Child Development
Conditions
Keywords
Child development, Water, Sanitation, and Hygiene, Nutrition, Intervention
Brief summary
This study is designed to evaluate the impact of the RINEW multicomponent early child development intervention on child development and risk factors for poor child development in middle childhood. This study is a follow-up assessment of the children and primary caregivers enrolled in the RINEW cluster randomized controlled trial approximately 6 years following intervention completion.
Interventions
BEHAVIORALRINEW intervention
The intervention included behavioral recommendations and guidance on the topics of Nutrition, WASH, Lead exposure prevention, Mental Health, and child stimulation. The intervention also included the provision of nutritional supplements based on age and nutritional status, low-cost picture books and toys, and soapy water bottles.
Sponsors
University of California, Berkeley
Stanford University
Purdue University
International Centre for Diarrhoeal Disease Research, Bangladesh
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Masking description
The outcome assessment team is separate from the implementation team, and are not aware of intervention components. Materials provided in the intervention (books, toys) may be visible in the participants homes, but the outcome assessment team was not aware that these are related to the intervention.
Eligibility
Sex/Gender
ALL
Age
6 Years to 9 Years
Healthy volunteers
No
Inclusion criteria
Child's primary caregiver was enrolled in the RINEW cluster randomized trial
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Wechsler Intelligence Scale for Children: 5th Edition (WISC-V) | 6 years after intervention completion | The WISC-V assessment measures cognitive development and general intellectual abilities in children 6 years 0 months to 16 years 11 months of age (6:0-16:11). Higher scores represent better outcomes. |
| Child Socioemotional Development | 6 years after intervention completion | Maternal-report questionnaire designed to measure psychological adjustment in children and aims to detect any emotional or behavioural problems. |
| Self-regulation | 6 years after intervention completion | Observation of children's self-regulation during the administration of the WISC-V assessment. |
| Academic Achievement | 6 years after intervention completion | Direct assessments of children's reading and math performance |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Caregiver Mental Health | 6 years after intervention completion | Center for Epidemiologic Studies Depression Scale (20 questions). Higher scores represent more depressive symptoms experienced. |
| Home Environment | 6 years after intervention completion | The middle childhood Home Observation for Measurement of the Environment (HOME) includes both caregiver report and observational items to assess the quality and quantity of stimulation and support available to the child at home. |
| School Grade Level | 6 years after intervention completion | Parental report of child's current (or previous if no longer in school) grade level. |
| Presence of Improved Latrine | 6 years after intervention completion | Observation |
| Presence of Handwashing Station with Soap and Water | 6 years after intervention completion | Observation |
| Knowledge of lead | 6 years after intervention completion | Participant response to question "do you know what lead is?" |
| Bone Lead Levels | 6 years after intervention completion | X-ray fluorescence analysis of micrograms of lead per gram bone material |
Countries
Bangladesh
Contacts
PRINCIPAL_INVESTIGATORLia Fernald, PhD
University of California, Berkeley
Outcome results
None listed