For refugee caregivers who may live in remote areas or be a highly mobile population, creating parenting programs that fit their needs and accommodate their mobility can be highly beneficial. In this article, we evaluate a 6-month, audio-only early childhood development (ECD) intervention delivered via phone (3 calls per month) to caregivers of Syrian and Jordanian backgrounds in Jordan. A sample of stipended community health volunteers (CHVs; N = 99) and their caseloads of caregivers (n = 2,298) was randomized to calls with health and nutritional content (control group) or calls with health, nutritional, and added parenting and caregiver-focused content (including content adapted from the Reach Up and Learn model). Hypothesized outcomes included reduced caregiver depressive and anxiety symptoms, parenting stress, and harsh discipline; increased parent-child learning activities and parenting self-efficacy. Exploratory outcomes (all caregiver-reported) included child development; and caregiver engagement in activities related to health and child learning following the calls. Exposure to the treatment condition resulted in a statistically significant reduction in caregivers’ depressive symptoms (d=-0.11). No other statistically significant impacts were found. Implications of these findings for caregiver interventions are discussed.

中文翻译：

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针对叙利亚和约旦有幼儿家庭的基于电话的看护者支持和育儿计划的集群随机对照试验


对于可能居住在偏远地区或流动性较高的难民看护者来说，制定适合他们需求并适应其流动性的育儿计划可能非常有益。在本文中，我们评估了通过电话（每月 3 个电话）向约旦的叙利亚和约旦背景的看护者提供的为期 6 个月的纯音频儿童早期发展 (ECD) 干预。受津贴的社区健康志愿者（CHV；N = 99）及其护理人员案例（n = 2,298）的样本被随机分配到包含健康和营养内容的电话（对照组）或包含健康、营养和附加育儿和护理人员的电话。重点内容（包括改编自“触及和学习”模型的内容）。假设的结果包括减少照顾者的抑郁和焦虑症状、养育压力和严厉的纪律；增加亲子学习活动和养育自我效能。探索性结果（所有护理人员报告）包括儿童发展；以及看护者在接到电话后参与与健康和儿童学习相关的活动。暴露于治疗条件下导致护理人员的抑郁症状在统计上显着减少（d=-0.11）。没有发现其他统计上显着的影响。讨论了这些发现对护理人员干预措施的影响。