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Field Before After
Trial Status in_development on_going
Abstract The goal of preschool education is to support children’s cognitive, physical, and socio-emotional development, providing a safe and nurturing environment for young children to learn and interact with their peers. However, estimates indicate that 250 million children (43%) younger than 5 years in low- and middle-income countries are at risk of not reaching their developmental potential due, in part, due to inadequate and inequitable access to preschools. In Ecuador, 60% of the children aged 3 to 4 years old remained unenrolled in 2020-21. Recognising the lack of access to public preschools and additionally the lack of motivation among parents to send their child to preschools, the Ecuadorian Ministry of Education (MoE) launched a programme to provide regular home visits to ‘vulnerable’ families in 2018. In our study we collaborate with the MoE to improve the quality of this programme through professional development, technology-aided monitoring, and support for both teachers and parents. The evaluation will test if these programme improvements lead to an increase in child development outcomes using a cluster randomised control trial. The goal of preschool education is to support children’s cognitive, physical, and socio-emotional development, providing a safe and nurturing environment for young children to learn and interact with their peers. However, estimates indicate that 250 million children (43%) younger than 5 years in low- and middle-income countries are at risk of not reaching their developmental potential due, in part, due to inadequate and inequitable access to preschools. In Ecuador, 60% of the children aged 3 to 4 years old remained unenrolled in 2020-21; numbers further declined after the covid-19 pandemic, with only 27% of 3- and 4-year-old children being provided with early childhood education services among rural and vulnerable populations. Recognising the lack of access to public preschools and additionally the lack of motivation among parents to send their child to preschools, the Ecuadorian Ministry of Education (MoE) launched a programme to provide regular home visits to ‘vulnerable’ families in 2018. In our study we collaborate with the MoE to improve the quality of this programme through professional development, technology-aided monitoring, and support for both teachers and parents. The evaluation will test if these programme improvements lead to an increase in child development outcomes using a cluster randomised control trial.
Trial End Date April 15, 2024 November 30, 2025
JEL Code(s) C93, D90, I28, J13 C93, D90, I28, J13, J24, M53
Last Published August 10, 2023 01:42 PM January 16, 2025 12:28 PM
Intervention Start Date September 13, 2023 January 19, 2025
Intervention End Date March 01, 2024 June 30, 2025
Experimental Design (Public) Randomisation will occur in the 47 districts of the Costa regime. 47 districts have been purposively sampled (out of 58 districts). A total of 5 districted were excluded from the evaluation due to security concerns. The 47 study districts will be stratified by their size in terms of number of teachers per district, and on the number of 'new' teachers per district with no previous experience within the programme. After stratification, equal number of districts will be assigned to 2 arms (Treatment=improved programme and Control=standard programme). Randomization will occur in the 48 districts of the Sierra regime. 48 districts have been purposively sampled (out of 61 districts). A total of 10 districts were excluded from the evaluation as they were newly created districts by 2022; 1 district in Sierra regime was found to be non-operational using the enrolment register for September 2022; 2 districts were found to have overlap between Sierra and Costa. The 48 study districts will be stratified by their size in terms of number of teachers per district. After stratification, equal number of districts will be assigned to 2 arms (Treatment=improved programme and Control=standard programme).
Planned Number of Clusters 47 Districts 48 Districts
Planned Number of Observations 47 Districts 48 Districts
Sample size (or number of clusters) by treatment arms Treatment=24 districts, Control=23 districts Treatment=24 districts, Control=24 districts
Power calculation: Minimum Detectable Effect Size for Main Outcomes 0.23-0.29 SD units 0.23-0.28 SD units
Keyword(s) Behavior, Education Behavior, Education, Health
Intervention (Hidden) Our intervention aims at providing training and continuous professional development to SAFPI teachers in the Reggio Emilia Approach. We will provide tablets along with monthly internet packages to the teachers to enable digital submission of monitoring forms. We will also develop a Monitoring and Information System (MIS) for the Ministry of Education that can be used to collect periodic service delivery metrics, set up a feedback system to teachers, and provide weekly motivational nudges and reminders. Additionally, teachers will send weekly voice messages on best parental practices to their assigned group of parentsPre-literacy and Pre-Numeracy using IDELA, Language development using TVIP, Executive functioning using IDELA, and ECDI. Our intervention aims at providing training and continuous professional development to SAFPI teachers in the Reggio Emilia Approach. We will provide tablets along with monthly internet packages to the teachers to enable digital submission of monitoring forms. We will also develop a Monitoring and Information System (MIS) for the Ministry of Education that can be used to collect periodic service delivery metrics, set up a feedback system to teachers, and provide weekly motivational nudges and reminders. Additionally, teachers will send weekly voice messages on best parental practices to their assigned group of parents.
Secondary Outcomes (End Points) Other child development impacts: Motor skills using IDELA, Socio-emotional development using IDELA and parent-reported SDQ, Social preferences, Mental health; Intervention take-up: participation in training sessions by teachers, tracking usage of the digital MIS by teachers and supervisors; Pathways to impact: teachers' knowledge, and professional and personal well-being, caregivers' self-efficacy, interaction with the child, and home learning environment. Other child development impacts: Motor skills using IDELA, Socio-emotional development using IDELA and parent-reported SDQ, Social preferences, Mental health/psychological state (self-portrait); Intervention take-up: participation in training sessions by teachers, tracking usage of the digital MIS by teachers and supervisors; Pathways to impact: teachers' knowledge, and professional and personal well-being, caregivers' self-efficacy, interaction with the child, and home learning environment.
Pi as first author No Yes
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Irbs

Field Before After
IRB Name Comité de Ética de la Investigación en Seres Humanos, Pontificia Universidad Catolica del Ecuador
IRB Approval Date November 12, 2024
IRB Approval Number PV21-2022, V5
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Other Primary Investigators

Field Before After
Affiliation Escuela Superior Politécnica del Litoral, ESPOL
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Fields Removed

Other Primary Investigators

Field Value
Affiliation University College London
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Field Value
Affiliation University of Chile
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