ISRCTN11059214.

Study name	Measuring the benefits of the Reach Up early childhood parenting programme in Jamaica
Methods	Study design: RCT Country: Jamaica
Participants	Mothers of children from poor circumstances between the ages of 5‐24 months Inclusion criteria:  a. child between 5‐24 months; At least one of the following: b. child referred to the nutrition clinic for under‐nutrition; c. child whose last recorded height‐for‐age measurement was below ‐1 SD of the WHO reference standards; d. families where the child or mother is registered with the conditional cash transfer programme (PATH); e. mothers who are currently pregnant with a child under 2 years of age; f. children who live in low socioeconomic environments; g. adolescent mothers 16‐19 years. Exclusion criteria: a. child in daycare or has no consistent caregiver; b. baby has a major disability likely to affect their development; c. mother is aged under 16 years. Stated purpose: to evaluate the implementation process to inform the continued roll‐out of the programme and the impact of the intervention on child development and parenting when implemented at a larger scale. The main research questions are 1. What are the benefits to child development and behaviour when the Reach Up programme is delivered through government primary health care services in Jamaica? 2. What are the factors associated with a successful implementation of the Reach Up programme as delivered through routine health services across Jamaica?
Interventions	Intervention: Reach Up curriculum Each family will receive the usual healthcare provided by the health centre along with fortnightly (every 2 weeks) visits at home from a community health aide. At this visit, she will demonstrate play activities to the mother and encourage her to practice these activities during the 2‐week interval. These visits will be conducted over 10 months. At the end of this period, families will be contacted by the research team and an impact evaluation conducted. Control: Usual care (each family will receive the usual healthcare provided by the health centre. After 10 months families will be contacted and an impact evaluation conducted).
Outcomes	Participants'outcomes of interest for this review Mental health symptoms/(maternal) depression – Center for Epidemiological Studies‐Depression Scale (CES‐D) Economic outcomes Nil Time points: baseline, post‐intervention (immediate post‐intervention)
Starting date	13 May 2019
Contact information	Susan Walker, susan.walker@uwimona.edu.jm
Notes	Source of funding: Ministry of Health Prospective trial registration number: ISRCTN11059214