Family Inclusive Early Brain Stimulation (FINEBRAINS)
4 février 2019 mis à jour par: Dr. A.O. Adebiyi, University of Ibadan
Social interaction (in the form of serve and return exchanges) between child and parent are crucial for psychosocial, physical and cognitive development.
Parents in sub-Saharan countries are ill-equipped to maximize the benefits from this interaction.
The investigators approach builds on the traditional outlook that "it takes a village to raise a child" i.e., not only the parents but other extended family members play a role as caregivers to young children.
The investigators intention is to use the existing post-natal/child welfare clinics to deliver an intervention, which uses culturally acceptable videos and active skills building, to deliver health messages and practical skills to women, with the intention that they will subsequently engage and teach their partners and other caregivers about early brain stimulation and child development.
Aperçu de l'étude
Statut
Complété
Les conditions
Intervention / Traitement
Description détaillée
A two arm cluster randomized control design will be used to select a total of about 400 participants each of the control and intervention groups. The participants will be drawn from primary health care (PHC) centres offering immunization services in Ibadan. In the intervention group, mothers will be trained on early brain stimulation using group video sessions followed by individualised question and answer sessions. These sessions will take place at 6 week and 10 week post natal immunisation visits. The control arm will receive the standard of care - routine immunization care- group health talks.
The child's development will be assessed using the Survey of Wellbeing of Young Children (SWYC) instrument.
Outcome variables will include changes in self-reported early child brain stimulation behaviour and increase in the awareness of parents and significant others on the social and emotional difficulties of children.
Type d'étude
Interventionnel
Inscription (Réel)
480
Phase
- N'est pas applicable
Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
1 semaine à 1 mois (Enfant)
Accepte les volontaires sains
Oui
Sexes éligibles pour l'étude
Tout
La description
Inclusion Criteria:
- All mothers with live children aged 1-6 weeks
Exclusion Criteria:
- Mothers of children with moderate to severe birth asphyxia or gross congenital anomalies
- Mothers who are unable to communicate to provide information
Plan d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Autre
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: A: Edutainment based intervention
This group receives the usual routine immunization at 6, 10, 14 weeks and 9 months and an Edutainment intervention package of limited group (i.e., 3-5 women) drama based video session (Edutainment) followed by a Question and Answer session with mothers on early brain development, parenting skills, communication and negotiating skills at 6 weeks.
Mothers will be encouraged to train fathers and other caregivers at home with reinforcement of key messages at subsequent clinic visits.
Key messages will be delivered through the use of flip charts at 14 weeks and given to mothers as take home for use in engaging the fathers partners and other caregivers for their child.
Reinforcement of key messages at subsequent visits will be through the use of videos and flip chart.
|
Edutainment intervention package
|
|
Aucune intervention: B
This group receives routine immunization care (usually includes group health talk) at 6, 10, 14 weeks and 9 months.
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Reduction in socio-cognitive deficit as measured by the Survey of Well being of Young Children (SWYC)
Délai: 6weeks, 14 weeks, 9months, 12 months and 18 months
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Reduced socio-cognitive deficit in the intervention compared to the control group at 18 months of age
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6weeks, 14 weeks, 9months, 12 months and 18 months
|
|
Improved child stimulation practices as measured by assessment of study constructed self-reported child stimulation practices questionnaire
Délai: 18 months
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Improved child stimulation practices in the intervention compared to the control group at 18 months of age
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18 months
|
|
Number of children with developmental delays as measured by The WHO head circumference growth curves and WHO Child Growth Standards
Délai: 6weeks to 18 months
|
Appropriate for Age physical development of children such as Head circumference, Length/height, Weight for Age as measured by The WHO head circumference growth curves and WHO Child Growth Standards
|
6weeks to 18 months
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Increased mothers knowledge and competence on child brain stimulation practices as measured by a study constructed domain based questionnaire on knowledge and competence instrument
Délai: 9mths -12 months
|
An increase in mothers knowledge and competence on child brain stimulation practices
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9mths -12 months
|
|
Mothers engagement of fathers and other caregivers on early brain stimulation as measured by simple questionnaire on mothers self-reported father engagement activity
Délai: 6-18months
|
Mothers are expected to effectively engage their male partners and other caregivers on child development.
This will be demonstrated by their success at getting their male partner and other caregivers trained at home.
|
6-18months
|
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fathers' self- reported engagement and investment in the early childhood development as measured by study derived adaptations of the "Self-Perceptions of the Parental Role scale (SPPR)" and the Early Childhood Study Survey Tool
Délai: 18 months
|
fathers' self- reported engagement and investment in the early childhood development would improve (responsible behaviour, emotional engagement, physical accessibility, material support, involvement in child care, influence in child rearing decisions)
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18 months
|
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Increased knowledge and competence of health workers on early brain stimulation as measured by study derived composite questionnaire on knowledge and competence on intervention
Délai: 14weeks - 9months
|
The competence and knowledge of health workers to successfully deliver intervention this intervention after being trained would also be a secondary measure of success.
|
14weeks - 9months
|
Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Parrainer
Collaborateurs
Les enquêteurs
- Chercheur principal: Akindele O Adebiyi, MBchB, MPH, College of Medicine, University of Ibadan
Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude
1 novembre 2014
Achèvement primaire (Réel)
1 août 2016
Achèvement de l'étude (Réel)
1 août 2016
Dates d'inscription aux études
Première soumission
22 février 2016
Première soumission répondant aux critères de contrôle qualité
25 février 2016
Première publication (Estimation)
3 mars 2016
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
6 février 2019
Dernière mise à jour soumise répondant aux critères de contrôle qualité
4 février 2019
Dernière vérification
1 février 2019
Plus d'information
Termes liés à cette étude
Autres numéros d'identification d'étude
- AD/13/479/741
Plan pour les données individuelles des participants (IPD)
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INDÉCIS
Description du régime IPD
Decision would be based on research teams final decision after the crucial manuscripts have been published
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