Academic Journal
Effectiveness of the Moments that Matter parenting programme on caregiving practices, family violence, mental health and early child development in Kenya: a cluster-randomised controlled trial.
| Τίτλος: | Effectiveness of the Moments that Matter parenting programme on caregiving practices, family violence, mental health and early child development in Kenya: a cluster-randomised controlled trial. |
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| Συγγραφείς: | Jeong J; Hubert Department of Global Health, Emory University Rollins School of Public Health, Atlanta, Georgia, USA joshua.jeong@emory.edu., McCann JK; Hubert Department of Global Health, Emory University Rollins School of Public Health, Atlanta, Georgia, USA., Hadd AR; Hubert Department of Global Health, Emory University Rollins School of Public Health, Atlanta, Georgia, USA., Ochuka W; B&M Consult, Nairobi, Kenya., Ochieng M; B&M Consult, Nairobi, Kenya. |
| Πηγή: | BMJ global health [BMJ Glob Health] 2026 Aug 05; Vol. 11 (8). Date of Electronic Publication: 2026 Aug 05. |
| Τύπος έκδοσης: | Journal Article; Randomized Controlled Trial |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101685275 Publication Model: Electronic Cited Medium: Print ISSN: 2059-7908 (Print) Linking ISSN: 20597908 NLM ISO Abbreviation: BMJ Glob Health Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: [London] : BMJ Publishing Group Ltd, [2016]- |
| Ιατρικοί όροι (MeSH): | Parenting*/psychology , Caregivers*/psychology , Caregivers*/education , Domestic Violence*/prevention & control , Domestic Violence*/statistics & numerical data , Child Development* , Mental Health*, Humans ; Kenya ; Female ; Male ; Infant ; Adult ; Infant, Newborn ; Program Evaluation |
| Περίληψη: | Introduction: Globally, parenting interventions have been shown to improve caregiving practices and child development. However, rigorous evidence from sub-Saharan Africa remains limited, particularly for programmes that leverage multiple community-based delivery platforms. We evaluated the effectiveness of the Moments that Matter (MTM) parenting programme delivered by community volunteers in partnership with faith leaders on child development and caregiving-related outcomes in Kenya. Methods: We conducted a cluster-randomised controlled trial in two counties in western Kenya. Villages were randomly assigned to the MTM parenting programme or a standard-of-care waitlist control, stratified by county. Eligible participants were primary caregivers of children aged 0-18 months. The intervention consisted of monthly group sessions and home visits delivered over 18 months. Caregivers were surveyed at baseline and endline. The primary outcome was child development measured using the Caregiver Reported Early Development Instruments. Intervention effects were estimated using mixed-effects models with a difference-in-differences, intention-to-treat approach. Results: Between February and March 2023, 595 caregiver-child dyads in 46 villages were enrolled and randomly assigned to the intervention (n=310) or control (n=285). At endline, there were no overall intervention effects on child development outcomes. Moderate-to-large effects were observed across multiple secondary outcomes, including caregiver stimulation, harsh discipline, caregiver mental health, social support, intimate partner violence victimisation, child dietary diversity, and male caregiver engagement, as reported by female primary caregivers. Exploratory subgroup analyses revealed treatment heterogeneity by county, with small significant improvements in child language and socioemotional development in one county but null effects in the other. Conclusions: A multicomponent parenting programme delivered in partnership between community volunteers and faith leaders improved multiple caregiving and family well-being outcomes but did not lead to overall improvements in child development. Findings highlight the potential of integrating multiple community-based platforms for delivering parenting programmes, while underscoring the need for implementation research to enhance impacts on child development at scale. Trial Registration Number: NCT05796934. (© Author(s) (or their employer(s)) 2026. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group.) |
| Competing Interests: | Competing interests: None declared. |
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| Contributed Indexing: | Keywords: Child health; Kenya |
| Molecular Sequence: | ClinicalTrials.gov NCT05796934 |
| Entry Date(s): | Date Created: 20260805 Date Completed: 20260805 Latest Revision: 20260827 |
| Update Code: | 20260827 |
| PubMed Central ID: | PMC13448621 |
| DOI: | 10.1136/bmjgh-2025-023335 |
| PMID: | 42556995 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 2059-7908 |
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| DOI: | 10.1136/bmjgh-2025-023335 |