Biological and contextual determinants of early development in marginalized Roma communities: A research protocol of the RomaREACH study.

IF 4.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Journal for Equity in Health Pub Date : 2024-10-05 DOI:10.1186/s12939-024-02287-0
Shoshana Chovan, Daniela Fiľakovská Bobáková, Andrea Madarasová Gecková, Beáta Hubková, Gabriela Štrkolcová, Sijmen A Reijneveld, Marlou L A de Kroon
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Abstract

Background: The period of early childhood bears significant importance from the lifespan perspective. Children from marginalized Roma communities face several risk factors that endanger their early development. Based on the gaps in available evidence, the aim of the RomaREACH research project (Research on Early Childhood in marginalized Roma communities) is, therefore, to explore the complex mechanisms influencing psychomotor development in the first 3 years of a child's life in marginalized Roma communities, and to translate and adapt instruments for measuring development and parenting in marginalized Roma communities and assess their psychometric qualities and suitability METHODS: The project comprises two parts. The first part is a validation study of the translated Caregiver-Reported Early Development Instrument (CREDI) and the Comprehensive Early Childhood Parenting Questionnaire (CECPAQ), tools for the assessment of early development and of parenting strategies and practices. The second part is a longitudinal cohort study, in which the relationships of risk and protective factors with development are explored.

Discussion: The RomaREACH project is a multicomponent study of social determinants of health and development in early childhood that can provide new evidence on the relationship of risk and protective factors with early development. Such young children from difficult-to-reach marginalized Roma communities are rarely included in research, and information about the scope and the extent of inequities in health and development in the period of early childhood is scarce. The expected results of the RomaREACH project have the potential to influence policy and practice by providing validated tools and evidence-based insights that can help mitigate the developmental risks faced by children in marginalized Roma communities and contribute to improving developmental outcomes and equity.

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边缘化罗姆社区早期发展的生物和环境决定因素:RomaREACH 研究的研究方案。
背景:从生命周期的角度来看,幼儿期具有重要意义。边缘化罗姆社区的儿童面临着一些危及其早期发展的风险因素。因此,基于现有证据的不足,RomaREACH 研究项目(边缘化罗姆社区幼儿期研究)的目标是探索影响边缘化罗姆社区儿童生命最初 3 年精神运动发展的复杂机制,翻译和改编用于衡量边缘化罗姆社区儿童发展和养育情况的工具,并评估其心理测量质量和适用性 方法:该项目包括两个部分。第一部分是对翻译后的 "照顾者报告早期发展工具"(CREDI)和 "幼儿养育综合问卷"(CECPAQ)进行验证研究,这两个工具是评估早期发展和养育策略与实践的工具。第二部分是一项纵向队列研究,探讨风险和保护因素与发展之间的关系:讨论:罗姆人教育、研究和教育项目(REACH)是一项关于幼儿期健康和发展的社会决定因素的多成分研究,可以为风险和保护因素与早期发展的关系提供新的证据。这些来自难以接触到的边缘化罗姆社区的幼儿很少被纳入研究范围,有关幼儿期健康和发展不平等的范围和程度的信息也很少。RomaREACH 项目的预期成果有可能影响政策和实践,提供经过验证的工具和以证据为基础的见解,帮助减轻边缘化罗姆社区儿童面临的发展风险,促进改善发展成果和公平。
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来源期刊
CiteScore
7.80
自引率
4.20%
发文量
162
审稿时长
28 weeks
期刊介绍: International Journal for Equity in Health is an Open Access, peer-reviewed, online journal presenting evidence relevant to the search for, and attainment of, equity in health across and within countries. International Journal for Equity in Health aims to improve the understanding of issues that influence the health of populations. This includes the discussion of political, policy-related, economic, social and health services-related influences, particularly with regard to systematic differences in distributions of one or more aspects of health in population groups defined demographically, geographically, or socially.
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