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The problem
Intervention: Family Strengthening Intervention for Early Childhood Development and Violence-Prevention (FSI-ECD + VP), a home-visiting intervention delivered by Community Health Workers after 3 weeks of training
Who it was tested with: Eighty dual-caregiver households (160 caregivers, 73% female) in Makeni region of Sierra Leone with at least one child aged 6-36 months and elevated emotion regulation difficulties.
Children or communities are compared with a group that did not receive the intervention, or followed over years. This is the design that best separates what the intervention did from everything else that changed.
"Families were randomized to receive either the FSI-ECD + VP or treatment as usual (TAU). Research assistants blinded to treatment assignment assessed caregiver mental health, caregiver-child interactions, and household violence at baseline, post-intervention, and 3-month follow-up time points." The randomized design with blinded assessors and multiple time points provides reasonable evidence for intervention efficacy on targeted outcomes.
Small pilot sample in one region; limited follow-up period (only 3 months); some outcomes described as 'preliminary' suggesting statistical power may be limited
Across countries and designs
7 studies · 4 countries