scholarly journals A responsive parenting intervention: The optimal timing across early childhood for impacting maternal behaviors and child outcomes.

2008 ◽  
Vol 44 (5) ◽  
pp. 1335-1353 ◽  
Author(s):  
Susan H. Landry ◽  
Karen E. Smith ◽  
Paul R. Swank ◽  
Cathy Guttentag
2020 ◽  
Vol 2 (1) ◽  
pp. 100077 ◽  
Author(s):  
Ashley N. Battarbee ◽  
Stephanie T. Ros ◽  
M. Sean Esplin ◽  
Joseph Biggio ◽  
Radek Bukowski ◽  
...  

2020 ◽  
Vol 8 (10) ◽  
pp. 414-417
Author(s):  
David Hancock

There is evidence to suggest that early childhood education and care has a significant impact on children's development. A recent report on the subject has revealed some interesting conclusions about the link between settings and outcomes


Obesity ◽  
2016 ◽  
Vol 25 (1) ◽  
pp. 185-191 ◽  
Author(s):  
Emily E. Hohman ◽  
Ian M. Paul ◽  
Leann L. Birch ◽  
Jennifer S. Savage

1995 ◽  
Vol 29 (1) ◽  
pp. 14-22 ◽  
Author(s):  
Don Edgar

I argue in this paper for a “cultural” view of child development rather than a psychological one: for a broader but more carefully specified approach to the measurement of “child outcomes” than is often apparent in the early childhood literature.


2012 ◽  
Vol 48 (4) ◽  
pp. 969-986 ◽  
Author(s):  
Susan H. Landry ◽  
Karen E. Smith ◽  
Paul R. Swank ◽  
Tricia Zucker ◽  
April D. Crawford ◽  
...  

2016 ◽  
Vol 36 ◽  
pp. 427-438 ◽  
Author(s):  
Kejian Li ◽  
Yi Pan ◽  
Biying Hu ◽  
Margaret Burchinal ◽  
Allison De Marco ◽  
...  

PLoS Medicine ◽  
2021 ◽  
Vol 18 (9) ◽  
pp. e1003746
Author(s):  
Italo Lopez Garcia ◽  
Uzaib Y. Saya ◽  
Jill E. Luoto

Background Early childhood development (ECD) programs can help address disadvantages for the 43% of children under 5 in low- and middle-income countries (LMICs) experiencing compromised development. However, very few studies from LMIC settings include information on their program’s cost-effectiveness or potential returns to investment. We estimated the cost-effectiveness, benefit–cost ratios (BCRs), and returns on investment (ROIs) for 2 effective group-based delivery models of an ECD parenting intervention that utilized Kenya’s network of local community health volunteers (CHVs). Methods and findings Between October 1 and November 12, 2018, 1,152 mothers with children aged 6 to 24 months were surveyed from 60 villages in rural western Kenya. After baseline, villages were randomly assigned to one of 3 intervention arms: a group-only delivery model with 16 fortnightly sessions, a mixed-delivery model combining 12 group sessions with 4 home visits, and a control group. At endline (August 5 to October 31, 2019), 1,070 children were retained and assessed for primary outcomes including cognitive and receptive language development (with the Bayley Scales of Infant Development, Third Edition) and socioemotional development (with the Wolke scale). Children in the 2 intervention arms showed better developmental outcomes than children in the control arm, although the group-only delivery model generally had larger effects on children. Total program costs included provider’s implementation costs collected during the intervention period using financial reports from the local nongovernmental organization (NGO) implementer, as well as societal costs such as opportunity costs to mothers and delivery agents. We combined program impacts with these total costs to estimate incremental cost-effectiveness ratios (ICERs), as well as BCRs and the program’s ROI for the government based on predictions of future lifetime wages and societal costs. Total costs per child were US$140 in the group-only arm and US$145 in the mixed-delivery arm. Because of higher intention-to-treat (ITT) impacts at marginally lower costs, the group-only model was the most cost-effective across all child outcomes. Focusing on child cognition in this arm, we estimated an ICER of a 0.37 standard deviation (SD) improvement in cognition per US$100 invested, a BCR of 15.5, and an ROI of 127%. A limitation of our study is that our estimated BCR and ROI necessarily make assumptions about the discount rate, income tax rates, and predictions of intervention impacts on future wages and schooling. We examine the sensitivity of our results to these assumptions. Conclusions To the best of our knowledge, this study is the first economic evaluation of an effective ECD parenting intervention targeted to young children in sub-Saharan Africa (SSA) and the first to adopt a societal perspective in calculating cost-effectiveness that accounts for opportunity costs to delivery agents and program participants. Our cost-effectiveness and benefit–cost estimates are higher than most of the limited number of prior studies from LMIC settings providing information about costs. Our results represent a strong case for scaling similar interventions in impoverished rural settings, and, under reasonable assumptions about the future, demonstrate that the private and social returns of such investments are likely to largely outweigh their costs. Trial registration This trial is registered at ClinicalTrials.gov, NCT03548558, June 7, 2018. American Economic Association RCT Registry trial AEARCTR-0002913.


2021 ◽  
Vol 12 ◽  
Author(s):  
Si Chen ◽  
Sharon Wolf

Young children’s access to early childhood education (ECE) is increasing in low- and middle-income countries (LMICs), though often without attention to service quality. Monitoring quality requires classroom observations, but most observation tools available were developed in high-income western countries. In this article, we examine key issues in measuring ECE quality in LMICs and consider challenges and opportunities in balancing theoretical grounding, cultural- and contextual-adaptation, and empirical rigor. We then review the literature on observed classroom quality in LMICs, focusing on process quality. We find limited evidence that the constructs identified in high-income countries replicate in LMICs. Further, the very limited evidence that ECE quality measures used in LMICs predict child outcomes is almost exclusively cross-sectional and associations are mixed. We conclude by discussing how future research can build a stronger knowledge base about ECE quality and child development globally.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Justin A. Lavner ◽  
Brian K. Stansfield ◽  
Steven R. H. Beach ◽  
Gene H. Brody ◽  
Leann L. Birch

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