Family Strengthening Intervention for Early Childhood Development (ECD)

NCT ID: NCT03045640

Last Updated: 2018-05-31

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 55 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2014-10-31
• Study Completion Date: 2016-09-30

Brief Summary

Study activities were carried out to adapt and test a family-strengthening intervention to improve child development outcomes among families facing adversity in Rwanda.

Detailed Description

Qualitative research from past studies was used to adapt an existing family-strengthening intervention for HIV-AIDS affected families to extremely vulnerable families with children 0-3 in order to improve early childhood development outcomes. This small scale pilot was carried out to test the feasibility and acceptability of the intervention for extremely vulnerable families with young children in Rwanda.

In the first 10 families the intervention consisted of 21 modules, in the second iteration of the study with an additional 10 families, the curriculum was summarized into 15 modules. Modules were delivered by trained bachelor-level interventionists/home-visiting coaches and were delivered to families one on one in their respective homes. Modules were delivered on a weekly to biweekly basis and were flexible to the families needs and other responsibilities.

Conditions

Child Development

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

FSI ECD

Vulnerable Households (ubudehe 1 or 2) in the Government of Rwanda's poverty classification system, when categories ranged from 1 to 6; the system has since been restructured to have four categories only. Often a way to identify households for public works opportunities or other government assistance programs. For this arm, families had to be Ubudehe 1 or 2 and have a child aged 0-3 years. Households meeting these criteria in the catchment area(s) received the FSI ECD home-based parenting intervention from bachelor-level interventionists/"coaches."

Group Type: EXPERIMENTAL

FSI ECD

Intervention Type: OTHER

The FSI ECD intervention was delivered in a structured curriculum format, covering a range of topics from health, water and sanitation, good hygiene, early stimulation, conflict resolution, to good communication. It was designed to improve vulnerable households home environment and engagement with their children in order to improve child development outcomes. The curriculum was delivered by bachelor-level trained staff with beneficiaries on an individual, one on one basis, using active coaching to promote child well being and behaviors with caregivers.

Interventions

FSI ECD

The FSI ECD intervention was delivered in a structured curriculum format, covering a range of topics from health, water and sanitation, good hygiene, early stimulation, conflict resolution, to good communication. It was designed to improve vulnerable households home environment and engagement with their children in order to improve child development outcomes. The curriculum was delivered by bachelor-level trained staff with beneficiaries on an individual, one on one basis, using active coaching to promote child well being and behaviors with caregivers.

Intervention Type: OTHER

Other Intervention Names

Family Strengthening Intervention for ECD

Eligibility Criteria

Inclusion Criteria

• Potential participants must live in the study catchment area
• Caregiver(s) raising a child between 6 and 3 years old and Ubudehe 1 or 2 (Rwanda's poverty classification system)
• We will enroll both single and dual caregiver families to reflect population dynamics.
• Legal guardians may be aunts, uncles, grandparents, or foster parents

Exclusion Criteria

• Potential participants that do not live in the study catchment area
• Do not have at least one child between the ages of 0 and 3 living in their household for whom they are the primary caregiver
• Are not classified as Ubudehe 1 or 2
• Have severe cognitive impairments which preclude their ability to speak to the research questions under study

• Minimum Eligible Age: 6 Months
• Maximum Eligible Age: 36 Months
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

World Bank

OTHER

Sponsor Role: collaborator

Boston College

OTHER

Sponsor Role: lead

Responsible Party

Theresa Betancourt

Salem Professor in Global Practice

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Theresa Betancourt, Sc.D, M.A.

Role: PRINCIPAL_INVESTIGATOR

Boston College

References

Desrosiers A, Saran I, Albanese AM, Antonaccio CM, Neville SE, Esliker R, Jambai M, Feika M, Betancourt TS. Task-sharing to promote caregiver mental health, positive parenting practices, and violence prevention in vulnerable families in Sierra Leone: a pilot feasibility study. BMC Psychiatry. 2024 Nov 11;24(1):787. doi: 10.1186/s12888-024-06209-w.

Reference Type: DERIVED

PMID: 39529061 (View on PubMed)

Other Identifiers

15440_IVC

Identifier Type: -

Identifier Source: org_study_id