A scoping study of early childhood research in Spanish and Portuguese-speaking countries for improved well-being worldwide through collaboration and knowledge transfer / ABSTRACT BACKGROUND: Research evidence strongly supports the influence of quality nutrition, cognitive stimulation and nurturing care on the extent that a child reaches full development. Reaching developmental milestones results in positive outcomes for individual health and well-being as well as communal stability and prosperity. Interventions to improve early childhood development are not a recent concept; however, the interaction of one early childhood development outcome on others form a complex, often interdependent, relationship. The complexity of a child's development also includes the child's family, home environment, community and national context. The complex and dynamic setting for implementing early childhood interventions requires more than efficiency or knowledge. It requires patience, cultural competency and a compassion to engage and support a child's family, society and nation. Interventions that are effective in multiple cultures or can be scaled up to a regional or global level are rare and usually focus on one aspect of early childhood development (ECD), like protein intake to prevent stunting. Context does matter, and ECD research is dispersed over vastly different political systems and often focused on specific people groups or subcultures. The scope and intensity of ECD research in the world has not been described and is often unknown to English-speaking researchers who are not personally connected by relationship or literacy to other languages and cultures. PURPOSE: The purpose of this scoping study is to answer the research question: "What is being researched related to early childhood development interventions with children six years old and younger in Spanish and Portuguese-speaking countries?” A scoping study of published, peer-reviewed literature on interventions in early childhood development in English, Spanish and Portuguese was performed to understand the concepts in research on early childhood development (ECD). The thesis presents interventions in early childhood development and their usage in Mexico, Central and South America in particular and also in Europe and Africa because of the Spanish and Portuguese languages spoken there. The thesis highlights risk factors, assessment tools and interventions from peer-reviewed research providing a scope of ECD interventions for this world area. SEARCH METHODS
: Databases searched were related to global health, health sciences, nursing and allied health, psychology and education. They were Global Health, Embase, Medline with PubMed e-ahead of print, PsycInfo, CINAHL, ERIC, LILACS and IBECS. The search strategy and data collection was guided by the research question to be thorough and methodical. Exclusion criteria were utilized to screen more than seven hundred articles to retrieve eighty-six articles that included the correct populations, relevant countries, ECD interventions and early childhood outcomes. FINDINGS: Macro and micro-context risk factors in early childhood development were highlighted across the literature. They were lower maternal education, informal maternal employment, larger household size, lower wealth index and rural residence. Findings related to child or home-centered interventions revealed varied but some positive outcomes in national programmes in Mexico, Brazil, Ecuador, Nicaragua, Colombia and Portugal. The research across all countries in literature found positive impact on early childhood development from age-dependent nutrition, higher socio-economic status and education in mothers, stimulating parent-child interactions and nurturing home environment. CONCLUSIONS: 
While a scoping study of ECD provides an overview of the work happening and of the relevant key concepts, the eighty-six included studies can hardly be considered representative of all childhood development interventions being implemented or researched. Some state or national governments and non-government organizations implement early childhood interventions without publishing in a peer-reviewed journal. Many more interventions are not evaluated or monitored. Increased collaboration and networking between researchers and countries is needed. Necessary partnerships between educators, researchers and policy-makers based on national strengths across the globe can facilitate better sharing of knowledge and assessment of appropriate interventions for a population's needs. Further monitoring, evaluation and publishing of interventions in this region of the world is required. M.Sc. Thesis - Brandon James Chapman; McMaster University - Global Health / Thesis / Master of Science (MS) / Development during the earliest years of life includes physical, mental and social development. This thesis is a study on the research for early childhood development in Spanish and Portuguese-speaking countries and describes what is happening with a global health perspective. The thesis discusses how research can impact knowledge and what is done to support and improve development for children, their families and their country.

Through document analysis, one-on-one interviews with parents, and observations the researcher aimed to explore early intervention in pre-school children with learning difficulties in Grahamstown, Eastern Cape. The researcher set out to determine whether parents were aware of the importance of early intervention in addressing learning difficulties in their children, what support existed to help parents give support to children with learning difficulties, and how support could be improved to enable parents to help their children. This study found that parents in Grahamstown, Eastern Cape needed support that would enable them to provide early intervention for their children with learning difficulties. The study also showed that parents were aware of the importance of early intervention to help their children with learning difficulties. Most parents were receiving support, but there was room for improvement in the support that they were receiving. Flowing from this, the study also found that parents needed different forms of support, e.g. emotional and financial support. Based on the findings, recommendations were made. Recommendations were aimed at improving support for parents, so they can provide successful early intervention for their pre-school children, e. g. through the creation of open channels of communication between parents and other role players, like government departments and service providers. Recommendations were also made for future research, e. g. research into ways to create open channels of communication. / Inclusive Education / M. Ed. (Inclusive Education)

Through document analysis, one-on-one interviews with parents, and observations the researcher aimed to explore early intervention in pre-school children with learning difficulties in Grahamstown, Eastern Cape. The researcher set out to determine whether parents were aware of the importance of early intervention in addressing learning difficulties in their children, what support existed to help parents give support to children with learning difficulties, and how support could be improved to enable parents to help their children. This study found that parents in Grahamstown, Eastern Cape needed support that would enable them to provide early intervention for their children with learning difficulties. The study also showed that parents were aware of the importance of early intervention to help their children with learning difficulties. Most parents were receiving support, but there was room for improvement in the support that they were receiving. Flowing from this, the study also found that parents needed different forms of support, e.g. emotional and financial support. Based on the findings, recommendations were made. Recommendations were aimed at improving support for parents, so they can provide successful early intervention for their pre-school children, e. g. through the creation of open channels of communication between parents and other role players, like government departments and service providers. Recommendations were also made for future research, e. g. research into ways to create open channels of communication. / Inclusive Education / M. Ed. (Inclusive Education)