Discussion
SECONDARY
This study was a pilot Q-RCT of parent training for a remote booklet intervention with preschool children at risk of not reaching their developmental potential. Findings in the CARE booklet intervention (CBI) were in line with our prediction that the parental training interventions would enhance children’s developmental status and language-related skills. Also, follow-up testing on the CBI group revealed significant positive results in both primary and secondary outcomes, compared to the control group that had received local services only. This includes the effect of the decrease in HLL Delay items for the post-test measurements in the CBI group compared with the control group. In the ANCOVAs overall effects interpretation, medium-sized effects were found in one developmental dimension.The consideration of sociodemographic variables in the two-way ANCOVA analysis is informative for any future RCT, which requires a deep evaluation of home conditions and local services relating to the formal introduction to writing, alongside training in cognitive skills and performance with narrative devices. The results for the CBI group support the screening tool’s use as a practical approach to parental reporting that gives confidence in our ability to evaluate activities and interactions at home. Reduction in overall delays, and a medium-sized effect on narrative devices and fine motor-adaptive skills, confirm the CBI as a feasible solution to provide prompts, guidance, and scaffolding to parents and caregivers [Dosage intervention has had significant effects on previous parental training studies [The COVID-19 pandemic had causal effects on mental health and caregiving environments, particularly in contexts of poverty. These effects have been observed in Colombia and other LMICs, and have increased the risk of children not reaching their developmental potential [