Evelyn Berger-Jenkins, Elizabeth Jarpe-Ratner, Margaret Giorgio, Alexa Squillaro, Mary McCord, Dodi Meyer
Engaging Caregivers in School-Based Obesity Prevention Initiatives in a Predominantly Latino Immigrant Community: A Qualitative Analysis
Journal of nutrition education and behavior
promote early childhood development ecd require information needs addressed effects achieved also effective delivery methods adapted local context describe design implementation evaluation complex intervention strengthen nurturing environment young children study participants pregnant women children birth 2 years used design redesign implementation evaluation approaches study cocreated curriculum delivery plan stakeholders based theoretical framework findings formative research preliminary work recruited 656 pregnant women newborns 326 4969 intervention 330 5030 control group conducted cluster randomized controlled trial evaluate programs effectiveness outcomes children assessed 12 24 months recruitment study participants study arms similar sociodemographic characteristics conducted 6665 home visits 25 toymaking workshops 65 caregivermeetings initial examination program data revealed gaps quality coverage interventions intervention redesigned based feedback stakeholders community meetings recruitment participants study groups similar sociodemographics conducted 6665 home visits 25 toy workshops 65 caregiver meetings initial program data showed intervention quality coverage gaps leading redesign program based community stakeholder feedback postredesigning session quality improved program coverage rising 32 98 male participation home visits increased 43 3265 data errors reduced 270 140 per month average 24 months program showed moderatemild impact ecd cognitive 031 95ci 013048 language 02 95ci 001039 socioemotionaldevelopment 019 95ci 001037 moderate effect homeenvironment motherchild interaction 96 women initiated breastfeed within onehour delivery exclusivebreastfeeding rate 8980 study provides evidencebased community centered ecd curriculum implementation strategies enhance service providers caregivers knowledge skills promoting ecd lowresource settings potential scale within existing government program trial funded saving brains round 5 initiative grand challenges canada grant sb170705084 grateful ongoing support online sessions orientation workshops trial also supported indian council medical research file 571693chadhocrbmch2020