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
Glob Health Action. 2024 Dec 31;17(1):2338324. doi: 10.1080/16549716.2024.2338324. Epub 2024 May 10.ABSTRACTThere 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 o...
Source: Global Health Action - Category: International Medicine & Public Health Authors: Amruta Bandal Sara Hern ández Revan Mustafa Karyn Choy Namrata Edwards Magdalena Guarchaj Marin és Mejía Alvarez Anushree Sane Scott Tschida Chetna Maliye Ann Miller Abhishek Raut Roopa Srinivasan Morgan Turner Bradley H Wagenaar Ilgi Ertem Maria Del P Source Type: research