Evidence map›Paper›PMID 31797385›Full record

Trial reportJournal of child psychology and psychiatry, and allied disciplines2020

Effects of a scalable home-visiting intervention on child development in slums of urban India: evidence from a randomised controlled trial.

Alison Andrew, Orazio Attanasio, Britta Augsburg, Monimalika Day, Sally Grantham-McGregor, Costas Meghir, Fardina Mehrin, Smriti Pahwa, Marta Rubio-Codina

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of child psychology and psychiatry, and allied disciplines, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07432971 (Follow-up of Parenting and Unconditional Cash on Children's Development at Middle Childhood), which is not on this map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT07432971 nacompletednot on this mapstarted 2024, after this paper: background citation

Follow-up of Parenting and Unconditional Cash on Children's Development at Middle Childhood

TypeinterventionalSponsorInternational Centre for Diarrhoeal Disease Research, BangladeshRan2024 to 2025Enrolled599ConditionsFollow-up of a cRCTArmsParenting training
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  17. South Indian Children's Neurodevelopmental Outcomes After Group B Streptococcus Invasive Disease: A Matched-Cohort Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Alison AndrewInstitute for Fiscal Studies, London, UK.ORCID 0000-0002-8908-9683
Orazio AttanasioInstitute for Fiscal Studies, London, UK.
Britta AugsburgInstitute for Fiscal Studies, London, UK.
Monimalika DayCenter for Early Childhood Education and Development, Ambedkar University, Delhi, India.
Sally Grantham-McGregorUCL Great Ormond Street Institute of Child Health, London, UK.
Costas MeghirInstitute for Fiscal Studies, London, UK.
Fardina MehrinInternational Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Smriti PahwaPratham, Delhi, India.
Marta Rubio-CodinaInter-American Development Bank, Washington, DC, USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Early Childhood Development for the Poor: Impacting at ScaleR01HD072120 · NICHD · YALE UNIVERSITY · PI MEGHIR, KONSTANTINOS · 2012 to 2017
$2.0M
European Research Council 695300-HKADeC-ERC-2015-AdGNCATS NIH HHS UL1 TR001863NICHD NIH HHS R01 HD072120NIH HHS HD072120
6 · The paper itself

Abstract

backgroundAn estimated 63.4 million Indian children under 5 years are at risk of poor development. Home visits that use a structured curriculum to help caregivers enhance the quality of the home stimulation environment improve developmental outcomes. However, achieving effectiveness in poor urban contexts through scalable models remains challenging.

methodsUsing a cluster randomised controlled trial, we evaluated a psychosocial stimulation intervention, comprising weekly home visits for 18 months, in urban slums of Cuttack, Odisha, India. The intervention is complementary to existing early childhood services in India and was run and managed through a local branch of a national NGO. The study ran from August 2013 to July 2015. We enrolled 421 children aged 10-20 months from 54 slums. Slums were randomised to intervention or control. Primary outcomes were children's cognitive, receptive language, expressive language and fine motor development assessed using the Bayley-III. Prespecified intent-to-treat analysis investigated impacts and heterogeneity by gender. TRIAL REGISTRATIONS: ISRCTN89476603, AEARCTR-0000169.

resultsEndline data for 378 (89.8%) children were analysed. Attrition was balanced between groups. We found improvements of 0.349 of a standard deviation (SD; p = .005, stepdown p = .017) to cognition while impacts on receptive language, expressive language and fine motor development were, respectively, 0.224 SD (p = .099, stepdown p = .184), 0.192 SD (p = .085, stepdown p = .184) and 0.111 (p = .385, stepdown p = .385). A child development factor improved by 0.301 SD (p = .032). Benefits were larger for boys. The quality of the home stimulation environment also improved.

conclusionsThis study shows that a potentially scalable home-visiting intervention is effective in poor urban areas.

Indexed as

Child DevelopmentHouse CallsPoverty AreasUrban PopulationCognitionFemaleHumansIndiaInfantMaleChild developmenthome visitingparent-child interaction

Identifiers

PMID31797385
PMCPMC7242140

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.