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临床试验/NCT04807907
NCT04807907已完成不适用

Promoting Infant-Directed Speech in Ghana

Northwestern University2 个研究点 分布在 1 个国家目标入组 2,800 人开始时间: 2021年3月2日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
2,800
试验地点
2
主要终点
Adult word count

研究概览

简要总结

The study is a randomized evaluation of a low-cost intervention that encourages mothers and other caregivers to talk to infants, or to engage in what is known as infant-directed speech (IDS) as a way of promoting language and brain development in Tamale and surrounding areas, Ghana.

详细描述

While parents universally use "baby talk" to soothe an infant or get her attention, engaging in a second form of infant-directed speech (IDS) - talking to young children with complete, if simplified, sentences and a rich variety of words -- varies by socioeconomic status (SES) within societies and across societies. Preliminary evidence collected from Burkina Faso and Ghana, as well as anecdotal experiences in Kenya and Uganda, are consistent with this: It is less common for parents in sub-Saharan Africa to talk to their infants than it is among parents in the US. Because IDS promotes cognitive development of children, gaps in IDS compound the disadvantages that children in poorer families face.

The most likely explanation for the IDS deficit among the poor is inaccurately low expectations about the pace of child development. A large body of literature in the US has shown that the lower the parents' SES, the lower their expectations about when children will master certain cognitive skills, e.g. speaking in a partial sentence of 3 words or more.

The study is a randomized evaluation of a low-cost intervention that encourages mothers and other caregivers to talk to infants, or to engage in what is known as infant-directed speech (IDS) as a way of promoting language and brain development in Tamale and surrounding areas, Ghana.

Parental beliefs about and practices of IDS will be evaluated through data obtained from a series of questions on these topics at baseline, during a short phone follow-up survey, and at endline. This will mainly be self-reported although we hope to explore the observation of said practices at endline. Results of the treatment arm will be compared to that of the comparison group to determine if the intervention is effective. To assess IDS behavior and child language development at endline, the LENA system (Language ENvironment Analysis) which produces two key measures It produced two key measures: adult word count (language the child hears) and conversational turns (the sounds/words the child produces in conversation with adults/others) will be compared among groups. Conditional on funding, there may be a 2-year follow-up survey (i.e. second endline) to measure children's cognitive development.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Other
盲法
None

入排标准

年龄范围
18 Years 至 40 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Adult women who visit government health facilities/outreach posts for antenatal, postnatal, or child welfare clinic visits in Tamale and surrounding areas, Ghana.
  • Must be age 18 to 40 years old
  • Be either pregnant or mothers of young infants at the time of baseline.
  • Must speak English or Dagbani (a language local to Tamale and the surrounding areas)
  • The endline survey will also include child participants.
  • Child Inclusion Criteria:
  • Must be the biological children (or wards) of the baseline respondents
  • Must be age 2-18 months old during the endline period

排除标准

  • 未提供

结局指标

主要结局

Adult word count

时间窗: 10 hours

Number of words spoken to child

Self-reported parental beliefs about the value of IDS (Index)

时间窗: 10 hours

Questionnaire about at what age the participant believes parents should begin speaking, singing, telling stories, etc. to their child using regular speech (i.e. real words, full sentences). Answers will be used to construct an index.

Self-reported parental IDS behavior (Index)

时间窗: 10 hours

Questionnaire about whether the participant uses infant directed speech, and if so, the frequency of this behavior. Answers will be used to construct an index.

Number of conversational turns

时间窗: 10 hours

Number of back-and-forth alternations between a child and an adult during conversation

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

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