The role of early childhood education programmes in the promotion of child and adolescent mental health in low-and middle-income countries
Abstract
BACKGROUND: There is growing evidence that early childhood education (ECE) interventions can reduce the loss of developmental potential of disadvantaged children in low- and middle-income countries (LAMIC). Less attention has been paid to the potential of these programmes to prevent child mental health problems and promote child well-being. METHODS: Peer-reviewed journal articles describing controlled evaluations of ECE interventions in LAMIC were reviewed to identify studies with child mental health outcomes. Studies with proximal outcomes for child mental health including caregiver practices and caregiver mental health were also reviewed. RESULTS: Of 63 studies identified, 21 (33.33%) included child mental health outcomes; 12 of 16 studies with short-term measures showed benefits; 6 studies included a longer-term follow-up and all found benefits; 25 studies included caregiver outcomes: consistent benefits were found for caregiver practices (21 studies) and 6 of 9 studies that measured caregiver mental health reported benefits. Gains to child mental health may be most likely when ECE interventions include three main elements: (i) activities to increase child skills including cognition, language, self-regulation and social-emotional competence; (ii) training caregivers in the skills required to provide a cognitively stimulating and emotionally supportive environment; and (iii) attention to the caregivers' mental health, motivation and self-efficacy. Recommendations for the design and implementation of programmes are provided. CONCLUSION: ECE interventions are an important component of mental health prevention and promotion in LAMIC, and promoting child and caregiver well-being is a fundamental aspect of interventions to improve child development.
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Early childhood development interventions including stimulation in early childhood, preschool level interventions, and ECD consultations have shown to be effective in improving health behaviors, conduct problems, and social skills.
“Evidence suggests that early childhood development (ECD) interventions including stimulation in early childhood, preschool level interventions, and ECD consultations have shown to be effective in improving health behaviors, conduct problems, and social skills and are also low-cost interventions delivered in home and at school [63], [64], [65], [66], [67].”
From Interventions for Adolescent Mental Health: An Overview of Systematic Reviews (2016) · cites this paper as [63]
Early childhood development interventions are low-cost interventions delivered in home and at school.
“Evidence suggests that early childhood development (ECD) interventions including stimulation in early childhood, preschool level interventions, and ECD consultations have shown to be effective in improving health behaviors, conduct problems, and social skills and are also low-cost interventions delivered in home and at school [63], [64], [65], [66], [67].”
From Interventions for Adolescent Mental Health: An Overview of Systematic Reviews (2016) · cites this paper as [63]
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Vaikų emocinės sveikatos ugdymas(is) ikimokyklinio ugdymo įstaigoje: mokytojų nuomonės ir patirtys
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- Authors
- Baker-Henningham, H.
- Venue
- International Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-12-22
- Volume
- 43
- Issue
- 2
- Pages
- 407-433
- ISSN
- 0300-5771 (ISSN-L)
- 1464-3685
- OpenAlex
- W2132047889
- Cited by
- 61
- References
- 118
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 5 · 2023: 5 · 2022: 8 · 2021: 4 · 2020: 4 · 2019: 2 · 2018: 7 · 2017: 6 · 2016: 10 · 2015: 3 · 2014: 4
- FWCI
- 27.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Education › Early Childhood Education and Development
- Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- early childhood education, child mental health, adolescent mental health, mental health promotion, mental health prevention, low- and middle-income countries, caregiving practices, caregiver mental health, child development, socioemotional skills, self-regulation, program design
- MeSH terms
- Adolescent, Mental Disorders, Child, Child, Preschool, Developing Countries, Education, Nonprofessional, Female, Health Promotion, Health Status, Humans, Male, Mental Health, Parents, Program Evaluation, Randomized Controlled Trials as Topic, Parenting, Caregivers, Early Intervention, Educational
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