The determinants of compliance with an early intervention programme for high-risk babies in India.

BACKGROUND: Early intervention is known to improve outcomes for babies at risk for growth and developmental problems. Such programmes usually have a prolonged course and require frequent contacts with the service providers. As a consequence of poverty, illiteracy and lack of communication facilities...

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Publicado en:Child: Care, Health & Development Vol. 32; no. 1; pp. 63 - 73
Autores principales: de Souza N, Sardessai V, Joshi K, Joshi V, Hughes M
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jan2006
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
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        10.1111/j.1365-2214.2006.00576.x
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        atl: The determinants of compliance with an early intervention programme for high-risk babies in India.
      aug:
        au:
          de Souza N
          Sardessai V
          Joshi K
          Joshi V
          Hughes M
        affil: Sethu Trust for Child Development & Family Guidance, 35, Defence Colony, Alto Porvorim, Goa 403521, India; ndesouza@sancharnet.in
      sug:
        subj:
          Early Childhood Intervention
          Infant Development Disorders Prevention and Control
          Infant Development Disorders Risk Factors
          Patient Compliance
          Adolescence
          Adult
          Chi Square Test
          Clinical Assessment Tools
          Data Analysis Software
          Educational Status
          Fathers
          Female
          Funding Source
          Geographic Factors
          India
          Infant
          Interviews
          Logistic Regression
          Male
          Mantel-Haenszel Test
          Middle Age
          Mothers
          Record Review
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Infant: 1-23 months
          Middle Aged: 45-64 years
          Female
          Male
      ab: BACKGROUND: Early intervention is known to improve outcomes for babies at risk for growth and developmental problems. Such programmes usually have a prolonged course and require frequent contacts with the service providers. As a consequence of poverty, illiteracy and lack of communication facilities in developing countries, treatment adherence can suffer. METHODS: The present study is an analysis of a clinic-based early intervention programme for high-risk babies in a developing society in Goa, India. A sample of 152 neonates and their parents were offered an early intervention programme and followed up until their first birthday. The primary outcome under study was the uptake of the programme. Various socio-demographic, programmatic and infant-related variables that could affect compliance were examined. RESULTS: Compliance with the intervention programme was only moderate, with 59.2% of infants brought for three or more sessions. Higher maternal educational levels and proximity of the place of residence of the family to the early intervention clinic were significantly associated with better compliance. CONCLUSIONS: Early intervention programmes that go into homes have a greater chance of reaching high-risk infants, compared with those provided at a distant centre. Better-educated mothers are more likely to be convinced about the benefits of such inputs. The authors conclude with recommendations for future practice and research.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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