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1、Ann.N.Y.Acad.Sci.ISSN0077-8923ANNALSOFTHENEWYORKACADEMYOFSCIENCESIssue:IntegratingNutritionandEarlyChildhoodDevelopmentInterventionsMeasuresandindicatorsforassessingimpactofinterventionsintegratingnutrition,health,andearlychildhooddevelopmentEdwardA.Frongillo,1FahmidaTofail,2JenaD.Hamadani,2Andr
2、eaM.Warren,1andSyedaF.Mehrin21DepartmentofHealthPromotion,Education,andBehavior,UniversityofSouthCarolina,Columbia,SouthCarolina.2InternationalCenterforDiarrhoealDiseaseResearch,Bangladesh,Dhaka,BangladeshAddressforcorrespondence:EdwardFrongillo,Ph.D.,DepartmentofHealthPromotion,Education,andBeh
3、avior,800SumterStreet,Room216,UniversityofSouthCarolina,Columbia,SC29208.efrongillo@sc.eduWhenimplementinginterventionsintegratingnutrition,health,andearlychildhooddevelopment,evaluationstudiesofeffectivenessthatassesstheintermediateandultimateimpactsonthefourdomainsoffoodandnutrition,familycare
4、,health,andchilddevelopmentareneeded.Suchstudiesshoulddemonstrateimpact,bothbenefitsandpotentialharms,andunderstandmechanismsthroughwhichimpacthasbeenachieved.Thisarticlereviewsandsuggestsmeasuresandindicatorssuitableforuseinevaluationstudiesofeffectivenessofintegratedinterventionsforchildrenunde
5、r5yearsofage.Withineachofthefourdomains,multipleconstructsandsubconstructswereconsidered.Foreachconstructandsubconstruct,weidentifiedmeasuresandindicators,usingseveralsearchprocesses,andreviewedtheminrelationtovalidity,responsivenesstointerventioninputsandactivities,equivalenceinconstructsanditem
6、sacrosscontextswithappropriateadaptation,andfeasibilityforuseineffectivenessstudies.Suggestedmeasuresandindicatorsforeachdomain,construct,andsubconstructaretabulatedanddescribed.Wediscussthestrengthsandweaknessesofmeasuresandindicatorsacrossdomainsandconstructs,furtherresearchestablishingvalidit
7、y,andguidanceonadaptationofmeasurestoparticularcontexts.Keywords:nutrition;familycare;health;childdevelopment;integratedinterventions;earlychildhoodIntroductionchilddevelopmentareneeded.Evaluationstudiesofeffectivenessshould
