About this trial
The goal of the project is to assess the scale-up of the program, focusing on improving school readiness among preschool children, enhancing capacity building for parents and teachers, and utilizing a cluster randomized controlled trial (cRCT). The primary research questions are to seek answer-
* What specific adaptations are necessary for an innovative, disability-inclusive early education training program to become a fully inclusive model that enhances teachers' engagement and practices in pre-primary classrooms in Nepal, Tanzania, and Bangladesh? * How can a new, equitable 'School Readiness Programme for the child-parent-teacher triad' be effectively scaled within national government pre-primary platforms using a cRCT? * How can the outcomes of the 'School Readiness Programme for the child-parent-teacher triad' be implemented in a cost-effective manner by key stakeholders across the three sites?
The research will examine an adapted inclusive early education training programme will lead to improved teaching practices, enhanced parental capacity, and better school readiness for all children compared to standard education programme; and b) the child-parent-teacher triad model can be scaled effectively within the government primary education systems.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
All children aged 48-84 months
Enrolled in preschools
Residing in the catchment areas of GPS
Include/over sample for children with functional disabilities even if they are over 84 months of age.
Disqualifiers
Un-consenting parents
Intervention school of EN-REACH study
Trial design
Parallel
Treatments tested in this trial
ENREACH child-parent-teacher triad
BehavioralPrior to enrolling study participants, we will conduct sensitization meetings with each selected government primary school. These meetings will be oriented toward community leaders, caregivers of children with or without disabilities, and school management committees to introduce them to the program, ensure the inclusion of all children, and address concerns related to gender, poverty, and disability. A disability-inclusive module will be delivered to preschoolers in their regular pre-primary classrooms by trained pre-primary teachers. This module will cover foundational skills, the importance of play, communication, socio-emotional learning, and strategies for adapting the curriculum to accommodate children with disabilities. ENREACH parent group school readiness intervention package will be provided to parents during monthly parent-teacher meetings, facilitated by trained preschool teachers.
Treatment groups
Trial outcomes
Primary outcomes
Measuring Early Learning Quality and Outcomes (MELQO)
School readiness (per-literacy, numeracy, executive functions, and social-emotional learning) will be assessed using the Measuring Early Learning Quality and Outcomes (MELQO)
Secondary outcomes
Early childhood version of Home Observation for Measurement of Environment
To measure the quality of home stimulation
Pediatric Quality of Life Inventory (PedsQL)
Physical functioning, emotional functioning, social functioning
Measure of Early Learning Environment (MELE)
School Environment
Feeling Questionnaires
Depression
Sponsors and contacts
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International Centre for Diarrhoeal Disease Research, Bangladesh
Lead sponsor
Muhimbili University of Health and Allied Sciences
Collaborator
University of Glasgow
Collaborator
London School of Hygiene and Tropical Medicine
Collaborator
Golden Community, Nepal
Collaborator
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