Caregiver skills training for families of children with developmental delays or disabilities: adaptation and implementation guide

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World Health Organization

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ix, 32 p.
The Rumanian version published by the Association for Cognitive Behavioral Therapies and Rehabilitation Programs (ATCCPR) in Romania.
The Portuguese version is published by PAHO: https://iris.paho.org/handle/10665.2/71494
This adaptation and implementation guide supports the delivery of the World Health Organization’s Caregiver Skills Training (CST) programme for families of children aged 2–9 years with developmental delays or disabilities. The guide outlines the purpose, structure and core components of the training package, which is designed to enhance caregivers’ skills and promote children’s development, particularly in social communication and behaviour. It describes a course delivered through group sessions and home visits by trained non-specialist facilitators, emphasizing accessibility in diverse settings, including low-resource contexts. The document provides detailed guidance on adapting the training materials and delivery strategies to local cultural, linguistic and socioeconomic contexts while maintaining fidelity to core evidence-based components. It presents a stepwise adaptation process, including stakeholder engagement, translation, contextual analysis and pilot testing, as well as key considerations for implementation, such as reducing barriers to participation and ensuring acceptability and feasibility. The guide highlights the importance of systematic documentation and evaluation of adaptations to support effective, scalable and contextually relevant implementation of the CST intervention.

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