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Cited by 18Infant Development and Preterm CareChild Nutrition and Water AccessEarly Childhood Education and Development

Effect of early childhood development interventions implemented by primary care providers commencing in the neonatal period to improve cognitive outcomes in children aged 0–23 months: protocol for a systematic review and meta-analysis

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Edmond, Karen M., Strobel, Natalie A., Adams, Claire, McAullay, Dan·2019·Systematic Reviews
DOI 10.1186/s13643-019-1142-1PMC PMC6716939
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Abstract

BACKGROUND: Impacts of early childhood development (ECD) interventions (such as fostering attachment and responsiveness through communication, play and stimulation) are well known. Globally, there is increasing recognition of the importance of the 'golden' minutes, hours and days after birth for infant health and development. However, only one systematic review has examined ECD interventions implemented in the neonatal period (0-27 days), and this review only assessed interventions implemented by specialised providers. Primary care providers have many potential contacts with mothers and infants throughout the neonatal period. However, it is unclear how many research studies or programmes have examined the effectiveness of ECD interventions commencing in the neonatal period and which methods were used. To date, there has been no systematic review of the effect of ECD interventions delivered by primary care providers commencing in the neonatal period. METHODS: Our overall aim is to conduct a systematic review of the effect of ECD interventions implemented by primary care providers in the neonatal period. We will assess effects by timing and number ('dose') of contacts with primary care providers. Subgroup assessment will include effects in disadvantaged infants such as those born with low birth weight and to mothers with mental health disorders. We will also assess effects in low- and high-income countries and by type of care provider. The primary outcome is cognitive status in children aged 0-23 months as measured using standardised scales. Secondary outcomes include other child neurodevelopment domains (speech, language, fine motor, gross motor, social, emotional, behaviour, executive functioning, adaptive functioning) in children aged 0-23 months. Effects on maternal mental health will also be assessed between 0-23 months postpartum. Databases such as MEDLINE (OVID), PsycINFO (OVID), EMBASE (OVID), CINAHL, Cochrane Library, WHO databases and reference lists of papers will be searched for relevant articles. Only randomised controlled trials will be included. A narrative synthesis for all outcomes will be reported. Meta-analyses will be performed where exposures and outcomes are sufficiently homogeneous. Guidelines for PRISMA-P (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols) will be followed. DISCUSSION: This review appears to be the first to be conducted in this area. The findings will be an important resource for policymakers, primary care providers and researchers who work with young infants in primary care settings. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42019122021.

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Authors
Edmond, K. M., Strobel, N. A., Adams, C., & McAullay, D.
Affiliations
The University of Western Australia (AU)
Corresponding author
Edmond, Karen M.
ORCID
Venue
Systematic Reviews
Publisher
Springer Science and Business Media LLC
Published
2019-08-30
Volume
8
Issue
1
Pages
224-224
ISSN
2046-4053 (ISSN-L)
DOI
10.1186/s13643-019-1142-1
PMC
PMC6716939
OpenAlex
W2970315083
Cited by
18
References
44
Citations by year
2026: 2 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 8 · 2020: 1
FWCI
0.63
Type
journal article
Language
en
Open access
Licence
Locations
  • Systematic Reviews (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • UWA Profiles and Research Repository (UWA) (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
  • Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
  • Social Sciences › Education › Early Childhood Education and Development
Keywords
neonatal period, primary care providers, child neurodevelopment, low birth weight, maternal mental health, postpartum mental health, high- and low-income countries, early intervention, infant stimulation, speech and language development, motor development, social-emotional development, executive function, adaptive behavior
MeSH terms
Systematic Reviews as Topic, Child Development, Cognition, Humans, Infant, Infant, Newborn, Primary Health Care, Meta-Analysis as Topic, Early Medical Intervention

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