A systematic review and meta-analysis of early childhood intervention programs for developmental difficulties in low-and-middle-income countries.

Journal: Asian journal of psychiatry

Volume: 70

Issue: 

Year of Publication: 2022

Affiliated Institutions:  Junior Research Fellow, ICMR Project, Department of Clinical Psychology. Electronic address: sapnavkumar@gmail.com. Junior Research Fellow, ICMR Project, Department of Clinical Psychology. Electronic address: shwetanarayan.asus@gmail.com. Department of Biostatistics. Electronic address: palashmalo@gmail.com. Department of Biostatistics. Electronic address: binukumarb@gmail.com. Department of Psychiatry. Electronic address: ht@nimhans.ac.in. Department of Psychiatry. Electronic address: desaigeetha@nimhans.ac.in. Departmment of Clinical Psychology, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore , India. Electronic address: thomas@nimhans.ac.in.

Abstract summary 

Early acknowledgment of developmental difficulties in young children strengthens both preventive and therapeutic approaches. Despite their feasibility, early intervention services are limited in Low-and-Middle-Income (LAMI) countries compared to high income countries. The aim of this study was to examine the evidence for early childhood intervention programs for developmental difficulties in children below five years in LAMI countries through a systematic review and meta-analysis. In this background, original studies published in peer-reviewed journals from 2010 to 2019 with a focus on developmental difficulties including delays and deviances; randomized research design with a clear description of the intervention and measurable outcomes, and conducted in LAMI countries were considered for the systematic review. Electronic databases, including ProQuest, PubMed, Ovid, EBSCOhost, and Google Scholar, were searched using a combination of specific keywords. PRISMA guidelines were followed to include the studies. Each of the selected study was assessed for quality before applying appropriate statistics to synthesize the data. Fourteen publications were identified from 2697 publications for the systematic review, out of which four were found compatible for a meta-analysis. The studies reviewed were conducted in Bangladesh, India, Pakistan, Uganda, Vietnam, and Zambia. A meta-analysis of four studies provided considerable evidence for the effects of early developmental intervention. This systematic review provides an evidence for early childhood intervention programs in LAMI countries. Implications of these findings for the early childhood programs are discussed in this article.

Authors & Co-authors:  Kumar Sapna V SV Narayan Shweta S Malo Palash Kumar PK Bhaskarapillai Binukumar B Thippeswamy Harish H Desai Geetha G Kishore M Thomas MT

Study Outcome 

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Statistics
Citations : 
Authors :  7
Identifiers
Doi : 10.1016/j.ajp.2022.103026
SSN : 1876-2026
Study Population
Male,Female
Mesh Terms
Bangladesh
Other Terms
0–5 years;Developmental delays;Developmental difficulties;Early childhood interventions;Early developmental intervention;LAMI countries
Study Design
Study Approach
Country of Study
Uganda
Publication Country
Netherlands