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A stratified cluster design was used to evaluate a 10-month parenting program delivered to mothers ofchildren in rural Bangladesh. Intervention mothers through a combination of group meetings and homevisits received messages along with an illustrative card concerning hygiene, responsive feeding, play,communication, gentle discipline, and nutritious foods. Control mothers received the standard governmentcare. Three months prior, 463 children between 4 and 14 months in a subdistrict of westernBangladesh were administered the cognitive, receptive language and expressive language Bayley IIIsubtests, their length was taken and past week illness recorded. Gross motor milestones were reportedby the mother and verified through observation. Mothers were interviewed concerning their practices:preventive health practices, dietary diversity, home stimulation, and knowledge about developmentmilestones. Maternal depressive symptoms were assessed as a measure of emotional availability. Familysociodemographic variables included maternal education, family assets, decision-making and mobilityautonomy. One month after the end of the program, mothers and their children were again assessed.Comparisons were made between intervention and control children who were under-12 months vs. 12months and older at the start of the program. This may be a critical age, when children begin to beupright and mobile enough to explore on their own and be less dependent on parenting stimulation.Analyses yielded strong intervention effects on the three Bayley subtests and on parenting practicesrelated to stimulation and knowledge of development milestones. Age effects were found only for dietarydiversity in that younger children in the program benefited more than older ones. However, all childrenbecame more stunted. Findings are discussed in terms of theories of behaviour change and parenting,critical ages for parenting programs, and implications for program delivery.
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