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Randomized controlled trial of a home-visiting intervention on infant cognitive development in peri-urban South Africa.
- Source :
-
Developmental Medicine & Child Neurology . Mar2016, Vol. 58 Issue 3, p270-276. 7p. - Publication Year :
- 2016
-
Abstract
- <bold>Aim: </bold>To determine whether, in an impoverished South African community, an intervention that benefitted infant attachment also benefitted cognitive development.<bold>Method: </bold>Pregnant females were randomized to intervention (n=220) and no-treatment control groups (n=229). The intervention was home-based parenting support for attachment, delivered until 6 months postpartum. At 18 months, infants were assessed on attachment and cognitive development (Bayley Scales Mental Development Index [MDI]) (n=127 intervention, n=136 control participants). Infant MDI was examined in relation to intervention, socio-economic risk, antenatal depression, and infant sex and attachment.<bold>Results: </bold>Overall, there was little effect of the intervention on MDI (p=0.094, d=0.20), but there was an interaction between intervention and risk (p=0.03, ηp2=0.02). MDI scores of infants of lower risk intervention group mothers were, on average, 4.84 points higher than those of other infants (p=0.002, d=0.41). Antenatal depression was not significant once intervention and risk were controlled (p=0.08); there was no association between infant MDI and either sex (p=0.41) or attachment (p=0.56).<bold>Interpretation: </bold>Parenting interventions for infant cognitive development may benefit from inclusion of specific components to support infant cognition beyond those that support attachment, and may be most effective for infants over 6 months. They may need augmentation with other input where adversity is extreme. [ABSTRACT FROM AUTHOR]
- Subjects :
- *RANDOMIZED controlled trials
*HOME care services
*COGNITIVE development
*BAYLEY Scales of Infant Development
*PARENTING & psychology
*POVERTY & psychology
*CHILD development
*COGNITION
*COMMUNITY health workers
*COMPARATIVE studies
*COUNSELING
*RESEARCH methodology
*MEDICAL cooperation
*PSYCHOLOGY of mothers
*PARENTING
*PSYCHOANALYTIC interpretation
*PUERPERIUM
*RESEARCH
*RESEARCH funding
*CITY dwellers
*EVALUATION research
*TREATMENT effectiveness
Subjects
Details
- Language :
- English
- ISSN :
- 00121622
- Volume :
- 58
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Developmental Medicine & Child Neurology
- Publication Type :
- Academic Journal
- Accession number :
- 113136757
- Full Text :
- https://doi.org/10.1111/dmcn.12873