多项研究表明,育儿干预计划在儿童早期发育中起着核心组成部分。考虑到发展中国家的医疗资源有限,基于儿童发展护理(CCD)指南的小组会议干预可能具有成本效益。
这项随机对照试验是在伊斯法罕的一家门诊公共儿科诊所进行的,伊朗。我们纳入了210名年龄在18-45岁的孕妇,在他们的妊娠晚期,并跟踪他们的孩子18个月。干预组进行了5次教育小组会议,每次持续近45分钟。主要结果是儿童的发展和社会情绪行为问题,基于12个月时的Bayley婴儿和幼儿发展量表-III(BSID-III)和18个月时的儿童行为清单(CBCL)。
总的来说,181名儿童的数据被纳入本研究,包括80个干预组和101个对照组。使用中位数/线性回归的干预组和对照组之间的调整中位数/平均值差异对于所有BSID-III域均不显着,除了基于BSID-III的认知评分的中位数差异(β(SE):-4.98(2.31),p:0.032)和基于CBCL的焦虑/抑郁评分的平均差异(β(SE):-2.54(1.27),p:0.046)。
在这项研究中,通过CCD小组会议进行的育儿干预仅在基于CBCL的儿童社会情绪行为领域的一个子量表和基于BSID-III的儿童发育领域的一个子量表上显著有效。BSID-III和CBCL评估可能存在上限或下限效应,分别,几乎没有改进的空间,因为几乎所有的孩子都在我们的研究中充分发挥了他们的发展潜力。
IRCT20190128042533N2,注册日期:16/01/2020,www.irct.Ir.
Several studies showed that parenting intervention programs play a core component in early child development. Considering the limited healthcare resources in developing countries, group-session intervention based on care for child development (CCD)
guideline might be cost-effective.
This randomized controlled trial was conducted at an outpatient public Pediatrics clinic in Isfahan, Iran. We included 210 pregnant women aged 18-45 years in their third trimester and followed their children for 18 months. The intervention group underwent 5 educational group sessions, each lasting for almost 45 minutes. The main outcomes were the children\'s development and socio-emotional behavior problems based on Bayley Scales of Infant and Toddler Development-III (BSID-III) at 12 months and the Children Behavior Checklist (CBCL) at 18 months.
Overall, data of 181 children were included in the current study, including 80 in the intervention group and 101 controls. The adjusted median/mean differences between intervention and control groups using median/linear regression were not significant for all BSID-III domains except for median differences for cognitive score based on BSID-III (β (SE): - 4.98(2.31), p:0.032) and mean differences for anxiety/depression score based on CBCL (β (SE): - 2.54(1.27), p:0.046).
In this study, parenting interventions through CCD group sessions were significantly effective on just one subscale of children\'s socio-emotional behavior domains based on CBCL and one domain of children\'s development based on BSID-III. There might be a ceiling or floor effects for the BSID-III and CBCL assessment, respectively, leaving little room for improvement as almost all children have achieved their full developmental potential in our study.
IRCT20190128042533N2, Date of registration: 16/01/2020, www.irct.ir.