Every Newborn Reach Up Early Education Intervention for All Children Education (ENREACH) Education

NCT06890156 | Not Yet Recruiting

• 2 other identifiers: PR-24085110505-001.
• Study Type: interventional
• Target: 3,000
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of the project is to assess the scale-up of the program, focusing on improving school readiness among preschool children, enhancing capacity building for parents and teachers, and utilizing a cluster randomized controlled trial (cRCT). The primary research questions are to seek answer-

• What specific adaptations are necessary for an innovative, disability-inclusive early education training program to become a fully inclusive model that enhances teachers' engagement and practices in pre-primary classrooms in Nepal, Tanzania, and Bangladesh?
• How can a new, equitable 'School Readiness Programme for the child-parent-teacher triad' be effectively scaled within national government pre-primary platforms using a cRCT?
• How can the outcomes of the 'School Readiness Programme for the child-parent-teacher triad' be implemented in a cost-effective manner by key stakeholders across the three sites? The research will examine an adapted inclusive early education training programme will lead to improved teaching practices, enhanced parental capacity, and better school readiness for all children compared to standard education programme; and b) the child-parent-teacher triad model can be scaled effectively within the government primary education systems.

Conditions

School Readiness; School Environment

Keywords

School readiness; Early childhood care and education (ECCE); Early childhood development (ECD); Pre-primary education; disabilities; Cluster randomized controlled trial (cRCT)

Outcome Measures

Primary Outcomes (1)

• Measuring Early Learning Quality and Outcomes (MELQO)

  School readiness (per-literacy, numeracy, executive functions, and social-emotional learning) will be assessed using the Measuring Early Learning Quality and Outcomes (MELQO)

  40 Minutes

Secondary Outcomes (8)

• Early childhood version of Home Observation for Measurement of Environment

  30 Minutes

• Pediatric Quality of Life Inventory (PedsQL)

  30 Minutes

• Measure of Early Learning Environment (MELE)

  90 minutes

• Feeling Questionnaires

  5 minutes

• Teacher Interview Report

  20 minutes

Study Arms (2)

Arm 1: Intervention

ACTIVE COMPARATOR

Caregivers and their pre-school children aged 48-84 months, enrolled in pre-primary education.

Behavioral: ENREACH child-parent-teacher triad

Arm 2: Control

NO INTERVENTION

Caregivers and their children aged 48-84 months, enrolled in pre-primary education.

Interventions

ENREACH child-parent-teacher triad BEHAVIORAL

Prior to enrolling study participants, we will conduct sensitization meetings with each selected government primary school. These meetings will be oriented toward community leaders, caregivers of children with or without disabilities, and school management committees to introduce them to the program, ensure the inclusion of all children, and address concerns related to gender, poverty, and disability. A disability-inclusive module will be delivered to preschoolers in their regular pre-primary classrooms by trained pre-primary teachers. This module will cover foundational skills, the importance of play, communication, socio-emotional learning, and strategies for adapting the curriculum to accommodate children with disabilities. ENREACH parent group school readiness intervention package will be provided to parents during monthly parent-teacher meetings, facilitated by trained preschool teachers.

Arm 1: Intervention

Eligibility Criteria

• Age: 48 Months - 84 Months
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• All children aged 48-84 months
• Enrolled in preschools
• Residing in the catchment areas of GPS
• Include/over sample for children with functional disabilities even if they are over 84 months of age.

You may not qualify if:

• Un-consenting parents
• Intervention school of EN-REACH study

Sponsors & Collaborators

• International Centre for Diarrhoeal Disease Research, Bangladesh: lead
• Muhimbili University of Health and Allied Sciences: collaborator
• University of Glasgow: collaborator
• London School of Hygiene and Tropical Medicine: collaborator
• Golden Community, Nepal: collaborator

Study Sites (1)

International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b)

Dhaka, 1212, Bangladesh

Location

Related Publications (3)

• Davis, D., Miller, D., Mrema, D., Matsoai, M., Mapetla, N., Raikes, A., & Burton, A. (2021). Understanding perceptions of quality among early childhood education stakeholders in Tanzania and Lesotho: A multiple qualitative case study. Social Sciences & Humanities Open, 4(1), 100153.

  BACKGROUND

• Miah MAA, Chandna J, Gurung R, Masoud NS, Paul P, Ameen S, Basnet O, Miraji M, Tann C, Mili IA, Hossain AKMT, Chowdhury AI, Alam A, Milner KM, Arifeen SE, Kc A, Manji K, Lynch P, Lawn JE, Hamadani JD; EN-REACH collaborative group. Every Newborn-Reach Up Early Education Intervention for All Children (EN-REACH)- a parent group intervention for school readiness in Bangladesh, Nepal, and Tanzania: study protocol for a cluster randomized controlled trial. Trials. 2024 Aug 23;25(1):556. doi: 10.1186/s13063-024-08381-6.

  PMID: 39180108 BACKGROUND

• Bangladesh Bureau of Statistics (BBS) and UNICEF, Multiple Indicator Cluster Survey-2019. 2019

  BACKGROUND

Study Officials

• Jena Derakhshani Hamadani, PhD

  International Centre for Diarrhoeal Disease Research, Bangladesh

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Jena Derakhshani Hamadani, PhD

CONTACT

+8801713093849; jena@icddrb.org

Mohammad Abdul Awal Miah, M.Phil

CONTACT

+88017181040304; mohammad.miah3@icddrb.org

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: All assessors will be blinded to the intervention group
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Prior to enrolling study participants, we will conduct sensitization meetings with each selected government primary school. These meetings will be oriented toward community leaders, caregivers of children with or without disabilities, and SMCs to introduce them to the programme, ensure the inclusion of all children, and address concerns related to gender, poverty, and disability. A disability-inclusive module will be delivered to preschoolers in their regular pre-primary classrooms by trained pre-primary teachers. This module will cover foundational skills, the importance of play, communication, socio-emotional learning, and strategies for adapting the curriculum to accommodate children with disabilities. Additionally, the ENREACH parent group school readiness intervention package will be provided to parents during monthly parent-teacher meetings, facilitated by trained preschool teachers.

Study Record Dates

• First Submitted: March 17, 2025
• First Posted: March 21, 2025
• Study Start: July 1, 2025
• Primary Completion (Estimated): August 1, 2026
• Study Completion (Estimated): March 1, 2027
• Last Updated: June 26, 2025

Record last verified: 2025-05

Data Sharing

• IPD Sharing: Will share
• Shared Documents: SAP
• Time Frame: From December 2025 until analysis is completed A
• Access Criteria: All the PIs of each site and statisticians

Locations

BA (1)