Effects of adding psychosocial stimulation for children of lactating mothers using an unconditional cash transfer platform on neurocognitive behavior of children in rural Bangladesh: protocol for a cluster randomized controlled trial.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101627676 Publication Model: Electronic Cited Medium: Internet ISSN: 2050-7283 (Electronic) Linking ISSN: 20507283 NLM ISO Abbreviation: BMC Psychol Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2013]-
    • Subject Terms:
      Child Development* ; Financing, Government*/economics ; Financing, Government*/methods ; Financing, Government*/organization & administration ; Health Education*/economics ; Health Education*/methods ; Health Education*/organization & administration ; Infant Behavior* ; Maternal-Child Health Services*/economics ; Maternal-Child Health Services*/organization & administration ; Mothers* ; Parenting*; Adult ; Bangladesh ; Breast Feeding ; Clinical Protocols ; Developing Countries ; Female ; Humans ; Infant ; Male ; Randomized Controlled Trials as Topic ; Research Design ; Rural Population
    • Abstract:
      Background: There is sufficient evidence that psychosocial stimulation (PS) benefits children's neurocognitive behavior, however, there is no information on how it works when delivered through an Unconditional Cash Transfer (UCT) platform for poor rural population in developing countries. The objective of this study is to measure effects of adding PS for children of lactating mothers enrolled to receive UCT with health education (HE) on neurocognitive behavior of children in rural Bangladesh.
      Methods: The study will be conducted at 11 unions of Ullapara sub-district in Bangladesh. The study is a cluster randomized controlled trial with three-arms; (i) PS and UCT with HE (ii) UCT with HE and iii) Comparison arm. The cluster will be considered as an old Ward of a Union, the lowest tier of local government system in rural Bangladesh. There are three old Wards in a union. These three clusters will be randomized to one of the three arms. Similarly, randomization will be done for each 11 Unions and then 11 clusters will be assigned to an arm. Eighteen participants will be recruited from each cluster randomly (n = 196 in each arm). The intervention designed for one year includes UCT with HE for the poor as a safety net program in rural Bangladesh with or without PS. An age-based curriculum of PS is already available for Bangladeshi children and this will be administered by trained local women; play leaders (PL) in intervention clusters. The government of Bangladesh is providing UCT of taka 500 ($6.25) as maternity allowance per month with HE. The primary outcomes will be cognitive, motor and language composite scores measured by Bayley-III and behavior using Wolke's behavior rating scale. The secondary outcomes will be children and mothers' growth, family food security status, health seeking behavior, mothers' depressive symptoms and self-esteem and violence against mothers.
      Discussion: The study will provide a unique opportunity to assess an integrated early childhood development intervention using UCT platform to mitigate developmental delays in poor vulnerable children of rural Bangladesh.
      Trial Registration Number: ClinicalTrials.gov NCT03281980, registered on September 13, 2017.
    • References:
      Am J Clin Nutr. 2005 Aug;82(2):399-405. (PMID: 16087985)
      Lancet. 1991 Jul 6;338(8758):1-5. (PMID: 1676083)
      J Nutr. 2006 Oct;136(10):2645-52. (PMID: 16988140)
      Lancet. 2006 Oct 14;368(9544):1357-64. (PMID: 17046468)
      Lancet. 2008 Mar 8;371(9615):828-37. (PMID: 18328930)
      Eur J Clin Nutr. 2009 Jun;63(6):725-31. (PMID: 18772893)
      Int J Epidemiol. 2010 Oct;39(5):1206-16. (PMID: 20085967)
      J Health Popul Nutr. 2010 Feb;28(1):23-33. (PMID: 20214083)
      Eur J Clin Nutr. 2012 Jun;66(6):701-9. (PMID: 22353925)
      Lancet. 2013 Apr 13;381(9874):1283-92. (PMID: 23453283)
      J Nutr. 2013 Jun;143(6):885-93. (PMID: 23616511)
      Ann N Y Acad Sci. 2014 Jan;1308:68-88. (PMID: 24372533)
      Lancet. 2017 Jan 7;389(10064):103-118. (PMID: 27717610)
      Lancet. 2017 Jan 7;389(10064):77-90. (PMID: 27717614)
      BMJ Open. 2017 Nov 15;7(11):e018325. (PMID: 29146650)
    • Grant Information:
      GCC GRANT NO. #R-SB-POC-1707-09401 Grand Challenges Canada
    • Contributed Indexing:
      Keywords: Bangladesh; Behavior; Cognitive; Development; Language; Motor; Psychosocial stimulation; Unconditional cash transfer
    • Molecular Sequence:
      ClinicalTrials.gov NCT03281980
    • Publication Date:
      Date Created: 20190307 Date Completed: 20190415 Latest Revision: 20200225
    • Publication Date:
      20240829
    • Accession Number:
      PMC6402152
    • Accession Number:
      10.1186/s40359-019-0289-9
    • Accession Number:
      30836984