Methodology for adapting a co-created early childhood development intervention and implementation strategies for use by frontline workers in India and Guatemala: a systematic application of the FRAME-IS framework
There is little evidence on optimizing the effectiveness and implementation of evidence-based early childhood development (ECD) interventions when task-shifted to frontline workers. In this Methods Forum paper, we describe our adaptation of the International Guide for Monitoring Child Development (G...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Global Health Action |
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| Online Access: | http://dx.doi.org/10.1080/16549716.2024.2338324 |
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| author | Amruta Bandal Sara Hernández Revan Mustafa Karyn Choy Namrata Edwards Magdalena Guarchaj Marinés Mejía Alvarez Anushree Sane Scott Tschida Chetna Maliye Ann Miller Abhishek Raut Roopa Srinivasan Morgan Turner Bradley H. Wagenaar Ilgi Ertem Maria del Pilar Grazioso Subodh S. Gupta Vibha Krishnamurthy Peter Rohloff |
| author_facet | Amruta Bandal Sara Hernández Revan Mustafa Karyn Choy Namrata Edwards Magdalena Guarchaj Marinés Mejía Alvarez Anushree Sane Scott Tschida Chetna Maliye Ann Miller Abhishek Raut Roopa Srinivasan Morgan Turner Bradley H. Wagenaar Ilgi Ertem Maria del Pilar Grazioso Subodh S. Gupta Vibha Krishnamurthy Peter Rohloff |
| author_sort | Amruta Bandal |
| collection | DOAJ |
| description | There is little evidence on optimizing the effectiveness and implementation of evidence-based early childhood development (ECD) interventions when task-shifted to frontline workers. In this Methods Forum paper, we describe our adaptation of the International Guide for Monitoring Child Development (GMCD) for task-shifting to frontline workers in Guatemala and India. In 2021–2022, implementers, trainers, frontline workers, caregivers, and international GMCD experts collaborated to adapt the GMCD for a task shifted implementation by frontline workers. We used an eight-step co-creating process: assembling a multidisciplinary team, training on the existing package, working groups to begin modifications, revision of draft modifications, tailoring of visual materials and language, train-the-trainers activities, pilot frontline worker trainings, final review and feedback. Preliminary effectiveness of adaptations was evaluated through narrative notes and group-based qualitative feedback following pilot trainings with 16 frontline workers in India and 6 in Guatemala. Final adaptations included: refining training techniques to match skill levels and learning styles of frontline workers; tailoring all visual materials to local languages and contexts; design of job aids for providing developmental support messages; modification of referral and triage processes for children in need of enhanced support and speciality referral; and creation of post-training support procedures. Feedback from pilot trainings included: (1) group consensus that training improved ECD skills and knowledge across multiple domains; and (2) feedback on ongoing needed adjustments to pacing, use of video-based vs. role-playing materials, and time allocated to small group work. We use the Framework for Reporting Adaptations and Modifications to Evidence-based Implementation Strategies (FRAME-IS) framework to document our adaptations. The co-creating approach we use, as well as systematic documentation of adaptation decisions will be of use to other community-based early childhood interventions and implementation strategies. |
| format | Article |
| id | doaj-art-4c45c65e8b614f399e67ff9e8440de0c |
| institution | Kabale University |
| issn | 1654-9880 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj-art-4c45c65e8b614f399e67ff9e8440de0c2025-02-05T12:46:13ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.23383242338324Methodology for adapting a co-created early childhood development intervention and implementation strategies for use by frontline workers in India and Guatemala: a systematic application of the FRAME-IS frameworkAmruta Bandal0Sara Hernández1Revan Mustafa2Karyn Choy3Namrata Edwards4Magdalena Guarchaj5Marinés Mejía Alvarez6Anushree Sane7Scott Tschida8Chetna Maliye9Ann Miller10Abhishek Raut11Roopa Srinivasan12Morgan Turner13Bradley H. Wagenaar14Ilgi Ertem15Maria del Pilar Grazioso16Subodh S. Gupta17Vibha Krishnamurthy18Peter Rohloff19Mahatma Gandhi Institute of Medical SciencesMaya Health AllianceAcıbadem Maslak HospitalMaya Health AllianceUmmeed Child Development CentreMaya Health AllianceProyecto Aigle GuatemalaUmmeed Child Development CentreMaya Health AllianceMahatma Gandhi Institute of Medical SciencesHarvard Medical SchoolMahatma Gandhi Institute of Medical SciencesUmmeed Child Development CentreUniversity of WashingtonUniversity of WashingtonAnkara UniversityProyecto Aigle GuatemalaMahatma Gandhi Institute of Medical SciencesUmmeed Child Development CentreMaya Health AllianceThere is little evidence on optimizing the effectiveness and implementation of evidence-based early childhood development (ECD) interventions when task-shifted to frontline workers. In this Methods Forum paper, we describe our adaptation of the International Guide for Monitoring Child Development (GMCD) for task-shifting to frontline workers in Guatemala and India. In 2021–2022, implementers, trainers, frontline workers, caregivers, and international GMCD experts collaborated to adapt the GMCD for a task shifted implementation by frontline workers. We used an eight-step co-creating process: assembling a multidisciplinary team, training on the existing package, working groups to begin modifications, revision of draft modifications, tailoring of visual materials and language, train-the-trainers activities, pilot frontline worker trainings, final review and feedback. Preliminary effectiveness of adaptations was evaluated through narrative notes and group-based qualitative feedback following pilot trainings with 16 frontline workers in India and 6 in Guatemala. Final adaptations included: refining training techniques to match skill levels and learning styles of frontline workers; tailoring all visual materials to local languages and contexts; design of job aids for providing developmental support messages; modification of referral and triage processes for children in need of enhanced support and speciality referral; and creation of post-training support procedures. Feedback from pilot trainings included: (1) group consensus that training improved ECD skills and knowledge across multiple domains; and (2) feedback on ongoing needed adjustments to pacing, use of video-based vs. role-playing materials, and time allocated to small group work. We use the Framework for Reporting Adaptations and Modifications to Evidence-based Implementation Strategies (FRAME-IS) framework to document our adaptations. The co-creating approach we use, as well as systematic documentation of adaptation decisions will be of use to other community-based early childhood interventions and implementation strategies.http://dx.doi.org/10.1080/16549716.2024.2338324early child developmentparticipatory researchimplementation sciencelmicrural health careanganwadi workercommunity health worker |
| spellingShingle | Amruta Bandal Sara Hernández Revan Mustafa Karyn Choy Namrata Edwards Magdalena Guarchaj Marinés Mejía Alvarez Anushree Sane Scott Tschida Chetna Maliye Ann Miller Abhishek Raut Roopa Srinivasan Morgan Turner Bradley H. Wagenaar Ilgi Ertem Maria del Pilar Grazioso Subodh S. Gupta Vibha Krishnamurthy Peter Rohloff Methodology for adapting a co-created early childhood development intervention and implementation strategies for use by frontline workers in India and Guatemala: a systematic application of the FRAME-IS framework Global Health Action early child development participatory research implementation science lmic rural health care anganwadi worker community health worker |
| title | Methodology for adapting a co-created early childhood development intervention and implementation strategies for use by frontline workers in India and Guatemala: a systematic application of the FRAME-IS framework |
| title_full | Methodology for adapting a co-created early childhood development intervention and implementation strategies for use by frontline workers in India and Guatemala: a systematic application of the FRAME-IS framework |
| title_fullStr | Methodology for adapting a co-created early childhood development intervention and implementation strategies for use by frontline workers in India and Guatemala: a systematic application of the FRAME-IS framework |
| title_full_unstemmed | Methodology for adapting a co-created early childhood development intervention and implementation strategies for use by frontline workers in India and Guatemala: a systematic application of the FRAME-IS framework |
| title_short | Methodology for adapting a co-created early childhood development intervention and implementation strategies for use by frontline workers in India and Guatemala: a systematic application of the FRAME-IS framework |
| title_sort | methodology for adapting a co created early childhood development intervention and implementation strategies for use by frontline workers in india and guatemala a systematic application of the frame is framework |
| topic | early child development participatory research implementation science lmic rural health care anganwadi worker community health worker |
| url | http://dx.doi.org/10.1080/16549716.2024.2338324 |
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