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| Name | Class |
|---|---|
| Stanford University | OTHER |
| Purdue University | OTHER |
| International Centre for Diarrhoeal Disease Research, Bangladesh | OTHER |
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This study is designed to evaluate the impact of the RINEW multicomponent early child development intervention on child development and risk factors for poor child development in middle childhood. This study is a follow-up assessment of the children and primary caregivers enrolled in the RINEW cluster randomized controlled trial approximately 6 years following intervention completion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control arm | No Intervention | No intervention administered | |
| Group only arm | Experimental | Participants were encouraged to attend fortnightly courtyard group meetings |
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| Combined delivery arm | Experimental | Participants were visited by community health promoters once a month in their home as well as receive encouragement to attend monthly courtyard group meetings in between the monthly home visits. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RINEW intervention | Behavioral | The intervention included behavioral recommendations and guidance on the topics of Nutrition, WASH, Lead exposure prevention, Mental Health, and child stimulation. The intervention also included the provision of nutritional supplements based on age and nutritional status, low-cost picture books and toys, and soapy water bottles. |
| Measure | Description | Time Frame |
|---|---|---|
| Wechsler Intelligence Scale for Children: 5th Edition (WISC-V) | The WISC-V assessment measures cognitive development and general intellectual abilities in children 6 years 0 months to 16 years 11 months of age (6:0-16:11). Higher scores represent better outcomes. | 6 years after intervention completion |
| Child Socioemotional Development | Maternal-report questionnaire designed to measure psychological adjustment in children and aims to detect any emotional or behavioural problems. | 6 years after intervention completion |
| Self-regulation | Observation of children's self-regulation during the administration of the WISC-V assessment. | 6 years after intervention completion |
| Academic Achievement | Direct assessments of children's reading and math performance | 6 years after intervention completion |
| Measure | Description | Time Frame |
|---|---|---|
| Caregiver Mental Health | Center for Epidemiologic Studies Depression Scale (20 questions). Higher scores represent more depressive symptoms experienced. | 6 years after intervention completion |
| Home Environment |
| Measure | Description | Time Frame |
|---|---|---|
| Knowledge of 7 factors related to children's intelligence | Record of mention of 7 factors in response to question "What are the things that affect a child's intelligence?". Factors are: clean environment, parental involvement, nutrition, learning/education at home, learning/education outside of the home, communication, social stimulation. | 6 years after intervention completion |
Inclusion Criteria: Child's primary caregiver was enrolled in the RINEW cluster randomized trial
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| Name | Affiliation | Role |
|---|---|---|
| Lia Fernald, PhD | University of California, Berkeley | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| International Centre for Diarrhoeal Disease Research, Bangladesh | Dhaka | 1212 | Bangladesh |
The de-identified data collected for this study will be available on request within 5 years following the completion of data collection.
Within 5 years following the completion of data collection.
Completion of a signed data-sharing agreement access agreement; use for research purposes only.
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The outcome assessment team is separate from the implementation team, and are not aware of intervention components. Materials provided in the intervention (books, toys) may be visible in the participants homes, but the outcome assessment team was not aware that these are related to the intervention.
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The middle childhood Home Observation for Measurement of the Environment (HOME) includes both caregiver report and observational items to assess the quality and quantity of stimulation and support available to the child at home.
| 6 years after intervention completion |
| School Grade Level | Parental report of child's current (or previous if no longer in school) grade level. | 6 years after intervention completion |
| Presence of Improved Latrine | Observation | 6 years after intervention completion |
| Presence of Handwashing Station with Soap and Water | Observation | 6 years after intervention completion |
| Knowledge of lead | Participant response to question "do you know what lead is?" | 6 years after intervention completion |
| Bone Lead Levels | X-ray fluorescence analysis of micrograms of lead per gram bone material | 6 years after intervention completion |
| Knowledge of ways to avoid harm from lead | Correct response to question "What ways do you know to avoid harm from lead?" | 6 years after intervention completion |
| Child screen time | Number of hours spent using a digital screen per week (on average, caregiver report) | 6 years after intervention completion |
| Parental perceived intelligence | Parental rating of child's intelligence (1-7) | 6 years after intervention completion |