Acceptability and feasibility of a group-based intervention to improve outcomes for children at risk for developmental delays in Kenya: A piloted randomized trial.
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| Titel: | Acceptability and feasibility of a group-based intervention to improve outcomes for children at risk for developmental delays in Kenya: A piloted randomized trial. |
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| Autoren: | McHenry MS; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.; Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya., Alex B; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA., Roose A; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA., Raciti C; Richard M. Fairbanks School of Public Health, Indiana University-Purdue University, Indianapolis, IN, USA., Oyungu E; Department of Child Health and Paediatrics, School of Medicine, College of Health Sciences, Moi University, Eldoret, Kenya., Ombitsa AR; Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya., Cherop C; Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya., Kaniaru B; Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya., Cherop C; Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya., John CC; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA., Vreeman RC; Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.; Arnhold Institute for Global Health, Icahn School of Medicine, Mt Sinai Hospital, New York, NY, USA. |
| Quelle: | Journal of child health care : for professionals working with children in the hospital and community [J Child Health Care] 2025 Dec; Vol. 29 (4), pp. 975-990. Date of Electronic Publication: 2024 Oct 03. |
| Publikationsart: | Journal Article; Randomized Controlled Trial |
| Sprache: | English |
| Info zur Zeitschrift: | Publisher: Sage Publications Country of Publication: England NLM ID: 9806360 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1741-2889 (Electronic) Linking ISSN: 13674935 NLM ISO Abbreviation: J Child Health Care Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2002- : London : Sage Publications Original Publication: London : Published for the Association of British Paediatric Nurses by Greycoat Pub., c1997- |
| MeSH-Schlagworte: | Developmental Disabilities*/prevention & control , Developmental Disabilities*/therapy , Child Development* , Mothers*/psychology , Patient Acceptance of Health Care*, Humans ; Kenya ; Female ; Male ; Pilot Projects ; Feasibility Studies ; Focus Groups ; Infant ; Adult ; Child, Preschool ; Cross-Over Studies |
| Abstract: | Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. The Care for Child Development (CCD) program may improve child development outcomes in resource-limited settings, but has not yet been adapted to group-based settings to facilitate sustainable dissemination. In this study, we determined the acceptability and feasibility of a group-based CCD program, with evaluation of program outcomes for child development, home environment, and symptoms of maternal depression as secondary outcomes. We evaluated this adapted program using a 2 × 2 crossover-designed pilot study administered over 10 bi-weekly sessions. Acceptability and feasibility were assessed through focus group discussions using qualitative methods. Child development, home observations, and symptoms of maternal depression were evaluated at baseline, 6 months, and 12 months and assessed quantitatively. Twenty-six mother-child dyads participated. Overall, they perceived CCD as acceptable and feasible, and especially beneficial within its group-based format. Although there were no measured improvements in child development, improvements in stimulating home environments (mean difference 2.5, 95% C.I. [0.37, 4.72]) were found. Further scale-up of this intervention is needed to determine effectiveness. |
| Contributed Indexing: | Keywords: Child development; Kenya; developmental disabilities; early medical interventions; pilot study |
| Entry Date(s): | Date Created: 20241003 Date Completed: 20251203 Latest Revision: 20251203 |
| Update Code: | 20251203 |
| DOI: | 10.1177/13674935241261744 |
| PMID: | 39360927 |
| Datenbank: | MEDLINE |
Nájsť tento článok vo Web of Science | Abstract: | Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.<br />The Care for Child Development (CCD) program may improve child development outcomes in resource-limited settings, but has not yet been adapted to group-based settings to facilitate sustainable dissemination. In this study, we determined the acceptability and feasibility of a group-based CCD program, with evaluation of program outcomes for child development, home environment, and symptoms of maternal depression as secondary outcomes. We evaluated this adapted program using a 2 × 2 crossover-designed pilot study administered over 10 bi-weekly sessions. Acceptability and feasibility were assessed through focus group discussions using qualitative methods. Child development, home observations, and symptoms of maternal depression were evaluated at baseline, 6 months, and 12 months and assessed quantitatively. Twenty-six mother-child dyads participated. Overall, they perceived CCD as acceptable and feasible, and especially beneficial within its group-based format. Although there were no measured improvements in child development, improvements in stimulating home environments (mean difference 2.5, 95% C.I. [0.37, 4.72]) were found. Further scale-up of this intervention is needed to determine effectiveness. |
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| ISSN: | 1741-2889 |
| DOI: | 10.1177/13674935241261744 |