Feasibility of integrating early stimulation into primary care for undernourished Jamaican children: cluster randomised controlled trial

BMJ : British Medical Journal
C A PowellSally Grantham-McGregor

Abstract

To assess the feasibility of integrating early psychosocial stimulation into primary care for undernourished children and to determine the effect on children's development and mothers' knowledge and practices of childrearing. Cluster randomised controlled trial. 18 clinics in three Jamaican parishes. 139 undernourished children aged 9 to 30 months and their mothers enrolled in intervention or control clinics. Weekly home visits by community health aides for one year in addition to usual duties. Parenting issues were discussed with the mothers and play activities were demonstrated with the children using homemade materials. Children's scores on the Griffiths mental development scales and mothers' knowledge and practices of childrearing measured by questionnaires. Children from the intervention group showed significant improvements in development: developmental quotient, 7.8 points (95% confidence interval 4.5 to 11.1); hearing and speech, 10.7 (5.9 to 15.4 points); hand and eye coordination, 6.8 (3.4 to 10.1 points); and performance subscale, 11.0 (5.6 to 16.4 points). No improvements were shown on the locomotor subscale. The mothers from the intervention group showed improved knowledge and practices of childrearing. Change in c...Continue Reading

Citations

Feb 3, 2012·Vulnerable Children and Youth Studies·Ingrid M le RouxMary Jane Rotheram-Borus
Aug 12, 2009·Journal of Tropical Pediatrics·A C Farrelly, J D McLennan
Sep 15, 2005·Archives of Disease in Childhood·H Baker-HenninghamS Grantham-McGregor
Aug 7, 2004·BMJ : British Medical Journal·Jim BlackHelen Potts
May 4, 2010·BMC Pediatrics·Jan L WallanderUNKNOWN BRAIN-HIT Investigators
Aug 12, 2009·Journal of Developmental and Behavioral Pediatrics : JDBP·Ilgi Ozturk ErtemUfuk Beyazova
Jan 24, 2007·Lancet·Patrice L EngleUNKNOWN International Child Development Steering Group
Jul 1, 2009·Tropical Medicine & International Health : TM & IH·Line Neerup HandlosPranab Kumar Sen
Jun 27, 2008·Annals of the New York Academy of Sciences·Patrice L Engle, Maureen M Black
Mar 29, 2014·Annals of the New York Academy of Sciences·Sally M Grantham-McGregorSusan Walker
Feb 28, 2014·Annals of the New York Academy of Sciences·Saima GowaniZulfiqar A Bhutta
May 9, 2014·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Jan L WallanderWaldemar A Carlo
Jan 11, 2014·Annals of the New York Academy of Sciences·Harold AldermanSergio Urzua
Sep 10, 2014·Annual Review of Psychology·Frances E Aboud, Aisha K Yousafzai
Oct 22, 2015·Revista latino-americana de enfermagem·Altamira Pereira da Silva ReichertMarília de Carvalho Lima
May 24, 2018·Annals of the New York Academy of Sciences·Aisha K YousafzaiSaima Siyal
Apr 2, 2013·The Cochrane Database of Systematic Reviews·Denise KendrickSarah Stewart-Brown
May 1, 2009·Journal of Perinatology : Official Journal of the California Perinatal Association·P K Maulik, G L Darmstadt
Apr 26, 2013·The Journal of Nutrition·Fahmida TofailSally M Grantham-McGregor
May 21, 2019·Journal of Developmental and Behavioral Pediatrics : JDBP·Ai YueScott Rozelle
Jan 1, 2014·Annals of the New York Academy of Sciences·Aisha K Yousafzai, Frances Aboud
Sep 22, 2006·The Journal of Nutrition·Jena D HamadaniSally M Grantham-McGregor
Aug 19, 2010·Food and Nutrition Bulletin·Patrice Engle, Sandra L Huffman
Jan 16, 2018·International Journal of Developmental Disabilities·Jin Y Shin, Son Duc Nguyen
Jan 1, 2014·Journal of Cognitive Psychotherapy·Abraham A Salinas-MirandaClaudia Evans-Baltodano
Jan 27, 2021·Health Policy and Planning·Alexandra BrentaniGünther Fink
Dec 12, 2020·Frontiers in Public Health·Taja Francis, Helen Baker-Henningham
Sep 25, 2021·Biomédica : revista del Instituto Nacional de Salud·Paola Rueda-GuevaraAndrea Ramírez

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