116 lines
3.7 KiB
YAML
116 lines
3.7 KiB
YAML
abstract: 'Aim This paper describes a process evaluation that was conducted
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alongside a randomized controlled trial of out-of-home pre-school day
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care. The evaluation aimed to: (1) describe the intervention; (2)
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document the day care received by participating families; (3) describe
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the social context of the trial; and (4) provide data to assist in the
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interpretation of trial outcomes.
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Methods The setting for the trial was an out-of-home day care Centre in
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Hackney, East London. Process data were collected through the use of
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questionnaires, interviews, and researcher field-notes. Data from
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questionnaires were collected from 120 mothers and included data on 143
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children. Interviews were undertaken with 21 participating mothers.
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Staff also completed questionnaires and the Head of the Centre was
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interviewed. The quality of care provided was assessed using the Early
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Childhood Environment Rating Scale.
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Results Process data collected during the trial suggest that the day
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care provided was education-led, flexible in catering to families''
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needs, and was of a very high quality. The social context of the trial
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resulted in financial pressures, which may well have influenced the
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intervention provided. Data collected through in-depth interviews
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suggested that it may be the flexibility of day care that is
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particularly important in allowing women to return to paid employment,
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but that the loss of benefits when starting work may have meant no
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increase in household income.
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Conclusion The paper illustrates the value of conducting a process
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evaluation alongside a randomized trial, particularly where complex
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interventions are involved. In this case, where the intervention was not
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provided by the research team, the evaluation allowed an insight into
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the content of a multifaceted intervention, which is useful in
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interpreting the trial''s results, and in explaining the possible effects
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of the social context on the intervention.'
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affiliation: 'Toroyan, T (Corresponding Author), Univ London London Sch Hyg \& Trop
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Med, Dept Epidemiol \& Populat Hlth, Nutr \& Publ Hlth Intervent Res Unit, 1st Floor,Wolfson
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Bldg,Keppel St, London WC1E 7HT, England.
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Univ London London Sch Hyg \& Trop Med, Dept Epidemiol \& Populat Hlth, Nutr \&
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Publ Hlth Intervent Res Unit, London WC1E 7HT, England.
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Univ London, Inst Educ, Social Sci Res Unit, London WC1N 1AZ, England.
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City \& Hackney Primary Care Trust, Child \& Adolescent Serv, London, England.
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Univ E Anglia, Sch Med Hlth Policy \& Practice, Norwich NR4 7TJ, Norfolk, England.
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Mapledene Early Years Ctr, London, England.'
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author: Toroyan, T and Oakley, A and Laing, G and Roberts, I and Mugford, M and Turner,
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J
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author-email: toroyant@who.int
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author_list:
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- family: Toroyan
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given: T
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- family: Oakley
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given: A
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- family: Laing
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given: G
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- family: Roberts
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given: I
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- family: Mugford
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given: M
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- family: Turner
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given: J
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da: '2023-09-28'
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doi: 10.1111/j.1365-2214.2004.00481.x
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files: []
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issn: 0305-1862
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journal: CHILD CARE HEALTH AND DEVELOPMENT
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keywords: 'evaluation; pre-school day care; household income; social intervention;
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randomization'
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keywords-plus: HEALTH; INTERVENTIONS; DESIGN
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language: English
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month: NOV
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number: '6'
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number-of-cited-references: '20'
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pages: 691-698
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papis_id: 4406412eaafbbc885ff48158354b2837
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ref: Toroyan2004impactday
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times-cited: '17'
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title: 'The impact of day care on socially disadvantaged families: an example of the
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use of process evaluation within a randomized controlled trial'
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type: article
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unique-id: WOS:000224921200014
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usage-count-last-180-days: '0'
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usage-count-since-2013: '5'
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volume: '30'
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web-of-science-categories: Psychology, Developmental; Pediatrics
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year: '2004'
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