Early Childhood Education, child development, caregiver mental health, and father engagement in parenting Mental and Behavioural Disorders
Conditions
Interventions
This was a multisite (blocked) interventional cluster randomized trial. The study evaluates the added impact of a father-focused parenting intervention implemented by BRAC-IED in Cox’s Bazar, Banglade
Sponsors
Global TIES for Children - NYU
Eligibility
Sex/Gender
All
Age
0 Months to 35 Months
Inclusion criteria
Inclusion criteria: 1. Family has a child between ages 0-3 years 2. Father intending to reside with family for the duration of the intervention 3. Family consents to being part of the study 4. In host community, being in or near BRAC’s existing pockets (households that are geographically proximal to early childhood development programs situated in government primary schools).
Exclusion criteria
Exclusion criteria: Some families were pre-determined for exclusion . These were those who were: 1. In particular camps that received the intervention on a delayed schedule and were dropped from the study (camp 8w and 22; a total of 124 families) 2. The half of the host sample that we did not include at endline
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Father engagement with child and family (6 subdomains) measured using a group of likert-scale items created for this study at baseline and endline via both father and mother report. 2. Father's beliefs about fathering measured using a group of likert-scale items created for this study at baseline and endline via father report 3. Caregiver wellbeing for mothers and fathers measured using the Patient Health Questionnaire-9 (PHQ-9) at baseline and endline 4. Caregiver wellbeing for fathers measured using the Generalised Anxiety Disorder 7-item (GAD-7) questionnaire at endline 5. Child development measured using the Bayley Scales of Infant and Toddler Development (Bailey-4) and Caregiver-Reported Early Development Index (CREDI) at endline | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Moderation by community (camp/host) measured using data on whether the participant lives in the camps or in the host community is known a priori at one time point 2. Parental education (literacy and up to which grade of school they had gone to) measured using data gathering at baseline 3. Household resources measured using the Pre-Perceived Refugee Environment Index (PREI) items at baseline 4. Parental physical health measured using using three items: 1) How would they rate their overall health on a 5 point Likert scale ranging from ‘very bad’ to ‘very good’; 2) if the participant had suffered from a serious illness or injury in the past year (yes/no response); and 3) if the participant was currently pregnant (yes/no response); at baseline 5. Child age/gender measured in age in months/parent report of gender] at baseline and endline 6. Mother-report of mother-child stimulating behaviors measured using a 15-item tool created for this study; the items seek to understand how often each day the caregiver engages with stimulating activities with the child, including general activities such as counting objects or naming colors, at baseline | — |
Countries
Bangladesh
Contacts
Public ContactYeshim Iqbal
Outcome results
None listed