(A) Studies on developmental delays and stimulating parenting practices | |||||||
Authors (year) | Year of data collection | Province | n | Child age (months) | Measure | ||
Developmental delays | Parenting practices | ||||||
1 | Jin et al62 (2007) | 2003 | Anhui | 100 | 0–24 | Gesell development schedules | No |
2 | Ma et al63 (2008) | 2005–2006 | Guangdong | 749 | 4–8 | BSID-I | No |
3 | Yang et al64 (2019) | 2006–2008 | Shaanxi | 657 | 24 | BSID-II | No |
4 | Yue et al65 (2017) | 2014 | Shaanxi | 1442 | 18–30 | BSID-I | FCI* |
5 | Zhou et al66 (2019) | 2013 | Shanxi, Guizhou | 2953 | 0–35 | ASQ-3 | MICS/FCI† |
6 | Zhang et al14 (2018) | 2013 | Shanxi, Guizhou | 2514 | 6–35 | ASQ-3 | No |
7 | Wei et al67 (2018) | 2013 | Shanxi, Guizhou | 2664 | 3–35 | ASQ:SE | No |
8 | Luo et al68 (2019) Emmers et al (2020), unpublished manuscript | 2015 | Yunnan, Hebei | 215 234 | 6–18 | BSID-III, ASQ:SE | FCI* |
9 | Wang et al17 (2020) | 2016 | Shaanxi | 1809 | 6–24 | BSID-III, ASQ:SE | FCI |
10 | Qian et al (2020), unpublished manuscript | 2016 | Shaanxi | 1068 | 6–18 | BSID-III | FCI* |
11 | Li et al (2018), unpublished manuscript | 2016 | Henan | 273 | 6–36 | ASQ-3 | FCI* |
12 | Zhou et al69 (2019) | 2016–2017 | Jiangxi, Ningxia, Qinghai, Xinjiang | 1755 | 1–59 | ASQ-3 | No |
13 | Wang et al19 (2019)‡ | 2017 | Beijing, Henan, Shaanxi | 81 271 273 | 6–30 | BSID-III | FCI |
14 | Zhong et al70 (2019) | 2017 | Guizhou | 444 | 1–23 | BSID-III | No |
15 | Bai et al (2020), unpublished manuscript | 2018 | Shaanxi | 260 | 6–36 | ASQ-3, ASQ:SE | FCI |
16 | Tan et al71 (2020) | 2018 | Jiangxi, Guizhou, Sichuan, Hebei, Henan | 847 | 0–36 | ASQ:SE | MICS/FCI† |
17 | Wang et al (2020), unpublished manuscript | 2019 | Yunnan | 1014 | 6–24 | BSID-III | FCI |
18 | Emmers and Wang (2020), unpublished manuscript | 2019 | Shaanxi | 139 | 6–36 | BSID-III, ASQ-3 | FCI |
Total | 14 | 19 762 |
(B) RCTs that evaluate ECD interventions in China | |||||||||||
Authors (year) | Year of baseline data collection | Study design | Province | n | Age of child at baseline (months) | Curriculum | Activities | Location | Frequency | Duration | |
1 | Jin et al62 (2007) | 2003 | RCT | Anhui | 100 | 0–24 | S | O | H | 6-monthly | 6 months |
2a | Sylvia et al54 (2020) | 2014 | Cluster-RCT | Shaanxi | 513 | 18–30 | S+N | O | H | Weekly | 6 months |
2b | Wang et al (2020), unpublished manuscript | 2014 | Cluster-RCT | Shaanxi | 513 | 18–30 | S+N | O | H | Weekly | 6 months¶ |
3 | Heckman et al72 (2020) | 2015 | Cluster-RCT | Gansu | 1567 | 12–46 | S | O | H | Weekly | 2 years |
4a | Luo et al18 (2019) | 2015 | Cluster-RCT | Yunnan, Hebei | 449 | 6–18 | S+N | O | H | Bi-weekly | 1 year |
4b | Emmers et al (2020), unpublished manuscript | 2015 | Cluster-RCT | Yunnan, Hebei | 449 | 6–18 | S+N | O | H | Bi-weekly | 2 years |
5a | Zhong et al (2020), unpublished manuscript | 2016 | Cluster-RCT | Shaanxi | 1720 | 6–24 | S | O+G+P | C | Weekly one-on-one training sessions, unlimited access to centres and group sessions§ | 1 year |
5b | Qian et al (2020), unpublished manuscript | 2016 | Cluster-RCT | Shaanxi | 880 | 6–18 | S | O+G+P | C | Weekly one-on-one training sessions, unlimited access to centres and group sessions§ | 2 years |
6 | Li et al (2018), unpublished manuscript | 2016 | Cluster-RCT | Henan | 1775 | 6–48 | S | O+G+P | C+H | Periodic one-on-one training sessions, unlimited access to centres and group sessions§ | 10 months |
7 | Bai et al (2020), unpublished manuscript | 2018 | Cluster-RCT | Shaanxi | 956 | 6–36 | S | O+G+P | C+H | Weekly one-on-one training sessions, unlimited access to centres and group sessions§ | 9 months |
Total | 6 | 13 766 |
*Modified FCI assessed parenting practices by the primary caregiver in the day before the survey.
†MICS/FCI assessed parenting practices by the child’s mother/father in the three days before the survey.
‡Wang et al (2019) use a pooled sample, including both original survey data (not previously reported) and survey data from previously reported studies, also included in this review. For our analysis, we include only the original data reported in Wang et al (2019). The remaining observations are reported in Luo et al (2019), Emmers et al (2020) and Zhong et al (2017).
§ECD centres were installed at centrally located places in intervention communities. Caregivers could decide how often they wanted to frequent parenting centres and/or participate in group reading or play activities at the centres.
¶Wang et al (2020) evaluates the persistence of treatment effects 2.5 years after program completion.
ASQ, Ages and Stages Questionnaires; BSID, Bayley Scales of Infant Development; C, ECD centre; ECD, early childhood development; FCI, family care indicators; G, group sessions; H, home; N, nutrition; O, one-on-one sessions; P, play area; RCT, randomised controlled trial; S, psychosocial stimulation.