Community-Based Conscious Discipline Program in Grenada

NCT ID: NCT04697134

Last Updated: 2021-01-07

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

333 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-02-02

Study Completion Date

2016-08-18

Brief Summary

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To improve neurocognitive outcomes in 2-year-old children by implementing a community-based intervention program that follows the principles of Conscious Discipline.

Detailed Description

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We aimed to introduce Conscious Discipline (CD) in Grenada as a means of improving neurodevelopment in 2-year-old children. The CD intervention promotes improved social-emotional connections between parents/guardians and children that reduces harsh discipline and corporal punishment and provides an ideal environment for the development of higher cognitive functioning (e.g. working memory, inhibition, emotional regulation).

The intervention is implemented by using a distributed local, train-the-trainer model in partnership with the Grenada Roving Caregiver Program, managed by GRENCASE. CD training was provided to 85 existing Roving Caregivers, 70 of whom were certified as Conscious Discipline Paraprofessionals (CDPPs). Certified CDPPs traveled out to communities and villages throughout Grenada, to impart knowledge and skills to new and expecting parents.

Following the intervention, parents who received CD training were assessed in their ability to implement CD skills with their child(ren). Neurocognition was assessed in children post-intervention using the INTERGROWTH 21st Neurodevelopmental Assessment (INTERNDA). Neurocognitive outcomes were compared between the intervention arm and the waitlist control arm of the study.

Conditions

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Behavior, Child Neurocognition, Child Development, Child

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Conscious Discipline Intervention Group

Participants in this group received one-on-one Conscious Discipline classes with a Roving Caregiver. These classes consisted of the dissemination of Conscious Discipline Skills and fun songs, games, and activities to foster connections between the infant and caregiver. Both the infant and caregiver received the intervention simultaneously.

Group Type EXPERIMENTAL

Conscious Discipline-Based Environmental Enrichment Intervention

Intervention Type BEHAVIORAL

Conscious Discipline, a social-emotional skills-based learning program that draws on current brain research and fosters enhanced connections between parents and their children.

Control

Participants in this group did not receive the intervention.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Conscious Discipline-Based Environmental Enrichment Intervention

Conscious Discipline, a social-emotional skills-based learning program that draws on current brain research and fosters enhanced connections between parents and their children.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Participants actively enrolled in the Roving Caregiver Program (0-2-year-olds living with parents in at-risk communities served by the RCP)

Exclusion Criteria

* Not enrolled in the Roving Caregiver Program
Minimum Eligible Age

22 Months

Maximum Eligible Age

30 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Grand Challenges Canada

OTHER

Sponsor Role collaborator

GRENCASE

UNKNOWN

Sponsor Role collaborator

St. George's University

UNKNOWN

Sponsor Role collaborator

Windward Islands Research and Education Foundation

OTHER

Sponsor Role lead

Responsible Party

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Dr. Randall Waechter

Associate Director of Research

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Randall Waechter, PhD

Role: PRINCIPAL_INVESTIGATOR

Windard Islands Research and Education Foundation

Locations

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Windward Islands Research and Education Foundation

Saint George's, , Grenada

Site Status

Countries

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Grenada

References

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Waechter R, Evans R, Fernandes M, Bailey B, Holmes S, Murray T, Isaac R, Punch B, Cudjoe N, Orlando L, Landon B. A Community-based Responsive Caregiving Program Improves Neurodevelopment in Two-year Old Children in a Middle-Income Country, Grenada, West Indies. Psychosoc Interv. 2022 May 13;31(2):97-107. doi: 10.5093/pi2022a6. eCollection 2022 May.

Reference Type DERIVED
PMID: 37360060 (View on PubMed)

Other Identifiers

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SGUSavingBrainsI

Identifier Type: -

Identifier Source: org_study_id

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