Proof of concept of the Universal Baby video innovation for early child development in Lima, Peru.

IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Journal of Pediatric Psychology Pub Date : 2024-06-14 DOI:10.1093/jpepsy/jsae035
Adrianne K Nelson, Christa J Griest, Llubitza M Munoz, Nancy Rumaldo, Ann C Miller, Guadalupe M Soplapuco, Leonid Lecca, Sonya S Shin, Llalu R Acuña, Yesica V Valdivia, Alicia R Ramos, Diego G Ahumada, Blanca R H Ramos, Sarah A Mejia, Esther O Serrano, William H Castro, Victoria E Oliva, Annie S Heyman, Lauren P Hartwell, Ronnie L Blackwell, Diego F Diaz, Martha M Vibbert
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Abstract

Objective: Community-based video interventions offer an effective and potentially scalable early interaction coaching tool for caregivers living in low resource settings. We tested the Universal Baby (UB) video innovation; an early interaction coaching tool using video sourced and produced locally with early child development (ECD) expert supervision.

Methods: This proof-of-concept study enrolled 40 caregivers of children ages 10-18 months assigned to intervention and control groups by health establishments in Carabayllo, Lima, Peru. Mother/child dyads received 12 weekly group health education sessions with social support. Of those, 16 caregivers also received 6 UB videos featuring brain science education and local clips of responsive, reciprocal interaction, also known as "serve and return" interaction. Survey data assessed feasibility and acceptability of the intervention. We assessed improved quality of mother/child interaction using the Parenting Interactions with Children: Checklist of Observations Linked to Outcomes (PICCOLO).

Results: We found the program feasible. We successfully trained the local team to produce UB videos using locally-sourced footage and delivered the videos as part of a community-based intervention. We also found it to be acceptable in that participants enthusiastically received the UB videos, reporting they enjoyed being videotaped, and learned how to recognize and appropriately respond to their child's nuanced sounds and gestures. The median change in total PICCOLO scores favored the intervention group compared to the control group.

Conclusions: UB offers great potential as a sustainable, potentially scalable, and culturally appropriate tool to promote equity for child development among young children living in low resource homes globally.

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在秘鲁利马验证 "环球宝贝 "视频创新促进儿童早期发展的概念。
目的:基于社区的视频干预为生活在资源匮乏环境中的看护者提供了一种有效且可推广的早期互动指导工具。我们测试了 "通用婴儿"(UB)视频创新;这是一种早期互动指导工具,使用的视频来源于当地,并在儿童早期发展(ECD)专家的监督下制作完成:这项概念验证研究招募了 40 名 10-18 个月大儿童的照顾者,他们被秘鲁利马卡拉贝洛的卫生机构分配到干预组和对照组。母婴二人组每周接受 12 次有社会支持的集体健康教育课程。其中,16 名照顾者还接受了 6 个 UB 视频,内容包括脑科学教育和当地的反应性、互惠互动(也称为 "服务与回报 "互动)剪辑。调查数据评估了干预措施的可行性和可接受性。我们使用 "父母与子女互动 "来评估母子互动质量的改善情况:结果:结果:我们发现该计划是可行的。我们成功地对当地团队进行了培训,使其能够使用本地素材制作 UB 视频,并将视频作为社区干预措施的一部分进行分发。我们还发现该计划是可以接受的,因为参与者热情地接受了 UB 视频,表示他们喜欢被录像,并学会了如何识别和适当回应孩子细微的声音和手势。与对照组相比,PICCOLO 总分变化的中位数更有利于干预组:作为一种可持续、可扩展、文化适宜的工具,UB 在促进全球低资源家庭幼儿的公平儿童发展方面具有巨大潜力。
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来源期刊
Journal of Pediatric Psychology
Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
6.00
自引率
11.10%
发文量
89
期刊介绍: The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.
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