher scores than children in the control group (n = 151) on measures of cognition (p = .022), fine motor (p < .0001), gross motor (p = .015), and language development (p = .013). No difference in secondary outcomes, including CP, was detected.
Child neurodevelopment, Corporal punishment, Early child development, Responsive caregiving, Social-emotional connection
1132-0559
97 - 107
Fernandes, Michelle
16d62e60-ae8e-455f-88d3-88e778253b4a
Fernandes, Michelle
16d62e60-ae8e-455f-88d3-88e778253b4a

Fernandes, Michelle (2022) A community-based responsive caregiving program improves neurodevelopment in two-year old children in a middle-income country, Grenada, West Indies. Psychosocial Intervention. Psychosocial Intervention, 31 (2), 97 - 107. (doi:10.5093/pi2022a6).

Record type: Article

Abstract

Many young children in low- and middle-income countries (LMICs) are at risk of developmental delays. Early child development (ECD) interventions have been shown to improve outcomes, but few interventions have targeted culturally normative violence such as corporal punishment (CP). We partnered with an existing community-based ECD organization in the LMIC of Grenada to implement a parallel controlled-trial single-blind responsive caregiving intervention that educates parents about the developing brain and teaches alternatives to corporal punishment while building parental self-regulation skills and strengthening social-emotional connections between parent and child. Parents and primary caregivers with children under age two were eligible. Allocation to the intervention and waitlist control arms was unblinded and determined by recruitment into the program. Neurodevelopment was assessed by blinded testers when each child turned age two. Primary comparison consisted of neurodevelopmental scores between the intervention and waitlist control groups (Clinicaltrials.gov registration xxx NCT04697134). Secondary comparison consisted of changes in maternal mental health, home environment, and attitudes towards CP. Children in the intervention group (n = 153) had significantly higher scores than children in the control group (n = 151) on measures of cognition (p = .022), fine motor (p < .0001), gross motor (p = .015), and language development (p = .013). No difference in secondary outcomes, including CP, was detected.

Text
1132_0559_inter_31_2_0097 - Version of Record
Download (267kB)

More information

Submitted date: 9 July 2021
Accepted/In Press date: 8 February 2022
Published date: May 2022
Keywords: Child neurodevelopment, Corporal punishment, Early child development, Responsive caregiving, Social-emotional connection

Identifiers

Local EPrints ID: 457175
URI: http://eprints.soton.ac.uk/id/eprint/457175
ISSN: 1132-0559
PURE UUID: 80e389c5-6e9a-4558-9e89-fe4536c3d549
ORCID for Michelle Fernandes: ORCID iD orcid.org/0000-0002-0051-3389

Catalogue record

Date deposited: 25 May 2022 17:07
Last modified: 08 Oct 2022 02:05

Export record

Altmetrics

Contributors

Author: Michelle Fernandes ORCID iD

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×