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Hurt, L, Paranjothy, S, Lucas, PJ, Watson, D, Mann, M, Griffiths, LJ, Ginja, S, Paljarvi, T, Williams, J, Bellis, MA and Lingam, R (2018) Interventions that enhance health services for parents and infants to improve child development and social and emotional well-being in high-income countries: A systematic review. BMJ Open, 8 (2). ISSN 2044-6055
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Abstract
Background: Experiences in the first 1000 days of life have a critical influence on child development and health. Health services that provide support for families need evidence about how best to improve their provision. Methods: We systematically reviewed the evidence for interventions in high-income countries to improve child development by enhancing health service contact with parents from the antenatal period to 24 months postpartum. We searched 15 databases and trial registers for studies published in any language between 01 January 1996 and 01 April 2016. We also searched 58 programme or organisation websites and the electronic table of contents of eight journals. Results: Primary outcomes were motor, cognitive and language development, and social-emotional well-being measured to 39 months of age (to allow the interventions time to produce demonstrable effects). Results: were reported using narrative synthesis due to the variation in study populations, intervention design and outcome measurement. 22 of the 12 986 studies identified met eligibility criteria. Using Grading of Recommendations Assessment, Development and Evaluation (GRADE) working group criteria, the quality of evidence overall was moderate to low. There was limited evidence for intervention effectiveness: positive effects were seen in 1/6 studies for motor development, 4/11 for language development, 4/8 for cognitive development and 3/19 for social-emotional well-being. However, most studies showing positive effects were at high/unclear risk of bias, within-study effects were inconsistent and negative effects were also seen. Intervention content and intensity varied greatly, but this was not associated with effectiveness. Conclusions: There is insufficient evidence that interventions currently available to enhance health service contacts up to 24 months postpartum are effective for improving child development. There is an urgent need for robust evaluation of existing interventions and to develop and evaluate novel interventions to enhance the offer to all families.
| Item Type: | Article |
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| Uncontrolled Keywords: | Humans; Child Development; Mental Health; Developed Countries; Child, Preschool; Health Services Needs and Demand; Randomized Controlled Trials as Topic; Social Skills; child development; early intervention; social and emotional wellbeing; universal health services; Child Development; Child, Preschool; Developed Countries; Health Services Needs and Demand; Humans; Mental Health; Randomized Controlled Trials as Topic; Social Skills; 1103 Clinical Sciences; 1117 Public Health and Health Services; 1199 Other Medical and Health Sciences |
| Subjects: | H Social Sciences > HV Social pathology. Social and public welfare. Criminology R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Public Health Institute |
| Publisher: | BMJ |
| SWORD Depositor: | A Symplectic |
| Date Deposited: | 21 Dec 2022 14:26 |
| Last Modified: | 21 Dec 2022 14:26 |
| DOI or ID number: | 10.1136/bmjopen-2016-014899 |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/18483 |
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