Community-Based Conscious Discipline Program in Grenada

Behavior, Child Clinical Trial

Official title:

A Community-based Conscious Discipline Program to Reduce Corporal Punishment in the Caribbean

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04697134
• Other study ID #: SGUSavingBrainsI
• Status: Completed
• Phase: N/A
• Start date: February 2, 2015
• Est. completion date: August 18, 2016

Study information

• Verified date: January 2021
• Source: Windward Islands Research and Education Foundation
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

To improve neurocognitive outcomes in 2-year-old children by implementing a community-based intervention program that follows the principles of Conscious Discipline.

Description:

We aimed to introduce Conscious Discipline (CD) in Grenada as a means of improving neurodevelopment in 2-year-old children. The CD intervention promotes improved social-emotional connections between parents/guardians and children that reduces harsh discipline and corporal punishment and provides an ideal environment for the development of higher cognitive functioning (e.g. working memory, inhibition, emotional regulation).

The intervention is implemented by using a distributed local, train-the-trainer model in partnership with the Grenada Roving Caregiver Program, managed by GRENCASE. CD training was provided to 85 existing Roving Caregivers, 70 of whom were certified as Conscious Discipline Paraprofessionals (CDPPs). Certified CDPPs traveled out to communities and villages throughout Grenada, to impart knowledge and skills to new and expecting parents.

Following the intervention, parents who received CD training were assessed in their ability to implement CD skills with their child(ren). Neurocognition was assessed in children post-intervention using the INTERGROWTH 21st Neurodevelopmental Assessment (INTERNDA). Neurocognitive outcomes were compared between the intervention arm and the waitlist control arm of the study.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 333
• Est. completion date: August 18, 2016
• Est. primary completion date: August 18, 2016
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 22 Months to 30 Months

Eligibility

Inclusion Criteria:

• Participants actively enrolled in the Roving Caregiver Program (0-2-year-olds living with parents in at-risk communities served by the RCP)

Exclusion Criteria:

• Not enrolled in the Roving Caregiver Program

Related Conditions & MeSH terms

• Behavior, Child
• Development, Child
• Neurocognition, Child

Intervention

Behavioral:
• Conscious Discipline-Based Environmental Enrichment Intervention
Conscious Discipline, a social-emotional skills-based learning program that draws on current brain research and fosters enhanced connections between parents and their children.

Locations

Country	Name	City	State
Grenada	Windward Islands Research and Education Foundation	Saint George's

Sponsors (4)

Lead Sponsor	Collaborator
Windward Islands Research and Education Foundation	Grand Challenges Canada, GRENCASE, St. George's University

Country where clinical trial is conducted

Grenada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	INTERGROWTH 21st Neurodevelopment Assessment (INTER-NDA)	The INTER-NDA is a measure of cognition, motor skills (fine and gross motor), language (expressive and receptive), behavior, executive function, attention and social-emotional reactivity for 2-year-olds. The measure is comprised of 30 items scored across a spectrum, with higher scores indicating better outcomes.	22-30 Months