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临床试验/NCT07506603
NCT07506603已完成不适用

A Randomized Evaluation of the Effects of a Preschool Intervention on Child Learning and Female Economic Empowerment in Tharaka Nithi County, Kenya

Yale University1 个研究点 分布在 1 个国家目标入组 2,017 人开始时间: 2023年12月4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
2,017
试验地点
1
主要终点
Mean Score International Development and Early Learning Assessment (IDELA)

研究概览

简要总结

This research project aims to design and evaluate an innovative model for childcare provision in rural Kenya that emphasizes child development and economic participation for women in a cost-effective manner. Using a randomized controlled trial (RCT) design, the project will examine the impact of allowing children in Tharaka Nithi County (TNC) in Kenya to attend pre-school from the age of 3 versus the current early childhood development programming in Kenya which is for children aged 4 and above. The potential to offer early childhood development care for 3-year-olds is a key investment to be considered with high potential for expansion across Kenya and beyond. The intervention will introduce an enhanced curriculum for pre-primary 1 (PP1) and will be adapted for the Kenyan context and include coaching of teachers and caregivers. Using a rigorous research design, and by collecting data from both children and parents, the project will capture data on child development, employment, income, intra-household dynamics and broader women empowerment indicators. The project seeks to impact policies aimed at advancing both child development as well as women's economic empowerment in Kenya.

详细描述

The PP1 intervention consists of six main components: A. Expanding admission to 3-year-olds in the current preschools (they currently start at 4), B. Adapting the government curriculum to accommodate the 3-year-old children (as the curriculum currently starts at 4 years) C. Developing teacher activity guides to support curriculum implementation for both 3- and 4-year-olds, D. Providing developmentally appropriate teaching and learning materials (e.g. picture books, puzzles, games), E. Adding an extra teacher in the preschool class (PP1), and F. Training the teachers how to use the activity guides and learning materials and how to use evidence-based and developmentally-appropriate instructional strategies through teacher-training workshops and in-class coaching.

The experimental design involves a Randomized Controlled Trial (RCT) to assess the impact of the Tharaka Nithi County Preschool Program on child development and women's labor supply. The intervention targets 3-4-year-olds, utilizing the existing infrastructure of PP1 (pre-primary 1) in selected public schools.

Participants were recruited in 2 cohorts:

Cohort 1: Randomization will take place by computer following a census of eligible households (those with children 2y8mo-3y6mo at baseline who have expressed willingness to participate) within a radius of 3km from the 118 schools. Within the 3km catchment area of the schools 15 children will be selected and their families consented for the intervention and data collection. Following this, within the catchment group of the 60 treatment schools 5 children are randomly admitted to the treatment schools and another 5 are randomly selected as controls within the same communities. Within the catchment area of the control schools 5 children and their families are randomly selected for observation. Data is collected from the families (mother and father - when present), and the children (assessments) at baseline, midline, and at the end of the intervention. In addition, within each school (treatment and control) 5 4-year olds are recruited. They are also subject to the intervention, since they are in the same classrooms as the 3-year-olds. However, the non-treated 4-year-olds are still attending PP1 class but in a non-treated school.

Cohort 2: The same treatment and control schools are involved. Only 3 year olds are recruited (2y8mo-3y6mo at baseline). Investigators will identify the 5 closest consenting families with 3-year-olds to each of the treatment schools. If it is a treatment school, the 5 children are admitted to the PP1 in that school. The five children and their families in the radius of the control school are kept for observation. Consenting takes place before treatment status is revealed. Data is collected from the families (mother and father - when present), and the children (assessments) at baseline and at the end of the intervention.

研究设计

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

入排标准

年龄范围
3 Years 至 5 Years(Child)
性别
All
接受健康志愿者

入选标准

  • School level:
  • schools must offer PP1 classes
  • schools must have sufficient available capacity and some level of infrastructure provision to support an additional 5-8 children (3-year-olds), and
  • should not have more than five 3-year-olds already in attendance of the PP1 class in the year prior to the intervention, nor a playgroup offered by the school
  • Household/child level:
  • have children who will turn approximately 3 years old by the start of the academic year
  • have demonstrated a willingness to send their children to the local school for the relevant fee.
  • households within a 3 km radius of all eligible schools.

排除标准

  • 未提供

结局指标

主要结局

Mean Score International Development and Early Learning Assessment (IDELA)

时间窗: 1 year and 2 years

IDELA is commonly used for program evaluation. Total score range from 0-100% with higher scores indicating better performance.

Mean Score Wechsler Preschool and Primary Scale of Intelligence (WPPSI)- Full Scale IQ (FSIQ)

时间窗: 1 year and 2 years

WPPSI assesses cognitive development using engaging, game-like tasks to measure Verbal Comprehension, Visual Spatial, Fluid Reasoning, Working Memory, and Processing Speed. Total score range 40 to 160. Higher scores indicate higher IQ.

次要结局

  • Mean Score WPPSI-IV Verbal Comprehension Index (VCI)(1 year and 2 years)
  • Mean Score Preschool Self-Regulation Assessment (PSRA)(Baseline, 1 year and 2 years)
  • Mean Score Quality of the Classroom Environment using an adapted version of the Measuring Early Learning Environments (MELE)(1 year and 2 years)
  • Mean Scores International Development and Early Learning Assessment (IDELA) Subscales(1 year and 2 years)
  • Teacher Satisfaction(1 year and 2 years)
  • Teacher Burnout(2 years)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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