Evaluation of an Early Childhood Development Intervention for HIV-Exposed Children in Cameroon

Not Applicable

Completed

• Conditions: Early Childhood Development in HIV-Exposed Children
• Interventions: Behavioral: Home-based ECD services

• Registration Number: NCT03195036
• Lead Sponsor: Duke University

Brief Summary

There is substantial evidence that early childhood development (ECD) programming can improve child health and development outcomes. An important component of ECD programming is supporting positive parenting and early stimulation practices. While many parents could benefit from such programming, mothers that are HIV-infected may particularly benefit given the higher risks of poorer child development among HIV-exposed children. Catholic Relief Services (CRS) in Cameroon is implementing the Key Interventions to Develop Systems and Services (KIDSS) ECD program for HIV-exposed children. This impact evaluation will ascertain to what extent the KIDSS home-based component of the ECD model affects attainment of age-appropriate developmental milestones (measured by the Ages and Stages Questionnaire 3 (ASQ-3)) in HIV-exposed children in Cameroon. The study design is a cluster-randomized controlled trial with a cohort of 200 mother/child dyads across 10 study clinics. HIV+ mothers will be recruited during pregnancy and their children will be followed up until 18 months of age. The intervention group will receive regular home-based ECD services focused on positive parenting and early stimulation. The control group will not have any exposure to ECD services, though they may receive home-based services focused on HIV care and treatment, hygiene, and nutrition. Randomization occurs at the clinic (cluster) level.

Detailed Description

Not available

Study Timeline

• Study Start: 2017-04-17
• Study First Submitted: 2017-06-16
• Study First Submitted QC: 2017-06-20
• Study First Posted: 2017-06-22
• Primary Completion: 2019-07-30
• Study Completion: 2019-07-30
• Status Verified: 2019-10
• Last Update Submitted: 2019-10-10
• Last Update Posted: 2019-10-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 230

Inclusion Criteria

• HIV-positive
• Pregnant and currently in 3rd trimester
• Must reside in Nkoldongo district or Djoungolo district
• Willing to be followed up for up to 21 months (pregnancy + postpartum periods)
• Agrees to voluntary participation

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Exclusion Criteria

Not provided

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention Arm	Home-based ECD services	The intervention group of women/children dyads who consent and are patients at the intervention clinics will receive regular home-based ECD services focused on positive parenting and early stimulation.

Primary Outcome Measures

Name	Time	Method
Attainment of age-appropriate developmental milestones	ASQ-3 score assessed 6 months after birth.	Child Development Outcomes, measured by ASQ-3 (6-month survey)

Secondary Outcome Measures

Name	Time	Method
Attainment of age-appropriate developmental milestones	ASQ-SE score assessed at 18 months after birth.	Child Development Outcomes, measured by ASQ-Social Emotional (SE)

Trial Locations

Locations (1)

Catholic Relief Services; 🇨🇲 Yaoundé, Cameroon