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Effect of Improving Caregiving on Early Mental Health

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ClinicalTrials.gov Identifier: NCT00057291
Recruitment Status : Completed
First Posted : April 1, 2003
Last Update Posted : October 29, 2014
Sponsor:
Information provided by (Responsible Party):
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Study Description
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Brief Summary:
This study evaluates the effect on children and caregivers of providing training in warm, sensitive, responsive caregiving to caregivers in three orphanages in St. Petersburg, Russia. The study also assesses the effectiveness of having more consistent care from fewer caregivers in a family-like environment.

Condition or disease Intervention/treatment Phase
Child Development Disorders Behavioral: Responsive caregiving Not Applicable

Detailed Description:

This project will provide experimental evidence that warm, sensitive, responsive caregiving and structural changes that promote more consistent and fewer caregivers will lead to better physical, mental, social, and emotional development of young children. Structural changes are designed to facilitate a more family-like environment and include smaller group sizes, more consistent caregiving from fewer caregivers, integration by age and disability status, and establishing two daily 60-minute Family Hours in which children and caregivers interact together. The project also attempts to demonstrate that training caregivers can be beneficial to both caregivers and children.

All caregivers and children in three orphanages for children under 4 years old in St. Petersburg, Russia will participate in this study. One orphanage will implement both training and structural changes. A second orphanage will receive training only. The third orphanage will serve as a control, receiving neither training nor structural changes. Caregivers are assessed annually for attitudes to and problems with their jobs; anxiety and depression; coping styles; traditional versus progressive attitudes toward caregiving; sensitivity to children's emotions; values; and perceptions of their own relationships. Children are assessed at 3, 6, 9, 12, 18, 24, 36, and 48 months for physical growth, chronic and acute disorders, functional abilities, and mental, motor, social, and emotional development.


Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 1521 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Basic Science
Official Title: Effect of Improving Caregiving on Early Mental Health
Study Start Date : April 2000
Actual Primary Completion Date : March 2006
Actual Study Completion Date : March 2006

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Arms and Interventions
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Arm Intervention/treatment
Experimental: caregiving intervention
One group received caregiving intervention, another received only training, and a third was business as usual. These were the interventions.
 Behavioral: Responsive caregiving
Responsive caregiving consisted of operational circumstances and training of caregivers.


Outcome Measures
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Primary Outcome Measures :
  1. children's physical growth [ Time Frame: 4 to 9+ months ]
    Improved physical growth

  2. Children's development (mental, motor, social and emotional) [ Time Frame: 4 to 9+ months ]
    Improved behavioral development


Eligibility Criteria
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Ages Eligible for Study:   up to 85 Years   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria

  • All caregivers and children in three Baby Homes in St. Petersburg, Russia, who remain in the Baby Homes for at least 4 months.
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00057291


Locations
Russian Federation
Baby Home #13
St. Petersburg, Canal Gnboedora 98, Russian Federation, 190 068
Sponsors and Collaborators
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Investigators
Principal Investigator: Robert B. McCall University of Pittsburgh
More Information
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Top of Page Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Responsible Party: Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
ClinicalTrials.gov Identifier: NCT00057291     History of Changes
Other Study ID Numbers: 5R01HD39017-2
First Posted: April 1, 2003    Key Record Dates
Last Update Posted: October 29, 2014
Last Verified: December 2004

Keywords provided by Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD):
Orphanage
Caregiving
Training
Child development

Additional relevant MeSH terms:
Developmental Disabilities
Neurodevelopmental Disorders
Mental Disorders