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Early developmental intervention (EDI) through home visits by registered nurses has been shown to improve developmental outcomes in young children in low-income communities in the U.S. Can adaptations of these programs produce similar results in families with limited resources in developing countries?
Researchers conducted a randomized controlled trial of an EDI starting before age 1 month in 293 infants (birth weight, ≥1500 grams) living in poor rural communities in India, Pakistan, and Zambia. The intervention group received biweekly home visits by a parent trainer who provided health education and introduced playful interactive activities focused on cognitive, motor, social, and language skills. Parents practiced the activities with the t…