Towards a better understanding of real-world home-visiting programs: a large-scale effectiveness study of parenting mechanisms in Brazil Article Swipe
Morgan Rebecca Healy
,
Eduardo Viegas da Silva
,
Anton Rask Lundborg
,
Fernando Pires Hartwig
,
Tiago N. Munhoz
,
Adriane Xavier Arteche
,
Paul Ramchandani
,
Joseph Murray
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1136/bmjgh-2023-013787
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1136/bmjgh-2023-013787
Background The scale-up of parenting programmes to support early childhood development (ECD) is poorly understood. Little is known about how and when early interventions are most effective. Sustainability of ECD programming requires a better understanding of the mechanisms of real-world interventions. We examined the effects on caregiving practices of Primeira Infância Melhor (PIM), a state-wide home-visiting programme in Brazil. Methods This propensity score matched, longitudinal, quasiexperimental study uses data from the 2015 Pelotas Birth Cohort. We matched children who received PIM at any age with other cohort children on 25 key covariates. Sensitivity, guidance and responsiveness were assessed using video-recorded play tasks. Coerciveness and the parent–child relationship were assessed using the Parenting and Family Adjustment Scales. All parenting outcomes were examined at age 4 years. Separate moderation analyses were conducted for each effect modifier: family income, child age and duration of participation. Results Out of 4275 children in the cohort, 797 were enrolled in PIM up to age 4 years. 3018 children (70.6%) were included in the analytic sample, of whom 587 received PIM and 2431 were potential controls. We found a positive effect of PIM on responsiveness (β=0.08, 95% CIs 0.002 to 0.16) and sensitivity (β=0.10, 95% CIs 0.02 to 0.19). No effect was found for any secondary outcomes. Moderation analyses revealed a stronger positive effect on sensitivity for low-income parents (β=0.18, 95% CIs 0.03 to 0.34). Conclusion A state-wide, home-visiting programme in Brazil improved aspects of responsive caregiving. Effects were more pronounced for low-income families, suggesting benefits of purposeful targeting.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- http://doi.org/10.1136/bmjgh-2023-013787
- OA Status
- gold
- Cited By
- 1
- References
- 65
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4392001528
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4392001528Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1136/bmjgh-2023-013787Digital Object Identifier
- Title
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Towards a better understanding of real-world home-visiting programs: a large-scale effectiveness study of parenting mechanisms in BrazilWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-02-01Full publication date if available
- Authors
-
Morgan Rebecca Healy, Eduardo Viegas da Silva, Anton Rask Lundborg, Fernando Pires Hartwig, Tiago N. Munhoz, Adriane Xavier Arteche, Paul Ramchandani, Joseph MurrayList of authors in order
- Landing page
-
https://doi.org/10.1136/bmjgh-2023-013787Publisher landing page
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://doi.org/10.1136/bmjgh-2023-013787Direct OA link when available
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Scale (ratio), Psychology, Developmental psychology, Medicine, Nursing, Geography, CartographyTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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2024: 1Per-year citation counts (last 5 years)
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65Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.participation. | 141 |
| abstract_inverted_index.responsiveness | 95, 187 |
| abstract_inverted_index.video-recorded | 99 |
| abstract_inverted_index.quasiexperimental | 65 |
| cited_by_percentile_year.max | 94 |
| cited_by_percentile_year.min | 90 |
| countries_distinct_count | 3 |
| institutions_distinct_count | 8 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/1 |
| sustainable_development_goals[0].score | 0.6200000047683716 |
| sustainable_development_goals[0].display_name | No poverty |
| citation_normalized_percentile.value | 0.69441517 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |