Systematic review of parenting interventions in European countries aiming to reduce social inequalities in children’s health and development
Open accessAbstract
BACKGROUND: Early child development influences many aspects of wellbeing, health, competence in literacy and numeracy, criminality, and social and economic participation throughout the life course. Children from disadvantaged groups have less possibilities of achieving full development. By providing a positive start for all children across the social gradient, improved developmental outcomes will be seen during later childhood and throughout their lives. The objective of this systematic review was to identify interventions during early childhood in countries from the World Health Organisation European Region in 1999-2013 which reduced inequalities in children's health and development. METHODS: A systematic review was carried out adhering to the PRISMA guidelines. The review examined universal, targeted and proportionate universalism interventions, programs and services using an electronic search strategy in PubMed and the International Bibliography of the Social Sciences [IBSS] databases. A further search was performed in the grey literature. Interventions were included only if they were aimed at children or their parents and had been evaluated. RESULTS: We identified 23 interventions in total: 6 in the PubMed data base, 5 in IBSS and 12 in grey literature. All but 1 intervention-delivered in Sweden-were carried out in the United Kingdom and the Republic of Ireland. These aimed to improve parenting abilities, however, some had additional components such as: day-care provision, improving housing conditions and speech or psychological therapies. Programmes offering intensive support, information and home visits using a psycho-educational approach and aimed at developing parent's and children's skills showed more favourable outcomes. These were parenting behaviours, overall children's health and higher level of fine motor skills and cognitive functioning. Child injuries and abuse were also reduced. Two interventions were universally proportionate and all others were aimed at a specific target population. CONCLUSIONS: Interventions with better outcomes and a higher level of evidence combined workshops and educational programmes for both parents and children beginning during early pregnancy and included home visits by specialised staff. Further evaluation and publication of early years interventions should be carried out also within a wider range of countries than just the UK and Ireland.
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Reviews included did not identify interventions following the objective of flattening the social gradient.
“Reviews included also did not identify interventions following this objective ?(54-56).”
From Theoretical and practical challenges of proportionate universalism: a review (2020) · cites this paper as [56]
The Discussion (page not available) says nearly all identified interventions targeted deprived or at-risk groups and were not aimed at levelling the social gradient. But it also identifies two interventions with a proportionate universal approach, so it does not establish that none followed the stated objective. (LLM, conf=0.84)
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- Authors
- Morrison, J., Pikhart, H., Ruiz, M., & Goldblatt, P.
- Affiliations
- University College London (GB)
- Corresponding author
- Morrison, Joana
- Venue
- BMC Public Health
- Published
- 2014-10-06
- Volume
- 14
- Issue
- 1
- Pages
- 1040-1040
- ISSN
- 1471-2458 (ISSN-L)
- PMC
- PMC4203958
- OpenAlex
- W2036986260
- Cited by
- 92
- References
- 67
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 4 · 2023: 13 · 2022: 10 · 2021: 17 · 2020: 11 · 2019: 4 · 2018: 6 · 2017: 6 · 2016: 4 · 2015: 4
- FWCI
- 0.79
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Spiral (Imperial College London) (submittedVersion, other-oa)
- Funders
- University College London
- European Commission (278350)
- University of Toronto
- Topics
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
- Social Sciences › Education › Early Childhood Education and Development
- Keywords
- parenting support, social inequality, child health, child development, early childhood, disadvantaged children, home visiting, parent education, fine motor skills, cognitive development, early childhood intervention
- MeSH terms
- Child, Child Development, Child, Preschool, Europe, Female, Humans, Parenting, Health Status Disparities
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