TY - JOUR
T1 - Developmental assessments during injury research
T2 - Is enrollment of very young children in crèches associated with better scores?
AU - Nair, Divya
AU - Alonge, Olakunle
AU - Hamadani, Jena Derakhshani
AU - Salam, Shumona Sharmin
AU - Islam, Irteja
AU - Hyder, Adnan A.
N1 - Publisher Copyright:
© 2017 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2017/9/26
Y1 - 2017/9/26
N2 - The Developmental Study is part of a larger intervention on “saving of lives from drowning (SoLiD)" where children were enrolled either into crèches (daycare centers) or playpens to prevent drowning in rural Bangladesh. Sampling ~1000 children between the ages of 9-17 months, we compared problem-solving, communication, motor and personal-social outcomes assessed by the Ages and Stages Questionnaire in the two interventions. After controlling for variables such as home stimulation in multivariate regressions, children in crèches performed about a quarter of a standard deviation better in total scores (p < 0.10) and 0.45 standard deviations higher in fine motor skills (p < 0.05). Moreover, once the sample was stratified by length of exposure to the intervention, then children in crèches performed significantly better in a number of domains: those enrolled the longest (about 5 months) have higher fine motor (1.47, p < 0.01), gross motor (0.40, p < 0.05) and personal-social skills (0.95, p < 0.01) than children in playpens. In addition, children in crèches with the longer exposure (about 5 months) have significantly higher personal-social and problem-solving scores than those in crèches with minimum exposure. Enrollment in crèches of very young children may be positively associated with psychosocial scores after accounting for important confounding variables.
AB - The Developmental Study is part of a larger intervention on “saving of lives from drowning (SoLiD)" where children were enrolled either into crèches (daycare centers) or playpens to prevent drowning in rural Bangladesh. Sampling ~1000 children between the ages of 9-17 months, we compared problem-solving, communication, motor and personal-social outcomes assessed by the Ages and Stages Questionnaire in the two interventions. After controlling for variables such as home stimulation in multivariate regressions, children in crèches performed about a quarter of a standard deviation better in total scores (p < 0.10) and 0.45 standard deviations higher in fine motor skills (p < 0.05). Moreover, once the sample was stratified by length of exposure to the intervention, then children in crèches performed significantly better in a number of domains: those enrolled the longest (about 5 months) have higher fine motor (1.47, p < 0.01), gross motor (0.40, p < 0.05) and personal-social skills (0.95, p < 0.01) than children in playpens. In addition, children in crèches with the longer exposure (about 5 months) have significantly higher personal-social and problem-solving scores than those in crèches with minimum exposure. Enrollment in crèches of very young children may be positively associated with psychosocial scores after accounting for important confounding variables.
KW - Ages and stages questionnaire (ASQ)
KW - Bangladesh
KW - Child development
KW - Cognitive
KW - Crèche
KW - Daycare
KW - Early childhood care (ECC)
KW - Early childhood development (ECD)
KW - Psychosocial
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U2 - 10.3390/ijerph14101130
DO - 10.3390/ijerph14101130
M3 - Article
C2 - 28954441
AN - SCOPUS:85030254620
SN - 1661-7827
VL - 14
JO - International journal of environmental research and public health
JF - International journal of environmental research and public health
IS - 10
M1 - 1130
ER -