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ArticleTrials2020

Survive and Thrive in Brazil: The Boa Vista Early Childhood Program: study protocol of a stepped-wedge, randomized controlled trial.

Alexandra Brentani, Ana Paula Scolezze Ferrer, Luana Bessa, Susan Chang, Susan Walker, Christine Powell, Jena Hamadani, Sandra Grisi, Günther Fink

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03386747 (Survive and Thrive in Brazil), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

NCT03386747 naunknown statusnot on this map

Survive and Thrive in Brazil: Boa Vista Early Childhood Program

TypeinterventionalSponsorUniversity of Sao PauloRan2017 to 2020Enrolled15,000ConditionsNeonatal Death, Mental CompetencyArmsHome visits to improve parenting behaviors, Center based parenting groups
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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.

Alexandra BrentaniDepartment of Pediatrics, University of São Paulo Medical School, Av. Dr. Emeas de Carvalho Aguiar, 467, São Paulo, Brazil. alexandra@usp.br.ORCID http://orcid.org/0000-0001-6650-9705
Ana Paula Scolezze FerrerDepartment of Pediatrics, University of São Paulo Medical School, Av. Dr. Emeas de Carvalho Aguiar, 467, São Paulo, Brazil.
Luana BessaDepartment of Pediatrics, University of São Paulo Medical School, Av. Dr. Emeas de Carvalho Aguiar, 467, São Paulo, Brazil.
Susan ChangCaribbean Institute of Health Research, University of the West Indies, Kingston, 7, WI, Jamaica.
Susan WalkerCaribbean Institute of Health Research, University of the West Indies, Kingston, 7, WI, Jamaica.
Christine PowellCaribbean Institute of Health Research, University of the West Indies, Kingston, 7, WI, Jamaica.
Jena HamadaniInternational Centre for Diarrhoeal Disease Research, Bangladesh, 68 Shaheed Tajuddin Ahmed Sarani Mohakhali, Dhaka, 1212, Bangladesh.
Sandra GrisiDepartment of Pediatrics, University of São Paulo Medical School, Av. Dr. Emeas de Carvalho Aguiar, 467, São Paulo, Brazil.
Günther FinkDepartment of Epidemiology and Public Health, Swiss TPH and University of Basel, Socintrasse 57, 4002, Basel, Switzerland.

Funding

FMCSV TTS1808-18280Grand Challenges Canada TTS1808-18280Inter-American Development Bank BR-T1389-P001
6 · The paper itself

Abstract

backgroundA growing body of evidence suggests that early life health and developmental outcomes can be improved through parental support programs. The objective of this project was to test the feasibility, impact, and relative cost-effectiveness of an adapted "Reach Up and Learn" program delivered through home-visiting programs as well as through center-based parenting groups on child health and development in the municipality of Boa Vista, Brazil.

methodsA randomized, stepped-wedge design was used to roll out and evaluate the two parenting platforms in Boa Vista municipality. A total of 39 neighborhoods with a high Neighborhood Vulnerability Index were selected for the study. For the first phase of the program, nine neighborhoods were randomly selected for home visits, and two were randomly selected for the center-based parenting groups. In the second phase of the program, 10 neighborhoods were added to the home-visiting program, and eight were added to the center-based program. In the final phase of the program, the remaining 10 control areas will also be assigned to treatment. Study eligibility will be assessed through a baseline survey completed by all pregnant women in the 39 study areas. Pregnant women will be eligible to participate in the study if they are either classified as poor, were under age 20 years when they became pregnant, or if they indicate to have been exposed to domestic or sexual violence. To assess program impact, an endline survey will be conducted when children reach age 2 years. The primary study outcome is child development at age 2 years as measured by the PRIDI instrument. Secondary outcome will be infant mortality, which will be assessed linking municipal vital registration systems to the program rollout. DISCUSSION: This trial will assess the feasibility and impact of parenting programs rolled out at medium scale. The results from the trial should create evidence urgently needed for guiding Brazil's national Criança Feliz program as well as similar efforts in other countries.

trial registrationClinicalTrials.gov, ID: NCT03386747. Registered on 13 December 2017. All items of the World Health Organization Trial Registration Data Set are available in this record.

Indexed as

AdolescentBrazilChildChild DevelopmentChild HealthChild MortalityChild, PreschoolCost-Benefit AnalysisFeasibility StudiesFemaleHouse CallsHumansInfantInfant MortalityParentingPregnancyChild developmentEarly childhood developmentInfant mortalityNeonatal mortalityParenting interventions

Identifiers

PMID32381097
PMCPMC7206708

What OpenQuestion holds

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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.