Evidence map›Paper›PMID 42692797›Full record

ReviewBMJ paediatrics open2026

RIGHTS principles for early intervention: right care at the right time for every infant, child and family in low and middle-income countries.

Álvaro Hidalgo-Robles, Daniel Cid-Cofré, María Lucía Mesa-Rubio, Antonio Rizzoli-Córdoba, Anahí Venzor Strader, Helia Molina-Milman

Abstract readReview
In one paragraph

Review in BMJ paediatrics open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Álvaro Hidalgo-RoblesFacultad de Educación, Universidad Internacional de La Rioja, Logroño, Spain alvaro.hidalgo@unir.net.ORCID http://orcid.org/0000-0001-6294-7476
Daniel Cid-CofréCentro de Innovación y Desarrollo en Ámbitos de Salud, cIDEAS, Maule, Chile.
María Lucía Mesa-RubioGrupo de Investigación en Salud Pública Educación y Profesionalismo SEP, Universidad de los Andes, Bogotá, Colombia.
Antonio Rizzoli-CórdobaBehavioral and Developmental Pediatrics Service, Hospital Infantil de México Federico Gómez, Mexico City, Mexico.
Anahí Venzor StraderDivision of Emergency Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID http://orcid.org/0000-0001-9604-7708
Helia Molina-MilmanFacultad de Ciencias Médicas, Universidad de Santiago de Chile, Santiago, Chile.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly intervention programmes for infants and young children at developmental risk are implemented inconsistently and inequitably worldwide. Variation in access, surveillance, referral, follow-up and service quality means that children and families may receive very different opportunities depending on where they live, system capacity and resources, laws, policy and local pathways. Practical, evidence-informed guidance is needed to translate 'what should be done' into 'how to implement it' across diverse settings.

methodsThis conceptual, practice-oriented article used a narrative review and an evidence-informed iterative framework-development process. Sources included global frameworks, clinical guidelines and evidence syntheses, randomised and longitudinal studies relevant to low and middle-income contexts and implementation science frameworks.

resultsWe propose six Reach, Identify early, align Goals, Help families deliver, Track and improve and ensure Sustainability (RIGHTS) principles for early intervention programmes: (1) Reach underserved infants, children and families through proactive, equity-oriented and outreach-capable models; (2) Identify developmental risk early through standardised, feasible pathways with clear timepoints, tools, thresholds and referral circuits; (3) align Goals with family priorities, functioning and everyday routines through shared decision-making; (4) Help families deliver intervention using coaching, routines-based strategies and realistic doses of practice; (5) Track and improve systems through standards, service indicators, family experience measures and continuous learning cycles; and (6) ensure Sustainability by institutionalising governance, financing, workforce capacity and policy alignment for durable impact.

conclusionsEarly intervention programmes should be designed to connect timely identification with family-centred, functionally meaningful and feasible support. Embedding standardisation, equity, caregiver partnership and data-informed improvement into service design may reduce unwarranted variation and strengthen continuity of care. Priority research areas include implementation-effectiveness studies, equity impacts, minimum data sets and the cost-effectiveness of scalable and sustainable early intervention programmes.

Indexed as

Developing CountriesEarly Intervention, EducationalChildChild, PreschoolHealth Services AccessibilityHumansInfantChild HealthChildrenHealth PolicyLow and Middle Income CountriesPatient Rights

Identifiers

PMID42692797
PMCPMC13548216

What OpenQuestion holds

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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.