1. Success at Scale: Outcomes of Community-Based Neurodevelopment Intervention (CASITA) for Children Ages 6-20 Months with Risk of Delay in Lima, Peru
- Author
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Miller, Ann C., Rumaldo, Nancy, Soplapuco, Guadalupe, Condeso, Alicia, Kammerer, Betsy, Lundy, Shannon, Faiffer, Fabiola, Montañez, Andy, Ramos, Karen, Rojas, Naysha, Contreras, Carmen, Muñoz, Maribel, Valdivia, Hilda, Vilca, Daojing, Córdova, Nandy, Hilario, Patricia, Vibbert, Martha, Lecca, Leonid, and Shin, Sonya
- Abstract
This study is a randomized controlled trial of a 12-week community-based group parenting intervention ("CASITA") in Lima, Peru. CASITA improved neurodevelopment in a pilot study of 60 Peruvian children and subsequently scaled to 3,000 households throughout the district. The objective of this study was to assess intervention effectiveness when implemented at scale. A total of 347 children ages 6-20 months (52.7% male, 100% identified as "mestizo") at risk for developmental difficulties were randomized to immediate or delayed CASITA. At 3 months after enrollment, the immediate arm showed significantly higher overall development, based on the Extended Ages and Stages Questionnaire and Home Observation for Measurement of the Environment scores (Cohen's ds = 0.36 and 0.31, respectively). Programs demonstrably effective at scale could help address children's development risks worldwide.
- Published
- 2021
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