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| Name | Class |
|---|---|
| UBS Optimus Foundation | OTHER |
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Background (brief):
Hypothesis (if any):
This integrated intervention will promote maternal child-care practices and mental health that will finally improve their children's growth, micro-nutrient status, early brain development compared to control group.
Objectives:
To see the effect of an integrated intervention (ECD + HN) on growth, micro-nutrient status, child development along with effect on maternal child-care practices and mental health.
Methods:
Randomly selected 2 groups will be identified as intervention and control (150 mothers' from15 clusters in each group). Mothers of 8-23 months old children living in slums and practice harsh child-disciplining will be identified as study population. The mothers of intervention (ECD+HN) group will receive fortnightly group sessions for 11 months that will include combined messages on a) psycho-social stimulation, b) positive parenting to prevent child maltreatment and c) cognitive behavioral therapy (CBT) for positive thinking, d) health and nutrition messages and e) 15 micro-nutrient sprinkle supplement.(90 sachets of over 6 month-period). The control group will only receive the usual health messages provided by the government.
Outcome measures/variables:
Hypothesis to be tested:
This integrated intervention will a) improve children's growth, hemoglobin, micro-nutrient status (vitamin B12 and folic acid), cognitive, motor, language and social-emotional development, b) minimize maltreatment of children by parents, c) improve positive parenting and d) reduce mothers' stress and depressive symptoms compared to control group.
Objectives:
Primary: This integrated intervention will
Secondary: This integrated intervention will bring following benefits in intervention group compared to control group- On children-
Background of the Project including Preliminary Observations:
The rate of global acute malnutrition is 16% while the rate of stunting in Bangladesh is as high as 41% in \
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ECD+ | Active Comparator | Behavioral: Psychosocial stimulation, Cognitive behavioral therapy and positive parenting practice The mothers of intervention (ECD+HN) group will receive fortnightly group sessions for 12 months that will include combined messages on a) psychosocial stimulation, b) positive parenting to prevent child maltreatment and c) cognitive behavioural therapy (CBT) for positive thinking, d) health and nutrition messages and e) 15 micronutrient sprinkle supplement.(90 sachets of over 6 month-period) |
|
| Only regular health messages | No Intervention | Only regular health message from government health services |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Psychosocial stimulation, Cognitive behavioral therapy and positive parenting practice | Behavioral | The mothers of intervention (ECD+HN) group will receive fortnightly group sessions for 12 months that will include combined messages on a) psychosocial stimulation, b) positive parenting to prevent child maltreatment and c) cognitive behavioural therapy (CBT) for positive thinking, d) health and nutrition messages and e) 15 micronutrient sprinkle supplement.(90 sachets of over 6 month-period) |
| Measure | Description | Time Frame |
|---|---|---|
| Cognitive development (composite score of cognitive,motor, language and social-emotional development of children) | cognitive development will be measured by Bayley tools. All individuals score will be aggregated in to composite score of cognitive,motor, language and social-emotional development of children | Change from baseline at 11 months of intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Maltreatment of children by the caregivers | The International Society for the Prevention of Child Abuse and Neglect (ISPCAN) has developed ISPCAN Child Abuse Screening Tool- Parent Version (ICAST-P) will be used for measuring the severity of maltreatment calculating score. | Change from baseline at 11 months of intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Fahmida Tofail, PhD | International Centre for Diarrhoeal Disease Research, Bangladesh | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fahmida Tofail, PhD | Dhaka | Bangladesh |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19176729 | Background | Black MM, Baqui AH, Zaman K, El Arifeen S, Black RE. Maternal depressive symptoms and infant growth in rural Bangladesh. Am J Clin Nutr. 2009 Mar;89(3):951S-957S. doi: 10.3945/ajcn.2008.26692E. Epub 2009 Jan 28. | |
| 17683448 | Background | Black MM, Baqui AH, Zaman K, McNary SW, Le K, Arifeen SE, Hamadani JD, Parveen M, Yunus M, Black RE. Depressive symptoms among rural Bangladeshi mothers: implications for infant development. J Child Psychol Psychiatry. 2007 Aug;48(8):764-72. doi: 10.1111/j.1469-7610.2007.01752.x. |
| Label | URL |
|---|---|
| Uddin MK, Islam MT, Asaduzzaman M. Perceived Stress and Self-Esteem as Significant Predictors of Cigarette Smoking Behavior of Bangladeshi Male Adults. | View source |
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| ID | Term |
|---|---|
| D044342 | Malnutrition |
| ID | Term |
|---|---|
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D015928 | Cognitive Behavioral Therapy |
| ID | Term |
|---|---|
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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| Height |
Height will be measure in centimeter through World Health Organization (WHO) guideline. |
| Change from baseline at 11 months of intervention |
| Weight | Weight will be measure in gram through World Health Organization (WHO) guideline. | Change from baseline at 11 months of intervention |
| Head circumference | Head circumference will be measure in centimeter through World Health Organization (WHO) guideline. | Change from baseline at 11 months of intervention |
| Haemoglobin | The Hematological measurement will be measured as Hb per g/dl , | Change from baseline at 11 months of intervention |
| vitamin B12 | vitamin B12 will be measured as Pg/ml | Change from baseline at 11 months of intervention |
| folic acid status | folic acid status will be measured as ng/ml | Change from baseline at 11 months of intervention |
| Retinol | The Hematological measurement will be measured as Retinol per Mg /ml | Change from baseline at 11 months of intervention |
| STfR per Mg/ml | The Hematological measurement will be measured as STfR per Mg/ml | Change from baseline at 11 months of intervention |
| Mothers' stress and depressive symptoms | the Rosenberg Self Esteem Scale (Rosenberg, 1965), the most widely used measure of self esteem for research purposes and Measurement of maternal depressive symptoms will be done using Center for Epidemiologic Studies Depression Scale (CESD) | Change from baseline at 11 months of intervention |
| Positive parenting practices, | A questionnaire will be used to measure positive parenting | Change from baseline at 11 months of intervention |
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| 10210459 | Background | Beck CT. Maternal depression and child behaviour problems: a meta-analysis. J Adv Nurs. 1999 Mar;29(3):623-9. doi: 10.1046/j.1365-2648.1999.00943.x. |
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| 17350449 | Background | Grantham-McGregor S; International Child Development Committee. Early child development in developing countries. Lancet. 2007 Mar 10;369(9564):824. doi: 10.1016/S0140-6736(07)60404-8. No abstract available. |
| 9580767 | Background | Grantham-McGregor SM, Lira PI, Ashworth A, Morris SS, Assuncao AM. The development of low birth weight term infants and the effects of the environment in northeast Brazil. J Pediatr. 1998 Apr;132(4):661-6. doi: 10.1016/s0022-3476(98)70357-9. |
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