Effect of a parent-provided early intervention program on infant health and development: a randomized controlled trial

Basavaraj K., Sireesha S., Suresh J.


Background: Early Intervention Program (EIP) is a unique way of providing ideal stimulation, education and care for children. EIP are designed to provide detection, treatment, prevention of handicaps, developmental delays, and environmental deprivation as early in a child's life as possible. Objective of present study were to assess the effect of parent-provided EIP on infant cognitive, psychomotor and socio- emotional behaviors at the completion of age 12 months and to evaluate whether these effects were moderated by the infant feeding practices, general health status and socio-demographic characters.

Methods: The present study was randomized controlled trial conducted at villages under Vantamuri PHC area attached to J.N Medical College, Belgaum during the period May 2012 to August 2013, with a sample size of 64, full term, normal babies and weighing ≥2.5 kg. At the end of 12 months, babies were assessed by an independent evaluator using BSID-II and ASQ/SE questionnaire.

Results: In the present study the mental index (MDI) scores were higher in intervention group than control group (106.63 Vs 94.45, P=0.0001). Problem solving skills were higher in intervention group compared to control group (21.33 Vs 11.56, P=0.000). Person social skills were higher for intervention compared to control (27.66 Vs 22.34, P=0.001). Children with fewer episodes of diarrhea and acute respiratory infections showed better performance.

Conclusions: Early Intervention Program effectively increases the cognitive, person social, problem solving and socio-emotional skills at 12 months of age.


ASQ/SE questionnaire, Early intervention program, Partners for learning curriculum

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Meisels SJ, Shonkoff JP. Hand Book of Early childhood intervention. 2nd ed. UK: Cambridge University Press;2000.

Arthur JR, Grunewald R. Quality counts. Early intervention on a large scale. Education Week. Quality counts 2007. January 4 2007. Available at intervention.cfm.

Infant-Toddlers standards. Available at

World Health Organization. Global strategy for infant and young child feeding, The Optimal Duration of Exclusive Breastfeeding 2001. Geneva. Available at

Rice AL, Sacco L, Hyder A, Black RE. Malnutrition as an underlying cause of childhood deaths associated with infectious diseases in developing countries. Bull World Health Organization. 2000;78(10):1207-18.

De onis M, Blossner M. The World Health Organi1zation global database on child growth and malnutrition: methodology and applications. Int J Epidemiol. 2003;32:518-26.

Grantham-McGregor SM, Fernald LC, Sethuraman K. Effects of health and nutrition on cognitive and behavioural development in children in the first three years of life. Food Nutr Bull. 1999;20(1):53-75.

United States. Administration for Children, Youth, and Families. Making a difference in the lives of infants and toddlers and their families: The impacts of Early Head Start. Technical Report, U.S. Department of Health and Human Services, USA;2002. Available at

Arriaga, RI, Fenson L, Cronan T, Pethick SJ. Scores on the MacArthur Communicative Development Inventory of children from low- and middle income families. Applied Sycholinguistics. 1998;19(2):209-23.

Jain A, Concato J, Leventhal JM. How good is the evidence linking breastfeeding and intelligence? Pediatrics. 2002;109(6):1044-53.