National Evaluation of Quality of Childcare (C0682)

NCT ID: NCT02534597

Last Updated: 2024-08-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

1923 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-03-01

Study Completion Date

2016-06-30

Brief Summary

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This evaluation seeks to assess the impact of a training program on childcare center environments and child/caregiver wellbeing in El Salvador. Through a longitudinal, randomized control trial, over 200 childcare centers participating in the program will be assigned to various treatment arms receiving different components of the program. A community comparison cohort will also be enrolled.

Detailed Description

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Whole Child International (WCI) is a U.S.-based non-governmental organization. Its focus is on improving the caregiving environments for vulnerable children by effecting changes within child care centers and orphanages.

This evaluation will assess the impact of an educational training and technical assistance program offered by WCI in collaboration with the El Salvadoran government. The program consists of a series of educational trainings (for local government officials, directors of childcare and residential centers, and center caregivers) and technical assistance including infrastructural changes within centers.

To evaluate this intervention, a longitudinal, randomized controlled trial will be used to assign participating centers to one of seven treatment arms that will receive different components of the intervention. A community comparison cohort will also be enrolled to identify selection effects as well as local norms and standards. The central research question is, "Does providing training for institution providers and caregivers improve child outcomes?"

Ethnographic research will also explore local cultural norms regarding child caregiving, and seek to understand how the intervention is received within communities.

Conditions

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Child Rearing Mental Health Wellness 1 Health Behavior

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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pctm

Receives the earliest Promotores training, followed by direct caregiver training, materials support, and technical assistance.

Group Type EXPERIMENTAL

Promotores Training

Intervention Type BEHAVIORAL

Caregiver training

Intervention Type BEHAVIORAL

Materials support

Intervention Type BEHAVIORAL

Technical assistance

Intervention Type BEHAVIORAL

p_ctm

Receives the earliest Promotores training, followed by delayed caregiver training, delayed materials support, and delayed technical assistance.

Group Type EXPERIMENTAL

Promotores Training

Intervention Type BEHAVIORAL

Delayed caregiver training

Intervention Type BEHAVIORAL

Delayed materials support

Intervention Type BEHAVIORAL

Delayed technical assistance

Intervention Type BEHAVIORAL

_pmt

Receives the delayed Promotores training, followed by receipt of materials support and technical assistance.

Group Type EXPERIMENTAL

Delayed Promotores training

Intervention Type BEHAVIORAL

Materials support

Intervention Type BEHAVIORAL

Technical assistance

Intervention Type BEHAVIORAL

_p_mt

Receives the delayed Promotores training, followed by delayed receipt of materials support and technical assistance.

Group Type EXPERIMENTAL

Delayed Promotores training

Intervention Type BEHAVIORAL

Delayed materials support

Intervention Type BEHAVIORAL

Delayed technical assistance

Intervention Type BEHAVIORAL

_pct

Receives the delayed Promotores training, followed by caregiver training and technical assistance.

Group Type EXPERIMENTAL

Delayed Promotores training

Intervention Type BEHAVIORAL

Caregiver training

Intervention Type BEHAVIORAL

Technical assistance

Intervention Type BEHAVIORAL

_p_ct

Receives the delayed Promotores training, followed by delayed caregiver training and technical assistance.

Group Type EXPERIMENTAL

Delayed Promotores training

Intervention Type BEHAVIORAL

Delayed caregiver training

Intervention Type BEHAVIORAL

Delayed technical assistance

Intervention Type BEHAVIORAL

_pt

Receives the delayed Promotores training, followed by technical assistance.

Group Type EXPERIMENTAL

Delayed Promotores training

Intervention Type BEHAVIORAL

Technical assistance

Intervention Type BEHAVIORAL

_p_t

Receives the delayed Promotores training, followed by delayed technical assistance.

Group Type EXPERIMENTAL

Delayed Promotores training

Intervention Type BEHAVIORAL

Delayed technical assistance

Intervention Type BEHAVIORAL

_pc

Receives the delayed Promotores training, followed by a full caregiver training only.

Group Type EXPERIMENTAL

Delayed Promotores training

Intervention Type BEHAVIORAL

Caregiver training

Intervention Type BEHAVIORAL

_p_c

Receives the delayed Promotores training, followed by delayed caregiver training.

Group Type EXPERIMENTAL

Delayed Promotores training

Intervention Type BEHAVIORAL

Delayed caregiver training

Intervention Type BEHAVIORAL

Interventions

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Promotores Training

Intervention Type BEHAVIORAL

Delayed Promotores training

Intervention Type BEHAVIORAL

Caregiver training

Intervention Type BEHAVIORAL

Delayed caregiver training

Intervention Type BEHAVIORAL

Materials support

Intervention Type BEHAVIORAL

Delayed materials support

Intervention Type BEHAVIORAL

Technical assistance

Intervention Type BEHAVIORAL

Delayed technical assistance

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Children between the ages of 6 months-4 years old at baseline, who are currently attending government-run childcare centers in El Salvador, will be eligible for enrollment in this study. One parent/guardian and center caregiver for an enrolled child will also complete assessments.
* In the comparison group, for every 5th center-attending child enrolled, the nearest neighboring child between the ages of 6 months and 4 years at enrollment, and who does not attend the center, will be eligible for enrollment. One parent/guardian of the comparison child will also complete assessments.

Exclusion Criteria

* Children with known disabilities, who are unlikely to show developmental changes over time, may be excluded from the study.
Minimum Eligible Age

6 Months

Maximum Eligible Age

4 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Whole Child International

UNKNOWN

Sponsor Role collaborator

University of South Carolina

OTHER

Sponsor Role collaborator

University of Pittsburgh

OTHER

Sponsor Role collaborator

Duke University

OTHER

Sponsor Role lead

Responsible Party

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Jan Ostermann

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jan Ostermann, PhD

Role: PRINCIPAL_INVESTIGATOR

Associate Research Professor

Kathryn Whetten, PhD

Role: PRINCIPAL_INVESTIGATOR

Professor

Locations

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Whole Child International

San Salvador, , El Salvador

Site Status

Countries

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El Salvador

Other Identifiers

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2017-0594

Identifier Type: -

Identifier Source: org_study_id

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