PEDS responsive stimulation intervention delivered by Lady Health Workers

Design · All designs
Evidence · 2 claims (2 for) · 1 study (1 causal), q2 · 0 of 1 report an effect size · 2 claims rest on one study

Description

The PEDS trial was a 2x2 factorial, community-based cluster-randomized control trial with a responsive stimulation arm and an enhanced nutrition arm. Lady Health Workers delivered an adaptation of the UNICEF and WHO Care for the Child Development package, which "promotes caregivers' sensitivity and responsiveness through developmentally appropriate play activities", via home visits and monthly group community meetings until children reached age two. Caregivers tried age-appropriate activities while workers coached them and gave feedback on interaction quality.

Design Implications

Context

Requirements

• Delivery by trained local community women (Lady Health Workers) through home visits and group meetings integrated within existing health services

Constraints

• The intervention was delivered only to a birth cohort until age two; the study focuses on the responsive stimulation arm with the enhanced nutrition intervention controlled for in all models

Target Learners

• children from birth to age two in rural, disadvantaged communities in Sindh, Pakistan, and their primary caregivers

Learning Goals

• caregivers' sensitivity and responsiveness
• children's cognitive development and school readiness

Claims

• Responsive Stimulation Improves Home Environment Age 2 [+M]
• Responsive Stimulation Direct Effect Social Skills Age 4 [+M]

Related Designs

Examples

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Key Sources

• Finch, J. E., Obradović, J., & Yousafzai, A. (2016). Home environment quality mediates the effects of an early intervention on children's social-emotional development in rural Pakistan. SREE Spring 2016 Conference abstract. https://www.sree.org

Page metadata

Field	Value
type	design
id	peds-responsive-stimulation-intervention
title	PEDS responsive stimulation intervention delivered by Lady Health Workers
description	The PEDS trial was a 2x2 factorial, community-based cluster-randomized control trial with a responsive stimulation arm and an enhanced nutrition arm.
status	review
generated	by process:settle-candidates on 2026-11-02
trust	unverified — no one has confirmed this page's content
sources	1 — finch-2016

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