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Family play,reading, and other stimulation and early childhood development in five low-and-middle-income countries
Authors:Jorge Cuartas  Dana McCoy  Juliana Sánchez  Jere Behrman  Claudia Cappa  Georgina Donati  Jody Heymann  Chunling Lu  Abbie Raikes  Nirmala Rao  Linda Richter  Alan Stein  Hirokazu Yoshikawa
Affiliation:1. Harvard Graduate School of Education, Cambridge, Massachusetts, USA;2. Facultad de Economía, Universidad de los Andes, Bogota, Colombia;3. Department of Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA;4. Data and Analytics Section, UNICEF, New York, New York, USA;5. Department of Psychiatry, University of Oxford, Oxford, Oxfordshire, UK;6. WORLD Policy Analysis Center, University of California, Los Angeles, California, USA;7. Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA;8. College of Public Health, University of Nebraska, Omaha, Nebraska, USA;9. Faculty of Education, University of Hong Kong, Hong Kong, China;10. DSI-NRF Centre of Excellence in Human Development, University of the Witwatersrand, Johannesburg, South Africa;11. Department of Psychiatry, University of Oxford, Oxford, Oxfordshire, UK

MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Gauteng, South Africa

African Health Research Institute, Durban, South Africa;12. NYU Global TIES for Children Center, New York, New York, USA

Abstract:This paper used longitudinal data from five studies conducted in Bangladesh, Bhutan, Cambodia, Ethiopia, and Rwanda to examine the links between family stimulation and early childhood development outcomes (N = 4904; Mage = 51.5; 49% girls). Results from random-effects and more conservative child-fixed effects models indicate that across these studies, family stimulation, measured by caregivers’ engagement in nine activities (e.g., reading, playing, singing), predicted increments in children's early numeracy, literacy, social-emotional, motor, and executive function skills (standardized associations ranged from 0.05 to 0.11 SD). Study-specific models showed variability in the estimates, with null associations in two out of the five studies. These findings indicate the need for additional research on culturally specific ways in which caregivers may support early development and highlight the importance of promoting family stimulation to catalyze positive developmental trajectories in global contexts.

Research Highlights

  • Research on the links between family stimulation and early childhood development in low-and-middle-income countries (LMICs) is limited.
  • We used longitudinal data from studies conducted in five LMICs to examine the links between family stimulation and early childhood development outcomes.
  • Results suggest that family stimulation predicted increments in children's numeracy, literacy, social-emotional, motor, and executive function skills.
  • We found variability in the observed estimates, with null associations in two out of the five studies, suggesting the need for additional research in LMICs.
Keywords:early childhood development  fixed-effects  home environment  low-and-middle-income countries  stimulation
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