Effects of engaging fathers and bundling parenting and nutrition interventions on early child development and maternal and paternal parenting in Mara, Tanzania
A factorial cluster‐randomized controlled trial
Datos Bibliográficos
BACKGROUND: Multicomponent interventions are needed to address the various co-occurring risks that compromise early child nutrition and development. We compared the independent and combined effects of engaging fathers and bundling parenting components into a nutrition intervention on early child development (ECD) and parenting outcomes. METHODS: We conducted a 2×2 factorial cluster-randomized controlled trial across 80 villages in Mara Region, Tanzania, also known as EFFECTS (Engaging Fathers for Effective Child Nutrition and Development in Tanzania; ClinicalTrials.gov, NCT03759821). Households with children under 18 months of age residing with their mother and father were enrolled. Villages were randomly assigned to one of five groups: a nutrition intervention for mothers, a nutrition intervention for couples, a bundled nutrition and parenting intervention for mothers, a bundled intervention for couples, and a standard-of-care control. Interventions were delivered by trained community health workers through peer groups and home visits over 12 months. Mothers, fathers, and children were assessed at baseline, midline, and endline or postintervention. We used a difference-in-difference approach with intention-to-treat analysis to estimate intervention effects on ECD (Bayley Scales of Infant and Toddler Development, third edition) and maternal and paternal parenting and psychosocial well-being. RESULTS: Between October 29, 2018, and May 24, 2019, 960 households were enrolled (n = 192 per arm). Compared to nutrition interventions, bundled interventions improved children's cognitive (β = .18 [95% CI: 0.01, 0.36]) and receptive language development (β = .23 [0.04, 0.41]). There were no differences between interventions for other ECD domains. Compared to nutrition interventions, bundled interventions achieved additional benefits on maternal stimulation (β = .21 [0.04, 0.38]) and availability of home learning materials (β = .25 [0.07-0.43]) and reduced paternal parenting distress (β = -.34 [-0.55, -0.12]). Compared to interventions with mothers only, interventions that engaged fathers improved paternal stimulation (β = .45 [0.27, 0.63]). CONCLUSIONS: Jointly bundling parenting components into nutrition interventions while also engaging both mothers and fathers is most effective for improving maternal and paternal parenting and ECD outcomes
Child development · Child rearing · Cluster (spacecraft) · Cluster randomised controlled trial · Developmental psychology · Psychiatry · Psychological intervention · Randomized controlled trial · Tanzania · Child Nutrition and Water Access · Global Maternal and Child Health · Medicine · Obesity, Physical Activity, Diet · Psychology
Development and validation of a measure for father involvement during early childhood in a resource-limited context
Food purchase diversity is associated with market food diversity and diets of children and their mothers but not fathers in rural Tanzania
Association Between Family Planning and Early Childhood Development
Effects of Engaging Fathers and Bundling Nutrition and Parenting Interventions on Child Nutrition Outcomes and Related Parent Behaviors in Rural Tanzania
Paternal emotional warmth buffers maternal rejection in adolescent NSSI
Mapping What Works to Strengthen the Relational Ecology of Early Child Development
Commentary
Father involvement is a protective factor for maternal mental health in Western Kenya
Co-designing “Familia Bora”
Fathers’ engagement in a parenting program primarily intended for female caregivers
“Good fathers”
Preliminary outcomes and experiences of fathers participating in a multicomponent parenting program for couples with young children
Effective interventions to address maternal and child malnutrition
Using the infrastructure of a conditional cash transfer program to deliver a scalable integrated early child development program in Colombia
No Adjustments Are Needed for Multiple Comparisons
Do multiple outcome measures require p-value adjustment?
Effect of integrated responsive stimulation and nutrition interventions in the Lady Health Worker programme in Pakistan on child development, growth, and health outcomes
Effects of a parenting intervention to address maternal psychological wellbeing and child development and growth in rural Uganda
Parenting interventions to promote early child development in the first three years of life
Gender-transformative Bandebereho couples’ intervention to promote male engagement in reproductive and maternal health and violence prevention in Rwanda
Risk of poor development in young children in low-income and middle-income countries
Strengthening causal inference from randomised controlled trials of complex interventions
A holistic approach to promoting early child development
A complementary feeding and play intervention improves the home environment and mental development among toddlers in rural India
Cluster‐randomized trial on complementary and responsive feeding education to caregivers found improved dietary intake, growth and development among rural Indian toddlers
Effectiveness of father-inclusive interventions on maternal, paternal, couples, and early child outcomes in low- and middle-income countries
Influence of father–infant relationship on infant development
Using community health workers to deliver a scalable integrated parenting program in rural China
Formative research to inform the future design of a multicomponent fatherhood intervention to improve early child development in Mwanza, Tanzania
Effects of engaging fathers and bundling nutrition and parenting interventions on household gender equality and women's empowerment in rural Tanzania
Father involvement in the first year of life
| Obras citantes distintas | 12 |
|---|---|
| Citas por año | 6 |
| Intervalo de citas | 2024 - 2026 (3) |
| Velocidad de citación | current |
| Altamente citado | No |
| Tipos de cita | Neutras: 12 |