Developmental Assessments during Injury Research: Is Enrollment of Very Young Children in Creches Associated with Better Scores?

作者：Nair Divya^*; Alonge Olakunle; Hamadani Jena Derakhshani; Salam Shumona Sharmin; Islam Irteja; Hyder Adnan A

来源：International Journal of Environmental Research and Public Health, 2017, 14(10): 1130.

DOI：10.3390/ijerph14101130

• cognitive
• psychosocial
• creche
• daycare
• child development
• Bangladesh
• Ages and Stages Questionnaire (ASQ)
• early childhood development (ECD)
• early childhood care (ECC)

The Developmental Study is part of a larger intervention on "saving of lives from drowning (SoLiD)" where children were enrolled either into creches (daycare centers) or playpens to prevent drowning in rural Bangladesh. Sampling similar to 1000 children between the ages of 9-17 months, we compared problem-solving, communication, motor and personal-social outcomes assessed by the Ages and Stages Questionnaire in the two interventions. After controlling for variables such as home stimulation in multivariate regressions, children in creches performed about a quarter of a standard deviation better in total scores (p < 0.10) and 0.45 standard deviations higher in fine motor skills (p < 0.05). Moreover, once the sample was stratified by length of exposure to the intervention, then children in creches performed significantly better in a number of domains: those enrolled the longest (about 5 months) have higher fine motor (1.47, p < 0.01), gross motor (0.40, p < 0.05) and personal-social skills (0.95, p < 0.01) than children in playpens. In addition, children in creches with the longer exposure (about 5 months) have significantly higher personal-social and problem-solving scores than those in creches with minimum exposure. Enrollment in creches of very young children may be positively associated with psychosocial scores after accounting for important confounding variables.

• 出版日期2017-10