Title
Success at Scale: Outcomes of Community-Based Neurodevelopment Intervention (CASITA) for Children Ages 6–20 months With Risk of Delay in Lima, Peru
Date Issued
01 November 2021
Access level
metadata only access
Resource Type
journal article
Author(s)
Miller A.C.
Rumaldo N.
Soplapuco G.
Condeso A.
Kammerer B.
Lundy S.
Faiffer F.
Montañez A.
Ramos K.
Rojas N.
Contreras C.
Valdivia H.
Vilca D.
Córdova N.
Hilario P.
Vibbert M.
Shin S.
Publisher(s)
John Wiley and Sons Inc
Abstract
This study is a randomized controlled trial of a 12-week community-based group parenting intervention (“CASITA”) in Lima, Peru. CASITA improved neurodevelopment in a pilot study of 60 Peruvian children and subsequently scaled to 3,000 households throughout the district. The objective of this study was to assess intervention effectiveness when implemented at scale. A total of 347 children ages 6–20 months (52.7% male, 100% identified as “mestizo”) at risk for developmental difficulties were randomized to immediate or delayed CASITA. At 3 months after enrollment, the immediate arm showed significantly higher overall development, based on the Extended Ages and Stages Questionnaire and Home Observation for Measurement of the Environment scores (Cohen’s ds =.36 and.31, respectively). Programs demonstrably effective at scale could help address children’s development risks worldwide.
Start page
e1275
End page
e1289
Volume
92
Issue
6
Language
English
OCDE Knowledge area
Neurología clínica
Pediatría
Estadísticas, Probabilidad
Scopus EID
2-s2.0-85107812225
PubMed ID
Source
Child Development
ISSN of the container
00093920
Sponsor(s)
Funding for the study was provided by a grant from Grand Challenges Canada: Saving Brains: Scaling Impact Grant #0351‐03 to Socios En Salud (Leonid Lecca, PI). The CASITA scale‐up intervention itself was also supported by the Municipality of Caraballyo, Lima, Peru with funding as part of their participatory budget, and with the identification of community spaces for the intervention to take place. Support for CASITA was also received in a grant to Socios En Salud from the Korea International Cooperation Agency (KOICA) during the first year of the intervention in the identification and training of community agents and the construction of spaces in health facilities and conditioning of spaces in the community to start the intervention. A grant to Partners In Health from the Abbvie Foundation provided support with funding to complete the goal of enrollment and delivery of sessions of the programmatic phase of the intervention. However, the Municipality, KOICA, and Abbvie Foundation did not provide funds for the research, or manuscript writing, and had no involvement in these latter activities.
Sources of information:
Directorio de Producción Científica
Scopus