National Evaluation of Quality of Childcare (C0682)
- Conditions
- Health BehaviorChild RearingMental Health Wellness 1
- Interventions
- Behavioral: Delayed Promotores trainingBehavioral: Promotores TrainingBehavioral: Caregiver trainingBehavioral: Delayed caregiver trainingBehavioral: Delayed materials supportBehavioral: Materials supportBehavioral: Technical assistanceBehavioral: Delayed technical assistance
- Registration Number
- NCT02534597
- Lead Sponsor
- Duke University
- Brief Summary
This evaluation seeks to assess the impact of a training program on childcare center environments and child/caregiver wellbeing in El Salvador. Through a longitudinal, randomized control trial, over 200 childcare centers participating in the program will be assigned to various treatment arms receiving different components of the program. A community comparison cohort will also be enrolled.
- Detailed Description
Whole Child International (WCI) is a U.S.-based non-governmental organization. Its focus is on improving the caregiving environments for vulnerable children by effecting changes within child care centers and orphanages.
This evaluation will assess the impact of an educational training and technical assistance program offered by WCI in collaboration with the El Salvadoran government. The program consists of a series of educational trainings (for local government officials, directors of childcare and residential centers, and center caregivers) and technical assistance including infrastructural changes within centers.
To evaluate this intervention, a longitudinal, randomized controlled trial will be used to assign participating centers to one of seven treatment arms that will receive different components of the intervention. A community comparison cohort will also be enrolled to identify selection effects as well as local norms and standards. The central research question is, "Does providing training for institution providers and caregivers improve child outcomes?"
Ethnographic research will also explore local cultural norms regarding child caregiving, and seek to understand how the intervention is received within communities.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 1923
- Children between the ages of 6 months-4 years old at baseline, who are currently attending government-run childcare centers in El Salvador, will be eligible for enrollment in this study. One parent/guardian and center caregiver for an enrolled child will also complete assessments.
- In the comparison group, for every 5th center-attending child enrolled, the nearest neighboring child between the ages of 6 months and 4 years at enrollment, and who does not attend the center, will be eligible for enrollment. One parent/guardian of the comparison child will also complete assessments.
- Children with known disabilities, who are unlikely to show developmental changes over time, may be excluded from the study.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description _pc Delayed Promotores training Receives the delayed Promotores training, followed by a full caregiver training only. pctm Technical assistance Receives the earliest Promotores training, followed by direct caregiver training, materials support, and technical assistance. p_ctm Promotores Training Receives the earliest Promotores training, followed by delayed caregiver training, delayed materials support, and delayed technical assistance. pctm Caregiver training Receives the earliest Promotores training, followed by direct caregiver training, materials support, and technical assistance. p_ctm Delayed caregiver training Receives the earliest Promotores training, followed by delayed caregiver training, delayed materials support, and delayed technical assistance. p_ctm Delayed materials support Receives the earliest Promotores training, followed by delayed caregiver training, delayed materials support, and delayed technical assistance. _pmt Technical assistance Receives the delayed Promotores training, followed by receipt of materials support and technical assistance. _p_mt Delayed Promotores training Receives the delayed Promotores training, followed by delayed receipt of materials support and technical assistance. _pct Caregiver training Receives the delayed Promotores training, followed by caregiver training and technical assistance. pctm Materials support Receives the earliest Promotores training, followed by direct caregiver training, materials support, and technical assistance. _p_ct Delayed Promotores training Receives the delayed Promotores training, followed by delayed caregiver training and technical assistance. _p_t Delayed Promotores training Receives the delayed Promotores training, followed by delayed technical assistance. _p_c Delayed Promotores training Receives the delayed Promotores training, followed by delayed caregiver training. pctm Promotores Training Receives the earliest Promotores training, followed by direct caregiver training, materials support, and technical assistance. p_ctm Delayed technical assistance Receives the earliest Promotores training, followed by delayed caregiver training, delayed materials support, and delayed technical assistance. _pmt Materials support Receives the delayed Promotores training, followed by receipt of materials support and technical assistance. _p_mt Delayed materials support Receives the delayed Promotores training, followed by delayed receipt of materials support and technical assistance. _p_mt Delayed technical assistance Receives the delayed Promotores training, followed by delayed receipt of materials support and technical assistance. _p_ct Delayed caregiver training Receives the delayed Promotores training, followed by delayed caregiver training and technical assistance. _p_t Delayed technical assistance Receives the delayed Promotores training, followed by delayed technical assistance. _pmt Delayed Promotores training Receives the delayed Promotores training, followed by receipt of materials support and technical assistance. _pct Delayed Promotores training Receives the delayed Promotores training, followed by caregiver training and technical assistance. _pct Technical assistance Receives the delayed Promotores training, followed by caregiver training and technical assistance. _pc Caregiver training Receives the delayed Promotores training, followed by a full caregiver training only. _p_c Delayed caregiver training Receives the delayed Promotores training, followed by delayed caregiver training. _p_ct Delayed technical assistance Receives the delayed Promotores training, followed by delayed caregiver training and technical assistance. _pt Delayed Promotores training Receives the delayed Promotores training, followed by technical assistance. _pt Technical assistance Receives the delayed Promotores training, followed by technical assistance.
- Primary Outcome Measures
Name Time Method Children's developmental milestone achievement as measured by the Battelle Developmental Inventory, Second Edition (BDI-2). Four years The BDI-2 Developmental Quotient has a mean of 100, standard deviation of 15, score range 40-160.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Whole Child International
🇸🇻San Salvador, El Salvador