Clinical trial NCT05796934: Evaluation of the Moments That Matter Program in Kenya
Official title: Evaluation of the Moments That Matter Program in Kenya
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Child Development
Keywords: early child development
parenting
Kenya
Lead sponsor: Harvard School of Public Health (HSPH)
Sponsor class: OTHER
Collaborators: name: Anglican Church of Kenya Development Services - Nyanza (ADS-Nyanza)
name: Episcopal Relief & Development
First posted: 2023-04-04
Enrollment: 595
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: This cluster-randomized trial aims to evaluate the impact of the Moments That Matter® (MTM) Program on early child development and caregiving outcomes in two selected counties in western Kenya.

Detailed description: Approximately 43% of children under-5 are at risk of not attaining their developmental potential. Parenting interventions are recommended for improving early childhood development during the earliest years of life. However, there is limited evidence regarding the delivery and effectiveness of parenting interventions to promote early child development outcomes in Kenya specifically. This cluster-randomized trial aims to evaluate the effectiveness of the Moments That Matter® (MTM) Program on early child development and caregiving outcomes in two selected counties in western Kenya. The MTM Program will be implemented by the Anglican Church of Kenya Development Services - Nyanza (ADS-Nyanza), a faith-based organization focused on supporting integrated community-based programs to support the health, wellbeing, and development of the most vulnerable children and families. Various stakeholders - including community volunteers, faith leaders, and ECD committees - will be mobilized and trained to deliver nurturing care and ECD services over an 18-month program period. This trial will enroll primary caregivers of children 0-18 months of age and longitudinally follow the study cohort to ultimately compare changes in early child development and caregiving outcomes between the intervention and waitlist-control study arms. In addition to the impact evaluation, a qualitative implementation evaluation will be conducted to assess quality of delivery, identify factors that influence program effectiveness, and determine program potential for sustainability and scale-up.

Eligibility criteria: Inclusion Criteria:

* Primary caregiver (parent or legal guardian) to a child aged 0-18 months
* Resides in a village selected into the research study
* Caregiver provides informed consent on behalf of both themself and the child to participate

Primary outcomes:
measure: Early child development
timeFrame: 18 months
Secondary outcomes:
measure: Caregiver stimulation practices
timeFrame: 18 months
measure: Home learning materials
timeFrame: 18 months
measure: Caregiver disciplinary practices
timeFrame: 18 months
measure: Parenting stress
timeFrame: 18 months
Other outcomes:
measure: Infant and young child feeding (IYCF) practices
timeFrame: 18 months
measure: Care-seeking for child illness
timeFrame: 18 months
measure: Male caregiver involvement
timeFrame: 18 months
measure: Gender attitudes
timeFrame: 18 months
measure: Social support
timeFrame: 18 months
measure: Birth registration
timeFrame: 18 months
measure: Intimate partner violence
timeFrame: 18 months
Locations:
city: Kisumu
country: Kenya
facility: Anglican Church of Kenya Development Services - Nyanza
Study officials:
affiliation: Harvard School of Public Health (HSPH)
name: Joshua Jeong, ScD
role: PRINCIPAL_INVESTIGATOR
References: