Effects of early comprehensive interventions on child neurodevelopment in poor rural areas of China: a moderated mediation analysis
| Autor: | S. Liu, Robert W Scherpbier, X.L. Wang, X. Liang, C.X. Zhao, X N Huang, S. Lu, Z. Wang |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Rural Population Gerontology China medicine.medical_specialty Time Factors Psychological intervention Health Promotion Social Environment 03 medical and health sciences Child Development 0302 clinical medicine Moderated mediation Poverty Areas 030225 pediatrics Humans Medicine 0501 psychology and cognitive sciences Home environment business.industry Public health 05 social sciences Infant Newborn Public Health Environmental and Occupational Health Infant General Medicine Child protection Neurodevelopmental Disorders Child Preschool Housing Female Rural area business Psychosocial Program Evaluation 050104 developmental & child psychology |
| Zdroj: | Public Health. 159:116-122 |
| ISSN: | 0033-3506 |
| DOI: | 10.1016/j.puhe.2018.02.010 |
| Popis: | Objectives To examine the effects of early comprehensive interventions on home environment and child neurodevelopment among children younger than 3 years in poor rural areas of China, as well as the underlying mediating and moderating mechanisms. Study design Non-randomized intervention study was conducted among 216 children aged 0–3 years in Shanxi province of China. Based on a 2 × 2 factor design, children in Lin and Fenxi County were assigned to an intervention group with duration less than 1 year (n = 26) or an intervention group with duration longer than 1 year (n = 82), while children in Fangshan County served as a control group with duration less than 1 year (n = 30) or a control group with duration longer than 1 year (n = 78). Methods The control group received national public health services (NPHS), while the intervention group received NPHS plus comprehensive interventions covering health, nutrition, early psychosocial stimulation, and child protection. Home environment (Infant-Toddler Home Observation for Measurement of the Environment [HOME]) and child neurodevelopment (Ages and Stages Questionnaire [ASQ]) were measured by observation and interview with mothers after the intervention program. Results The intervention group showed significantly higher overall HOME, organization, learning materials, and involvement than the control group, only for a duration longer than 1 year. Children in the intervention group performed better in overall ASQ, fine motor, problem-solving, and personal-social than children in the control group. Moderated mediation analyses indicated that there were significantly indirect effects of treatment on overall ASQ through overall HOME, organization, and involvement only when the duration was longer than 1 year. Conclusions Early comprehensive interventions longer than 1 year improve home environment and promote child neurodevelopment among children younger than 3 years in poor rural areas. What is more, effects of early comprehensive interventions longer than 1 year on child neurodevelopment were mediated by home environment. |
| Databáze: | OpenAIRE |
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