Objective To explore the effect of early integrated intervention on psychological and behavioral development of left-behind children aged 0~3 in poor rural areas,in order to provide evidence for optimized policy on left-behind children. Methods A total of 1 157 left-behind children aged 0~3 in 6 poor counties in Shanxi and Guizhou province were investigated in 2013.Four counties were enrolled as the intervention group,and the others were as control group.Both two groups were given basic health services,and the intervention group was given integrated intervention program additionally.After two years,all left-behind children aged 0~3 in two groups were investigated,and finally 1 248 cases were included.The Chinese Version of Ages & Stages Questionnaire-Third Edition (ASQ-3) was used to assess the status of early psychological and behavioral development of children.Difference-in-difference model and attributable risk proportion analysis were used to evaluate the effect of intervention. Results After monitoring the basic information,the decrease rates of suspicious delay in gross motor,fine motor,problem solving and personal-social domain in intervention group were 5.7%,7.4%,6.5% and 6.2%,respectively.And 65.5%,60.7%,52.8% and 66.7% of the reduction in difference resulted from intervention for each domain,respectively. Conclusion Early integrated intervention can significantly improve the psychological and behavioral development of left-behind children aged 0~3 in poor rural areas,so it deserved to be prompted in rural areas.
Key words
left-behind children /
integrated intervention /
psychological and behavioral development
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