Preliminary pilot testing of the home-based FSI-ECD intervention as delivered by community based lay workers.
The Family Strengthening Intervention for early childhood development was created and piloted for feasibility and acceptability in an ongoing protocol #15440 with Harvard Internal Review Board titled, "Developing and Piloting a Quantitative Behavioral Assessment Battery, Estimating Prevalence of Mental Disability among HIV/AIDS-affected Youth, and Piloting an Adapted Mental Health Intervention for HIV/AIDS-Affected Children in Rwanda." Research personnel have been adapting the existing recruitment materials/sessions and 15 Module Manual (FSI-ECD) with a focus on making the manual and corresponding materials more user friendly for community based lay worker "coaches." This preliminary testing will provide an opportunity to administer a planned full scale 1,000+ household cluster randomized control trial on a smaller scale in order to learn from our materials that have been adapted for community based lay workers. This will also allow us to test our supervision and training structures to make necessary adaptation ahead of the planned full scale trial. After all beneficiary households have completed the FSI-ECD intervention, each community based lay worker will complete a qualitative and quantitative exit assessment of his/her experience delivering the intervention, as well as ongoing feedback during the administration of FSI-ECD; allowing for the intervention and support structure to be strengthened for future iterations.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
90
Households will be visited by a trained community based lay worker on a weekly to biweekly basis to deliver the 15 module curriculum covering a range of topics from nutrition, water and sanitation, hygiene, early stimulation, conflict management, to good communication. The intervention seeks to promote healthy child development via active coaching to individual beneficiary households, delivering modules on a one on one basis and engaging all family members.
Rwamagana District
Rubona, Rwanda
Ages Stages Questionnaire-3
Change in Child Communication, Fine Motor, Gross Motor, Problem Solving, and Personal Social Development
Time frame: 12 months/18 months
Hopkins Symptoms Check List
Change in Caregiver Mental Health
Time frame: 12 months/18 months
Multiple Indicator Cluster Survey 5
Change in Infant and Young Child Feeding Practices
Time frame: 12 months/18 months
Rwanda Comprehensive Food Security and Vulnerability Analysis and Nutrition Survey
Change in Assessing Household Food Security related to diversity of food and meal frequency
Time frame: 12 months/18 months
Local Derived Scale
Change in Family Trust and Unity
Time frame: 12 months/18 months
System for Observing Family Therapy Alliances
Interventionist Self-Report
Time frame: 12 months
Difficulties in Emotional Regulation (DERS)
Change in Caregiver Emotional Regulation
Time frame: 12 months/18 months
Malawi Development Assessment Tool (MDAT)
Change in Child Development Observational Measure for Fine Motor, Gross Motor and Language
Time frame: 12 months/18 months
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Home Observation for the Measurement of the Environment (HOME Inventory)
Change in Home Environment
Time frame: 12 months/18 months
Observation of Mother Child Interaction (OMCI)
Change in Caregiver-Child Relationship/Stimulation
Time frame: 12 months/18 months
Ages Stages Questionnaire Socio-Emotional
Change in Child Socio-Emotional Development
Time frame: 12 months/18 months