Early childhood development (ECD)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Children aged 0-12 months of age at baseline, attending FAMIs in 96 towns in rural and semi urban Colombia, by random assignment within the FAMI (preference will be given to children 0-6 months so that the can benefit from the intervention longer) 2. Pregnant women at baseline in the same FAMIs, by random assignment within the FAMI 3. Informed consent
Exclusion criteria
Exclusion criteria: 1. Children outside the 0-12 months of age range at baseline attending selected FAMIs (these children will be excluded from the study but will receive the intervention) 2. Children and pregnant women not attending selected FAMIs
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measures as of 18/04/2017: 1. Children's cognitive, receptive and expressive language and motor development, measured using the Bayley-III at follow-up (April-July 2016) 2. Children's socio emotional development, measured by ASQ test at follow-up (April-July 2016) 3. Children's height and weight, measured by assistant nurses in local community centers at baseline (August-November 2014) and follow-up (April-July 2016) 4. WHO motor milestones (the latter for children 6-12 months only), measured at baseline (August-November 2014) Previous primary outcome measures: 1. Children's cognitive, language, motor and socio-emotional development (possibly using the ASQ test, the MacArthur-Bates Child Development Inventories, and/or the Bayley-III), measured at follow up 2. Height and weight, measured at baseline and follow up (added 24/11/2015) 3. WHO motor milestones (the latter for children 6-12 months only), measured at baseline | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 18/04/2017: Measured at baseline (August-November 2014) and follow-up (April-July 2016): 1. Parenting practices and the level of stimulation in the home, measured using UNICEF’s Family Care Indicators (FCI) 1.1. No. of toy sources 1.2. No. of varieties of play materials 1.3. No. of varieties of play activities over past 3 days 1.4. No. of parental care activities over past 3 days 2. Use of verbal or physical abuse in the household, measured using UNICEF’s FCI 3. Parent knowledge about early childhood development, measured using a 10-item scale based on KIDI 4. Maternal self-efficacy, measured using the Caregiver Role Test – Modified 5. Mothers with depression symptoms, measured using Center for Epidemiologic Studies Depression Scale (CESD-10) 6. Maternal social support, measured using the DUKE UNC-11 scale 7. Variables of FAMI providers: activities developed in group sessions, collected through videos that are coded Previous secondary outcome measures: 1. Parenting practices and the level of stimulation in the home, possibly using the Family Care Indicators (FCI) 2. Activities developed by FAMI providers and knowledge of FAMI mothers on child rearing and development | — |
Countries
Colombia