Development of a caregiver support intervention to promote healthy movement behaviours in early childhood: Amagugu Asakhula
ISPAH ePoster Library. Draper C. Oct 16, 2018; 225235
Dr. Catherine Draper
Dr. Catherine Draper
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Abstract
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Abstract Family-based interventions to promote healthy movement behaviours in preschool children have not been rigorously developed or evaluated in low- and middle-income countries for this age group. The Amagugu Asakhula (AA) intervention was developed in South Africa (SA) to address this gap, and intends to strengthen the capacity of caregivers with preschool children to promote the health and development of preschool children in low-income SA settings. The intervention materials were adapted from the original Amagugu intervention (focussed on HIV-disclosure). Adaption of the AA intervention materials was based on extensive formative work in urban and rural low-income settings with preschool children: objective assessment of physical activity (PA), sedentary behaviour (SB) and sleep; assessment of preschool children’s gross motor skills; parent-report of children’s screen time (ST) and sleep; questionnaire on caregivers’ perceptions regarding PA and ST; and focus groups with caregivers. The AA intervention is delivered by community health workers to individual female caregivers of preschool children over 6 sessions in the home environment. The content is framed around the health behaviours and factors within the home environment that can influence cognitive development in early childhood. These health behaviours include PA, ST, sleep and diet, and the intervention emphasises the caregiver’s role in promoting these healthy behaviours. The feasibility and implementation of this intervention are currently being evaluated in a low-income setting in Cape Town. Results of this evaluation will be presented, and these results will guide further development of the intervention, including its scalability. External funding details DST/NRF Centre of Excellence in Human Development
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