Developmental Disabilities
Conditions
Interventions
Experimental group: 66 adult-child dyads allocated to the experimental group (adult female reference and healthy child aged 12 to 23 months without clinical conditions that interfere with the typical
2.While you wash your clothes
3.While you tidy up the house
4.While you take care of the child.
Control group: 63 adult-child dyads did not receive any intervention other than the usual care that children received at the child care center.
N02.421.088.120
Sponsors
Diálogo e Inovação Marketing e Planejamento Limitada
Escola de Enfermagem da Universidade de São Paulo
Eligibility
Age
9 Months to 23 Months
Inclusion criteria
Inclusion criteria: Child aged 12 to 23 months who attend the day cares where the BEM Program was implemented, living in vulnerable urban areas and having a female reference adult who has a smartphone with internet access.
Exclusion criteria
Exclusion criteria: Children who have clinical conditions that interfere with the typical course of development.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Child development was assessed using the Brazilian version of the Ages and Stages Questionnaires-3 (ASQ-3), a screening tool that measures development of children aged 0 to 5 and a half years, in 5 key domains: communication, gross motor, fine motor, problem solving, and personal-social (Filgueiras et al., 2013). The ASQ-3 consists of 21 questionnaires, one for each age range, composed of 5 blocks for each development domain, and each domain is assessed through 6 items. Parents answer the questionnaires according to their children’s development, selecting ‘yes’, ‘sometimes’, and ‘not yet’ for each of the 30 scored items, obtaining a score from 0 to 60 (Filgueiras et al., 2013). A higher score for each domain indicates a better child development and lower risk for child developmental delays. The instrument was inserted in the REDCap platform used to collect data using tablets, in both two moments: in the baseline, before the intervention and endline, when the implementation of the intervention ended. | — |
Secondary
| Measure | Time frame |
|---|---|
| The quality of caregiver-child interaction was measured by the Coding Interactive Behavior (CIB), a tool for coding parent-infant interactions with children ranging from 2 to 36 months of age, using a set of observable behaviors (Feldman, 1998). The CIB consists of 43 scales; 22 are adult scales, 16 are child scales, and 5 are dyadic scales. A 5-minute video of an interaction between the caregiver and the child while playing is coded on a 5-point scale, where 1 implies a minimal level of the specific behavior or attitude and 5 implies a maximal level (Feldman, 1998). The instrument was inserted in the REDCap platform used to collect data using tablets, in both two moments: in the baseline, before the intervention and endline, when the implementation of the intervention ended.;Knowledge and skills about playing during the daily routine were assessed using a questionnaire created and pre-tested by the researchers. The questions verified whether the female caregiver plays with the child while doing household chores; if it is considered possible to incorporate play into the daily household chores; what moments during the day the caregiver plays with the child; and the types of playful activities. In addition, these outcomes were evaluated by analyzing two 5-minute videos, using another instrument created by the research team for this purpose. The instruments were inserted in the REDCap platform used to collect data using tablets, in both two moments: in the baseline, before the intervention and endline, when the implementation of the intervention ended.;Perceived stress was measured using the Perceived Stress Scale, a 14-item instrument designed to determine the degree to which life situations are considered as stressful during the last month. Each item is scored from 0 (never) to 5 (very often). A higher level of stress is indicated by higher scores on this scale (Cohen et al., 1983). Considering that the participants might have some difficulty remembering the scale wh | — |
Countries
Brazil
Contacts
Public ContactKatherine Solís-Cordero
Outcome results
None listed