| Title | The Effectiveness and Cost-effectiveness of a Parenting Intervention Integrated with Primary Health Care on Early Childhood Development: a Cluster-Randomized Controlled Trial |
| Authors | Shi, Huifeng Li, Xuejun Fang, Hai Zhang, Jingxu Wang, Xiaoli |
| Affiliation | Peking Univ, Sch Publ Hlth, Dept Maternal & Child Hlth, 38 Xueyuan Rd, Beijing 100191, Peoples R China Tsinghua Univ, Beijing Tsinghua Changgung Hosp, Sch Clin Med, 168 Litang Rd, Beijing 102218, Peoples R China Peking Univ, China Ctr Hlth Dev Studies CCHDS, 38 Xueyuan Rd, Beijing 100191, Peoples R China |
| Keywords | YOUNG-CHILDREN NUTRITION INTERVENTIONS RESPONSIVE STIMULATION LOW-INCOME OUTCOMES STRATEGIES COUNTRIES |
| Issue Date | May-2020 |
| Publisher | PREVENTION SCIENCE |
| Abstract | Developing countries require interventions that can sustainably improve early childhood development (ECD) at scale because hundreds of millions of children are at risk of poor development. This study examined the effectiveness and cost-effectiveness of a parenting intervention integrated with primary health care in terms of ECD. A cluster-randomized controlled trial was conducted in 20 urban communities in China, with 82 and 86 children aged 1-2 months enrolled in the intervention and control groups, respectively, and 71 and 69 children, respectively, followed to 14 months of age. All children in both groups received routine primary health care services. Intervention caregivers received a parenting pamphlet and two parenting training sessions during well-child clinic visits; those with children with suspected developmental delay received additional parenting guidance by telephone. Compared with controls, children receiving the intervention had similar developmental outcomes, measured with the Chinese version of the Ages & Stages Questionnaires third edition (ASQ-C), at baseline, but had significantly higher communication (adjusted mean difference = 0.26; 95% CI 0.03, 0.51), fine motor (adjusted mean difference = 0.19; 95% CI 0.01, 0.37), and overall (adjusted mean difference = 0.25; 95% CI 0.10, 0.41) ASQ-C z-scores after 12 months of the intervention. The intervention cost per child was $50.87, and the costs for increasing the communication, fine motor, and overall ASQ-C scores by one SD were $195.65, $267.74, and $203.48, respectively. Our findings indicate that the integration of a parenting intervention with existing primary health care is a cost-effective way to improve ECD. |
| URI | http://hdl.handle.net/20.500.11897/606903 |
| ISSN | 1389-4986 |
| DOI | 10.1007/s11121-020-01126-2 |
| Indexed | SSCI Scopus |
| Appears in Collections: | 公共卫生学院 国家发展研究院 |
