Better social-emotional behavior in young Nepali children is associated with household wealth, child age, and family participation in a community development intervention

Background: Mental health and behavior problems are under-recognized in low- and middle- income countries, especially in young children. Early identification of these problems could encourage governments to address the shortages of child mental health professionals and promote early intervention pro...

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Autores principales: Miller, LC, Neupane, Sumanta, Shrestha, M., Joshi, N., Lohani, M., Thorne-Lyman, A.
Formato: Journal Article
Lenguaje:Inglés
Publicado: Kathmandu University 2023
Materias:
Acceso en línea:https://hdl.handle.net/10568/141523
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author Miller, LC
Neupane, Sumanta
Shrestha, M.
Joshi, N.
Lohani, M.
Thorne-Lyman, A.
author_browse Joshi, N.
Lohani, M.
Miller, LC
Neupane, Sumanta
Shrestha, M.
Thorne-Lyman, A.
author_facet Miller, LC
Neupane, Sumanta
Shrestha, M.
Joshi, N.
Lohani, M.
Thorne-Lyman, A.
author_sort Miller, LC
collection Repository of Agricultural Research Outputs (CGSpace)
description Background: Mental health and behavior problems are under-recognized in low- and middle- income countries, especially in young children. Early identification of these problems could encourage governments to address the shortages of child mental health professionals and promote early intervention programs to help children achieve their full developmental potential. Objective: Describe the social-emotional development of young rural Nepali children; explore risk factors for poor development. Method: The study was embedded in a longitudinal intervention trial comparing control households with those who received training in family nutrition + livestock management (Partial Package) or family nutrition + livestock management + community mobilization (Full Package). At midline, enumerators completed a 145-item household questionnaire, child anthropometry, and Administered the Ages and Stages Questionnaire-Social-Emotional (ASQ-SE) to all enrolled children age 33-47 months (n=310). Bivariate and regression analyses examined the relationship of child and household risk factors to administered the Ages and Stages Questionnaire Social-Emotional scores. Result: Administered the Ages and Stages Questionnaire-Social-Emotional scores were below age cutoffs in 24% of children, suggesting worse social-emotional development. In bivariate analyses and the adjusted linear regression model, older child age, greater household wealth, and Full Package Intervention status were all associated with better social-emotional development scores. Partial Package Intervention status was associated with worse scores. Conclusion: The Administered the Ages and Stages Questionnaire-Social-Emotional is a potential tool to assess child social-emotional development in the context of household and community level interventions. Further work is necessary to validate the administered the Ages and Stages Questionnaire-Social-Emotional and similar tools in Nepal, and to better understand the prevalence of challenges to optimal social emotional development in young children in order to use this information to design and monitor needed interventions.
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spelling CGSpace1415232024-04-21T21:19:49Z Better social-emotional behavior in young Nepali children is associated with household wealth, child age, and family participation in a community development intervention Miller, LC Neupane, Sumanta Shrestha, M. Joshi, N. Lohani, M. Thorne-Lyman, A. child development communities households social behaviour wealth Background: Mental health and behavior problems are under-recognized in low- and middle- income countries, especially in young children. Early identification of these problems could encourage governments to address the shortages of child mental health professionals and promote early intervention programs to help children achieve their full developmental potential. Objective: Describe the social-emotional development of young rural Nepali children; explore risk factors for poor development. Method: The study was embedded in a longitudinal intervention trial comparing control households with those who received training in family nutrition + livestock management (Partial Package) or family nutrition + livestock management + community mobilization (Full Package). At midline, enumerators completed a 145-item household questionnaire, child anthropometry, and Administered the Ages and Stages Questionnaire-Social-Emotional (ASQ-SE) to all enrolled children age 33-47 months (n=310). Bivariate and regression analyses examined the relationship of child and household risk factors to administered the Ages and Stages Questionnaire Social-Emotional scores. Result: Administered the Ages and Stages Questionnaire-Social-Emotional scores were below age cutoffs in 24% of children, suggesting worse social-emotional development. In bivariate analyses and the adjusted linear regression model, older child age, greater household wealth, and Full Package Intervention status were all associated with better social-emotional development scores. Partial Package Intervention status was associated with worse scores. Conclusion: The Administered the Ages and Stages Questionnaire-Social-Emotional is a potential tool to assess child social-emotional development in the context of household and community level interventions. Further work is necessary to validate the administered the Ages and Stages Questionnaire-Social-Emotional and similar tools in Nepal, and to better understand the prevalence of challenges to optimal social emotional development in young children in order to use this information to design and monitor needed interventions. 2023-06 2024-04-18T15:51:02Z 2024-04-18T15:51:02Z Journal Article https://hdl.handle.net/10568/141523 en Open Access Kathmandu University Miller, LC; Neupane, Sumanta; Shrestha, M.; Lohani, M.; and Thorne-Lyman, A. 2023. Better social-emotional behavior in young Nepali children is associated with household wealth, child age, and family participation in a community development intervention. Kathmandu University Medical Journal 21: 2(82): 197-206.
spellingShingle child development
communities
households
social behaviour
wealth
Miller, LC
Neupane, Sumanta
Shrestha, M.
Joshi, N.
Lohani, M.
Thorne-Lyman, A.
Better social-emotional behavior in young Nepali children is associated with household wealth, child age, and family participation in a community development intervention
title Better social-emotional behavior in young Nepali children is associated with household wealth, child age, and family participation in a community development intervention
title_full Better social-emotional behavior in young Nepali children is associated with household wealth, child age, and family participation in a community development intervention
title_fullStr Better social-emotional behavior in young Nepali children is associated with household wealth, child age, and family participation in a community development intervention
title_full_unstemmed Better social-emotional behavior in young Nepali children is associated with household wealth, child age, and family participation in a community development intervention
title_short Better social-emotional behavior in young Nepali children is associated with household wealth, child age, and family participation in a community development intervention
title_sort better social emotional behavior in young nepali children is associated with household wealth child age and family participation in a community development intervention
topic child development
communities
households
social behaviour
wealth
url https://hdl.handle.net/10568/141523
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