This study is designed to evaluate the impact of the RINEW multicomponent early child development intervention on child development and risk factors for poor child development in middle childhood. This study is a follow-up assessment of the children and primary caregivers enrolled in the RINEW cluster randomized controlled trial approximately 6 years following intervention completion.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
620
The intervention included behavioral recommendations and guidance on the topics of Nutrition, WASH, Lead exposure prevention, Mental Health, and child stimulation. The intervention also included the provision of nutritional supplements based on age and nutritional status, low-cost picture books and toys, and soapy water bottles.
International Centre for Diarrhoeal Disease Research, Bangladesh
Dhaka, Bangladesh
RECRUITINGWechsler Intelligence Scale for Children: 5th Edition (WISC-V)
The WISC-V assessment measures cognitive development and general intellectual abilities in children 6 years 0 months to 16 years 11 months of age (6:0-16:11). Higher scores represent better outcomes.
Time frame: 6 years after intervention completion
Child Socioemotional Development
Maternal-report questionnaire designed to measure psychological adjustment in children and aims to detect any emotional or behavioural problems.
Time frame: 6 years after intervention completion
Self-regulation
Observation of children's self-regulation during the administration of the WISC-V assessment.
Time frame: 6 years after intervention completion
Academic Achievement
Direct assessments of children's reading and math performance
Time frame: 6 years after intervention completion
Caregiver Mental Health
Center for Epidemiologic Studies Depression Scale (20 questions). Higher scores represent more depressive symptoms experienced.
Time frame: 6 years after intervention completion
Home Environment
The middle childhood Home Observation for Measurement of the Environment (HOME) includes both caregiver report and observational items to assess the quality and quantity of stimulation and support available to the child at home.
Time frame: 6 years after intervention completion
School Grade Level
Parental report of child's current (or previous if no longer in school) grade level.
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Time frame: 6 years after intervention completion
Presence of Improved Latrine
Observation
Time frame: 6 years after intervention completion
Presence of Handwashing Station with Soap and Water
Observation
Time frame: 6 years after intervention completion
Knowledge of lead
Participant response to question "do you know what lead is?"
Time frame: 6 years after intervention completion
Bone Lead Levels
X-ray fluorescence analysis of micrograms of lead per gram bone material
Time frame: 6 years after intervention completion