Mamedova, Kamilla;
(2019)
Cumulative risk and children's developmental outcomes: evaluation of the 'Mentor Mothers' perinatal intervention in South Africa.
Doctoral thesis (D.Clin.Psy), UCL (University College London).
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Abstract
This thesis explores the topic of early childhood development (ECD) interventions in low- and middle- income countries (LMICs) in three parts. Part 1 is a systematic literature review of systematic reviews which has two aims. First, the review examines how effective psychosocial stimulation interventions are in relation to children’s cognitive outcomes and parenting practices that facilitate children’s cognitive development. Eight systematic reviews met the inclusion criteria and these demonstrated evidence of effectiveness of psychosocial stimulation interventions. Second, the review identifies the common techniques used across effective interventions. This is done by conducting common practice elements analysis of 16 intervention protocols. Part 2 is an empirical study that used longitudinal data from a cluster randomised controlled trial of a perinatal home-visiting intervention in South Africa. Children’s five-year follow up outcomes were evaluated to explore the long term effects of the intervention. The results showed no effects of the intervention at 5 years, in contrast to findings from earlier follow-up points, which showed benefits. Further, the cumulative risk framework was applied to investigate the moderation relationship between intervention, cumulative risk and children’s outcomes. Cumulative risk exerted a moderating effect on the relationship between intervention and children’s physical health outcomes. Children with higher levels of early cumulative risk benefited more from the intervention than children with lower levels of early cumulative risk. However, no moderating effects were observed on the relationship between intervention, cumulative risk and children’s behavioural and cognitive outcomes. Part 3 is a critical appraisal of the process of carrying out this research. It consists of reflections regarding the selection of the research topic and the gradual development of research questions; a discussion of the challenges associated with the process of conducting a systematic review of systematic reviews and a common elements analysis of intervention protocols; and considerations on the advantages and constraints of using secondary data analysis methodology.
Type: | Thesis (Doctoral) |
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Qualification: | D.Clin.Psy |
Title: | Cumulative risk and children's developmental outcomes: evaluation of the 'Mentor Mothers' perinatal intervention in South Africa |
Event: | UCL |
Open access status: | An open access version is available from UCL Discovery |
Language: | English |
Additional information: | Copyright © The Author 2019. Original content in this thesis is licensed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) Licence (https://creativecommons.org/licenses/by/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request. |
UCL classification: | UCL UCL > Provost and Vice Provost Offices UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences |
URI: | https://discovery.ucl.ac.uk/id/eprint/10084986 |
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