Socialization Goals and Parental Directives in Infancy: The Theory and the Practice

Evaluating caregiver-child interactions in low- and middle-income countries: a systematic review of tools and methods

AIMS/BACKGROUND

The United Nations Sustainable Development Goals (SDGs) has placed emphasis on improving early child development globally. This is supported through the Nurturing Care Framework which includes responsive caregiving. To evaluate responsive caregiving, tools to assess quality of caregiver-child interactions are used, however there is little information on how they are currently employed and/or adapted particularly in low- and middle-income countries (LMICs) where children have a greater risk of adverse outcomes. The aim of this review is to provide a comprehensive guide on methodologies used to evaluate caregiver-child interaction - including their feasibility and cultural adaptation.

DESIGN/METHODS

We conducted a systematic review of studies over 20years in LMICs which assessed caregiver-child interactions. Characteristics of each tool, their validity (assessed with COSMIN Risk of Bias checklist), and the quality of the study (Mixed Methods Appraisal Tool) are reported.

RESULTS

We identified 59 studies using 34 tools across 20 different LMICs. Most tools (86.5%) employed video-recorded observations of caregiver-child interactions at home (e.g. Ainsworth's Sensitivity Scale, OMI) or in the laboratory (e.g. PICCOLO) with a few conducting direct observations in the field (e.g. OMCI, HOME); 13.5% were self-reported. Tools varied in methodology with limited or no mention of validity and reliability. Most tools are developed in Western countries and have not been culturally validated for use in LMIC settings.

CONCLUSION

There are limited caregiver-child interaction measures used in LMIC settings, with only some locally validated locally. Future studies should aim to ensure better validity, applicability and feasibility of caregiver-child interaction tools for global settings.

Evidence for a dual-process account of over-imitation: Children imitate anti- and prosocial models equally, but prefer prosocial models once they become aware of multiple solutions to a task

Children imitate actions that are perceivably unnecessary to achieve the instrumental goal of an action sequence, a behavior termed over-imitation. It is debated whether this behavior is based on the motivation to follow behavioral norms and affiliate with the model or whether it can be interpreted in terms of a behavioral heuristic to copy observed intentional actions without questioning the purpose of each action step. To resolve this question, we tested whether preschool-aged children (N = 89) over-imitate a prosocial model, a helper in a prior third-party moral transgression, but refuse to over-imitate an antisocial model, the perpetrator of the moral transgression. After first observing an inefficient way to extract a reward from a puzzle box from either a perpetrator or a helper, children over-imitated the perpetrator to the same degree as they over-imitated the helper. In a second phase, children were then presented the efficient solution by the respective other model, i.e. the helper or the perpetrator. Over-imitation rates then dropped in both conditions, but remained significantly higher than in a baseline condition only when children had observed the prosocial model demonstrate the inefficient action sequence and the perpetrator performed the efficient solution. In contrast, over-imitation dropped to baseline level when the perpetrator had modelled the inefficient actions and the prosocial model subsequently showed children the efficient solution. In line with a dual-process account of over-imitation, results speak to a strong initial tendency to imitate perceivably irrelevant actions regardless of the model. Imitation behavior is then adjusted according to social motivations after deliberate consideration of different options to attain the goal.