130 Session 7
Papers Topic - Home Visiting Advancing Comprehensive Early Childhood Intervention P7.04 Implementing the Pyramid Model in Early Intervention/Home Visiting Program
Presenting Author: Erin Barton (USA) Affiliation: Pyramid Model Consortium Co-Author: Ashley MacNish
P7.05 Minding the Baby Versus Usual Care: A Quasi ‑ Cluster ‑ Randomized Controlled Study in Denmark of an Interdisciplinary Home ‑ Visiting Intervention for Expectant Families at Increased Risk for Adversity Presenting Author: Maiken Pontoppidan (Denmark) Affiliation: VIVE - the Danish Center for Social Science Research Minding the Baby (MTB) is an attachment-based, interdisciplinary home visiting intervention aimed at improving developmental, health, and relationship outcomes for expecting families facing adversity. Delivered by a team of two practitioners, MTB supports families from pregnancy to the child’s second birthday. This quasi-cluster-randomized controlled trial examines MTB's effects on parent-child interaction, maternal well-being, and child development in Danish pregnant individuals. We enrolled 256 pregnant individuals (183 MTB, 73 usual care). At 24 months post-partum, we found no significant effect for the primary outcome (parental sensitivity). However, secondary outcomes revealed positive effects: MTB mothers were more in education, and children in the MTB group showed improved social communication, compliance, socio- emotional competence, and fewer out-of-home placements. Sensitivity analyses suggested additional potential results for the MTB group: poorer maternal health, weaker partner relationship, better compliance, greater adaptability, better affect regulation, and fewer peer-related problems for the children. P7.06 Teletherapy as an Alternate Model for Therapeutic Interventions for Children With Neurodevelopmental Disabilities in a Low Resource Setting in Jharkhand, India This project was a partnership between a community-based organization and a professional organization with the aim of filling the human resource gaps that exist in rural areas for the provision of therapeutic interventions to children with neurodevelopmental disabilities. The project included training of health workers followed by need-based therapeutic interventions. A sample of 31 children, 15 girls, and 16 boys were tracked using the Canadian Occupational Performance Measure (COPM). 750 therapeutic interventions were given, including physiotherapy, occupational therapy, and speech therapy. A one-way repeated measure Annova test gave p-values of < 0.5 indicating that teletherapy had a positive impact on the functional goals planned. It can be concluded that teletherapy supports functional goals for children with NDD in the rural area of Jharkhand. Teletherapy can be used to fill the human resource gaps that exist in rural areas and thus support family- centered functional therapeutic interventions to children with NDD. Presenting Author: Shabnam Rangwala (India) Affiliation: Project Noor & ADAPT, Mumbai The purpose of this presentation is to describe our approach to implementing the Pyramid Model in early intervention systems. The approach focuses on supporting home visitors in the use of evidence-based family coaching strategies to enhance caregivers’ capacity to promote their infant or toddlers’ social emotional competence. We will describe the critical elements needed to build capacity and sustain implementation within programs serving infants, toddlers, and their families.
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