Trial reportDevelopmental medicine and child neurology2016
Randomized controlled trial of a home-visiting intervention on infant cognitive development in peri-urban South Africa.
Trial report in Developmental medicine and child neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 7 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Primary-level and community worker interventions for the prevention of mental disorders and the promotion of well-being in low- and middle-income countries.The Cochrane database of systematic reviews · 2023Pooled it
- Positive Parenting and Early Childhood Cognition: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Clinical child and family psychology review · 2023Pooled it
- Parenting interventions to promote early child development in the first three years of life: A global systematic review and meta-analysis.PLoS medicine · 2021Pooled it
- Short-term, medium-term and long-term effects of early parenting interventions in low- and middle-income countries: a systematic review.BMJ global health · 2021Pooled it
- Supporting Child Development Through Parenting Interventions in Low- to Middle-Income Countries: An Updated Systematic Review.Frontiers in public health · 2021Pooled it
- Pooled it
- Impact of maternal mental health interventions on child-related outcomes in low- and middle-income countries: a systematic review and meta-analysis.Epidemiology and psychiatric sciences · 2020Pooled it
- Effects of Two Early Parenting Programmes on Child Aggression and Risk for Violence in Brazil: a Randomised Controlled Trial.Prevention science : the official journal of the Society for Prevention Research · 2024Trial
- Home Visiting and Antenatal Depression Affect the Quality of Mother and Child Interactions in South Africa.Journal of the American Academy of Child and Adolescent Psychiatry · 2019Trial
- Nutritional, Socioeconomic, and Delivery Characteristics Are Associated with Neurodevelopment in Tanzanian Children.The Journal of pediatrics · 2019Trial
- Antenatal depressed mood and child cognitive and physical growth at 18-months in South Africa: a cluster randomised controlled trial of home visiting by community health workers.Epidemiology and psychiatric sciences · 2018Trial
- Effectiveness of an action-oriented educational intervention in ensuring long term improvement of knowledge, attitudes and practices of community health workers in maternal and infant health: a randomized controlled study.BMC medical education · 2018Trial
- Trial
- Trial
- Do the early social environment and persistent peripartum depressive symptoms shape toddlers' expressive language?JCPP advances · 2025Article
- Towards a better understanding of real-world home-visiting programs: a large-scale effectiveness study of parenting mechanisms in Brazil.BMJ global health · 2024Article
- 'Children awaken by playingBMJ open · 2023Article
- The Effectiveness of Interactive Text Messaging and Structured Psychosocial Support Groups on Developmental Milestones of Children From Adolescent Pregnancies in Kenya: Quasi-Experimental Study.JMIR pediatrics and parenting · 2023Article
- Newborn behavioral observations system in rural Pakistan: A feasibility and acceptability study.Infant mental health journal · 2023Article
- Maternal patterns of antenatal and postnatal depressed mood and the impact on child health at 3-years postpartum.Journal of consulting and clinical psychology · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
aimTo determine whether, in an impoverished South African community, an intervention that benefitted infant attachment also benefitted cognitive development.
methodPregnant females were randomized to intervention (n=220) and no-treatment control groups (n=229). The intervention was home-based parenting support for attachment, delivered until 6 months postpartum. At 18 months, infants were assessed on attachment and cognitive development (Bayley Scales Mental Development Index [MDI]) (n=127 intervention, n=136 control participants). Infant MDI was examined in relation to intervention, socio-economic risk, antenatal depression, and infant sex and attachment.
resultsOverall, there was little effect of the intervention on MDI (p=0.094, d=0.20), but there was an interaction between intervention and risk (p=0.03, ηp2=0.02). MDI scores of infants of lower risk intervention group mothers were, on average, 4.84 points higher than those of other infants (p=0.002, d=0.41). Antenatal depression was not significant once intervention and risk were controlled (p=0.08); there was no association between infant MDI and either sex (p=0.41) or attachment (p=0.56).
interpretationParenting interventions for infant cognitive development may benefit from inclusion of specific components to support infant cognition beyond those that support attachment, and may be most effective for infants over 6 months. They may need augmentation with other input where adversity is extreme.
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