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An educational intervention improves developmental progress of young children in a Romanian orphanage

✍ Scribed by Joseph Sparling; Cristiana Dragomir; Sharon L. Ramey; Laura Florescu


Publisher
John Wiley and Sons
Year
2005
Tongue
English
Weight
824 KB
Volume
26
Category
Article
ISSN
0163-9641

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✦ Synopsis


From 1991 to 1994, a group of Romanian and American colleagues undertook an experimental and humanitarian effort to try to improve the quality of life, mental health, and developmental progress of young children in a Romanian orphanage. In the context of institutional care, we experimentally introduced stable adult-child relationships, small group size, and a protocol of enriched caregiving and educational activities. These procedures were adapted from an intervention in childcare centers in the United States that had been proven effective in reducing intellectual decline in at-risk children. Developmental scores for orphanage children were derived from the Denver II (a revision of the Denver Developmental Screening Test; Frankenburg & Dodds, 1990), which was translated into Romanian and administered as a pre-and posttest to the experimental subjects and comparison groups in the same institution. Mixed models combining both within-and between-subject heterogeneous variance-covariance structures were utilized to analyze the impacts of time, intervention/control group assignment, child sex, child age, and interaction of Group ϫ Time on the developmental scores. For the developmental outcome variables, the effects of group assignment (experimental vs. comparison) were highly significant. There also was a Group ϫ Time interaction effect. We conclude that an educational intervention which includes the addition of resources and training can be initiated and sustained in an orphanage for young children as a way of improving institutional care.

RESUMEN: De 1991 a 1994, un grupo de colegas rumanos y norteamericanos se dedico ´a un esfuerzo experimental y humanitario para tratar de mejorar la calidad de vida, la salud mental y el progreso en el This project was funded by World Vision Relief & Development, the Brooke Foundation, the Civitan International Research Center of the University of Alabama at Birmingham, and the Frank Porter Graham Child Development Center of the University of North Carolina at Chapel Hill. Gina Scripcaru provided daily program supervision. Alina Bodea and Liliana Soroceanu provided assistance in staff training and data management. Statistical analyses were conducted by Chuanchieh Hsu.