Evidence map›Paper›PMID 34403137›Full record

Trial reportJournal of child psychology and psychiatry, and allied disciplines2022

Cognitive, psychosocial, and behaviour gains at age 31 years from the Jamaica early childhood stimulation trial.

Susan P Walker, Susan M Chang, Amika S Wright, Rodrigo Pinto, James J Heckman, Sally M Grantham-McGregor

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of child psychology and psychiatry, and allied disciplines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
18.4field-weighted citation impact, top 1% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

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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

6 authors at 4 institutions in 3 countries.

Susan P WalkerCaribbean Institute for Health Research, The University of the West Indies, Kingston, Jamaica.ORCID 0000-0001-9494-1116
Susan M ChangCaribbean Institute for Health Research, The University of the West Indies, Kingston, Jamaica.
Amika S WrightCaribbean Institute for Health Research, The University of the West Indies, Kingston, Jamaica.
Rodrigo PintoDepartment of Economics, The University of California at Los Angeles, Los Angeles, CA, USA.
James J HeckmanCentre for for the Economics of Human Development, University of Chicago, Chicago, IL, USA.
Sally M Grantham-McGregorInstitute of Child Health, University College London, London, UK.
University of the West Indies · JMAmerican Bar Foundation · USUniversity College London · GBUniversity of California, Los Angeles · US

Funding

Integrated Lifecycle Approach to the Development of Health & Other CapabilitiesR37HD065072 · NICHD · NATIONAL BUREAU OF ECONOMIC RESEARCH · PI HECKMAN, JAMES J · 2010 to 2019
$6.1M
NICHD NIH HHS R37 HD065072The World Bank Strategic Impact Evaluation Fund 7180412
6 · The paper itself

Abstract

backgroundThere is little evidence on adult benefits from early childhood interventions in low and middle-income countries. We assessed adult cognition, psychosocial skills and behaviour from a stimulation trial conducted in Jamaica.

methodsChildren with stunted growth (height-for age <-2SD of references) aged 9-24 months were enrolled in a two-year randomised-controlled trial of nutritional supplementation and/or stimulation. At mean age 31.79 (SD 0.40) years, 95 of 127 participants (74.8%; 53.7% male) were assessed. Children without stunted growth were also followed as a comparison group (64 of 84 participants, 76.2%). Measurements included IQ, executive function, mental health, psychosocial skills, personality traits and risk behaviours. A block permutation test, valid for small sample sizes, was used. Analyses accounted for the randomisation protocol, multiple hypothesis testing and attrition.

resultsTreatment group participants (stimulation intervention with or without supplementation, n = 48) had significantly greater IQ (Hedges g effect size 0. 57; 95%CI 0.20, 0.95) and cognitive flexibility (0.61; 0.25, 0.98) compared with no-treatment (no-intervention and supplementation only, n = 47). They also had reduced depressive symptoms (0.61; 0.28, 1.00), increased grit (0.53; 0.16, 0.92) and conscientiousness (0.66; 0.31, 1.07), lower substance use (rank mean score, 0.45; 0.08, 0.81) and risk taking related to health and work (0.64; 0.27, 1.00). There were 18 significant outcomes of 33 assessed. Comparison participants had higher IQ than no-treatment (1.17; 0.81, 1.54) and treatment groups (0.62; 0.18, 1.07); and better executive function, lower social inhibition and risk taking than the no-treatment group.

conclusionsThe wide-ranging benefits at 31 years from the stimulation intervention supports investment in larger scale programmes to promote early childhood development in disadvantaged children. The lower IQ in the treatment group compared with comparison participants, emphasises the need for continued efforts to prevent early childhood growth retardation.

Indexed as

Child DevelopmentGrowth DisordersAdultChildChild, PreschoolCognitionExecutive FunctionFemaleHumansJamaicaMalecognitionEarly childhoodpsychosocial skillsstimulationstunting

Identifiers

PMID34403137
PMCPMC8850528
OpenAlexW3194192644

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.