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- Title
World Health Organisation-Caregiver Skills Training (WHO-CST) Program: Feasibility of Delivery by Non-Specialist Providers in Real-world Urban Settings in India.
- Authors
Sengupta, Koyeli; Shah, Henal; Ghosh, Subharati; Sanghvi, Disha; Mahadik, Sanchita; Dani, Allauki; Deshmukh, Oshin; Pacione, Laura; Dixon, Pamela; Salomone, Erica; Servili, Chiara
- Abstract
The World Health Organization-Caregiver Skills Training Program, a parent-mediated early intervention facilitated by non-specialist providers piloted in urban India was evaluated using mixed-methods for feasibility and effects on child and caregiver outcomes. Caregivers (n = 22) of children (2–9 years) with social-communication delays participated in a single-group pre-post study. High rates of caregiver attendance, improved caregiver fidelity, and facilitator competency suggested program feasibility. Caregivers voiced acceptability of various intervention-components. The intervention was associated with improved caregiver-reported skills and knowledge (p < 0.00), reduction in stress (p = 0.03), improved child developmental outcomes on communication and social interaction (p < 0.00), and adaptive behaviors (p < 0.00). Challenges about logistics and availability of time were highlighted. Implications of results in resource-poor settings and recommendations for future feasibility trials are discussed.
- Subjects
INDIA; PREVENTION of psychological stress; WORLD Health Organization; PILOT projects; CAREGIVER attitudes; CAREGIVERS; RESEARCH methodology; PRE-tests &; post-tests; HEALTH literacy; PARENTING; RESEARCH funding; DESCRIPTIVE statistics; COMMUNICATION; INTERPERSONAL relations; HEALTH behavior; METROPOLITAN areas; PSYCHOLOGICAL adaptation; EARLY medical intervention
- Publication
Journal of Autism & Developmental Disorders, 2023, Vol 53, Issue 4, p1444
- ISSN
0162-3257
- Publication type
Article
- DOI
10.1007/s10803-021-05367-0