PMID- 36461019 OWN - NLM STAT- MEDLINE DCOM- 20221206 LR - 20221213 IS - 1471-2431 (Electronic) IS - 1471-2431 (Linking) VI - 22 IP - 1 DP - 2022 Dec 2 TI - Effect of parenting intervention through "Care for Child Development Guideline" on early child development and behaviors: a randomized controlled trial. PG - 690 LID - 10.1186/s12887-022-03752-x [doi] LID - 690 AB - BACKGROUND: Several studies showed that parenting intervention programs play a core component in early child development. Considering the limited healthcare resources in developing countries, group-session intervention based on care for child development (CCD) guideline might be cost-effective. METHODS: This randomized controlled trial was conducted at an outpatient public Pediatrics clinic in Isfahan, Iran. We included 210 pregnant women aged 18-45 years in their third trimester and followed their children for 18 months. The intervention group underwent 5 educational group sessions, each lasting for almost 45 minutes. The main outcomes were the children's development and socio-emotional behavior problems based on Bayley Scales of Infant and Toddler Development-III (BSID-III) at 12 months and the Children Behavior Checklist (CBCL) at 18 months. RESULTS: Overall, data of 181 children were included in the current study, including 80 in the intervention group and 101 controls. The adjusted median/mean differences between intervention and control groups using median/linear regression were not significant for all BSID-III domains except for median differences for cognitive score based on BSID-III (beta (SE): - 4.98(2.31), p:0.032) and mean differences for anxiety/depression score based on CBCL (beta (SE): - 2.54(1.27), p:0.046). CONCLUSION: In this study, parenting interventions through CCD group sessions were significantly effective on just one subscale of children's socio-emotional behavior domains based on CBCL and one domain of children's development based on BSID-III. There might be a ceiling or floor effects for the BSID-III and CBCL assessment, respectively, leaving little room for improvement as almost all children have achieved their full developmental potential in our study. TRIAL REGISTRATION: IRCT20190128042533N2, Date of registration: 16/01/2020, www.irct.ir. CI - (c) 2022. The Author(s). FAU - Bemanalizadeh, Maryam AU - Bemanalizadeh M AUID- ORCID: 0000-0002-6055-8917 AD - Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran. AD - Department of Child Neurology, Isfahan University of Medical Sciences, Isfahan, Iran. FAU - Badihian, Negin AU - Badihian N AUID- ORCID: 0000-0002-3520-5212 AD - Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran. FAU - Khoshhali, Mehri AU - Khoshhali M AUID- ORCID: 0000-0002-2883-8652 AD - Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran. FAU - Badihian, Shervin AU - Badihian S AUID- ORCID: 0000-0002-9140-3061 AD - Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, USA. FAU - Hosseini, Neda AU - Hosseini N AUID- ORCID: 0000-0002-0939-4101 AD - Department of Child Neurology, Isfahan University of Medical Sciences, Isfahan, Iran. FAU - Purpirali, Marziye AU - Purpirali M AUID- ORCID: 0000-0002-6896-6026 AD - Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran. AD - Occupational Therapy Department, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran. FAU - Abadian, Mansoore AU - Abadian M AUID- ORCID: 0000-0003-4738-5457 AD - Occupational Therapy Department, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran. FAU - Yaghini, Omid AU - Yaghini O AUID- ORCID: 0000-0002-0399-6531 AD - Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran. omidyaghini@yahoo.com. AD - Department of Child Neurology, Isfahan University of Medical Sciences, Isfahan, Iran. omidyaghini@yahoo.com. FAU - Daniali, Seyede Shahrbanoo AU - Daniali SS AUID- ORCID: 0000-0001-8010-0279 AD - Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran. sh_daniali@yahoo.com. FAU - Kelishadi, Roya AU - Kelishadi R AUID- ORCID: 0000-0001-7455-1495 AD - Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20221202 PL - England TA - BMC Pediatr JT - BMC pediatrics JID - 100967804 SB - IM MH - Pregnancy MH - Infant MH - Female MH - Humans MH - Child MH - *Parenting MH - Child Development MH - *Problem Behavior MH - Emotions MH - Anxiety PMC - PMC9716152 OTO - NOTNLM OT - Child behavior OT - Child development OT - Parenting education COIS- The authors declare that they have no competing interests. EDAT- 2022/12/03 06:00 MHDA- 2022/12/07 06:00 PMCR- 2022/12/02 CRDT- 2022/12/02 23:48 PHST- 2022/02/15 00:00 [received] PHST- 2022/11/14 00:00 [accepted] PHST- 2022/12/02 23:48 [entrez] PHST- 2022/12/03 06:00 [pubmed] PHST- 2022/12/07 06:00 [medline] PHST- 2022/12/02 00:00 [pmc-release] AID - 10.1186/s12887-022-03752-x [pii] AID - 3752 [pii] AID - 10.1186/s12887-022-03752-x [doi] PST - epublish SO - BMC Pediatr. 2022 Dec 2;22(1):690. doi: 10.1186/s12887-022-03752-x.