Family responsive care mediating the home visiting effects on left‐behind children's early development in rural China.
Background: The early development of left‐behind children requires great concern and improvement. Yet, current interventions for left‐behind children are mainly focussed on children older than 3. This study aims to assess the effectiveness of a home visiting programme on family responsive care and e...
| Publicado en: | Child: Care, Health & Development Vol. 50; no. 1; pp. 1 - 11 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Wiley-Blackwell
Jan2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175014702&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175014702 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03051862 6NX jtl: Child: Care, Health & Development issn: 03051862 maglogo: Y pubinfo: dt: Jan2024 vid: 50 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 175014702 175014702 175014702 10.1111/cch.13226 175014702 ppf: 1 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Family responsive care mediating the home visiting effects on left‐behind children's early development in rural China. aug: au: Li, Mengshi Du, Yufeng Zhao, Chunxia Shi, Huifeng Wang, Xiaoli Zhang, Jingxu affil: Department of Maternal and Child Health, School of Public Health, Peking University, Beijing, China sug: subj: Family Centered Care Home Visits Child Development Program Evaluation Rural Areas China Human China Quasi-Experimental Studies Randomized Controlled Trials Random Assignment Cluster Sample Stratified Random Sample Questionnaires Parent-Child Relations Odds Ratio Confidence Intervals Descriptive Statistics Caregiver Support Support, Psychosocial Immigrants Parents Scales Communication Male Female Child, Preschool Child Adult Middle Age Grandparents Structural Equation Modeling Chi Square Test Data Analysis Software Educational Status Economic Status Funding Source Child, Preschool: 2-5 years Child: 6-12 years Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background: The early development of left‐behind children requires great concern and improvement. Yet, current interventions for left‐behind children are mainly focussed on children older than 3. This study aims to assess the effectiveness of a home visiting programme on family responsive care and early development of rural left‐behind children and examine whether family responsive care mediates the effects of intervention on child development. Methods: A quasi‐experimental study design was utilized in this study. A stratified clustered sampling was employed to choose villages in programme towns into intervention group. A control village was matched with every intervention village. All of the left‐behind children and their caregivers meeting the inclusion criteria in the chosen villages were enrolled in the survey. The outcomes included child development, caregiver's early stimulation, parent–child communication, and learning materials. Baseline assessments were conducted in 2018, and endline assessments were conducted in 2020. Results: In the endline survey, we enrolled 608 children with 258 in the intervention group and 350 in the control group. Left‐behind children in the intervention group were less likely to have development delay compared with the control group (odds ratio [OR] = 0.59, 95% confidence interval [CI]: 0.36, 0.96). Migrant parents of children in the intervention group showed higher proportion of expressing emotional support to their children when communicating (OR = 1.69, 95% CI: 1.05, 2.72). Children who received home visits more than once per 2 months had lower level of suspected development delay than children in the control group (OR = 0.34, 95% CI: 0.18, 0.68). Caregiver's early stimulation and migrant parents' emotional support to left‐behind children mediated the intervention dose and left‐behind children's development. Conclusion: Caregiver's early stimulation mediates the intervention and child's development. The findings suggest a promising future for scaling similar early childhood development interventions for left‐behind children in rural settings. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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