An Early Childhood Internet-based and Family-based Intervention Study

Early Childhood Development Clinical Trial

— ECII  

Official title:

A Large Scale Cross-sectional Survey and a Randomized Control Study on the Effectiveness of an Early Childhood Family-Based and Internet-Based Intervention

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT04512352
• Other study ID #: early-childhood-2020
• Status: Active, not recruiting
• Phase: N/A
• Start date: November 1, 2017
• Est. completion date: May 2021

Study information

• Verified date: August 2020
• Source: The University of Hong Kong
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The poverty rate among children under 18 years old in Hong Kong in 2015 was 18% after social welfare intervention. James Heckman, a Nobel Prize winner in Economics, advocates early childhood investment to enhance social mobility, given its lifelong impact of on child development. However, few randomized control trails have been used to examine the effectiveness of early childhood intervention in promoting social mobility through child development in Hong Kong. To fill these gaps, we propose an interdisciplinary intervention study involving academics from economics, sociology, social work, gerontology, education, and psychology to investigate methods to promote the social mobility of children living in poverty through early intervention.

The overall objective is to enhance the developmental outcomes of children in poverty by utilizing parental resources within a family system, technological resources available in modern metropolis and the human resources enjoyed by the elderly in Hong Kong.

The primary objective is to evaluate an internet- and family-based intervention to promote the development of children in poverty aged 24 months to three years. The examined outcome will be the developmental well-being of participating children, with the long-term goal of promoting their social mobility to break the cycle of poverty. In the long run, we aim to establish the proposed intervention in policy to promote the development of disadvantaged children.

The secondary objective is to identify intergenerational volunteerism as a means for productive aging through a mentoring program using older adults as mentors to participating parents.

Description:

The proposed research consists of three phases. The first phase will be a cross-sectional survey with a sample of 1,000 cases from 60 nurseries cum kindergartens to explore the family demographics and developmental profiles of low-income children in comparison to others. The second phase will be a randomized control trail implementing a 24-month internet-based intervention with 200 toddler-parents dyads from 20 to 30 of the original 60 nurseries. Interventions will be delivered by older mentors professionally trained by the research team. All children, parents and elderly mentors will be evaluated through a set of outcome measurements to assess the effectiveness of the program. The last phase will involve the dissemination of research information that may become building blocks for policies on internet-based early childhood education, poverty alleviation and social mobility enhancement, as well as productive aging.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 200
• Est. completion date: May 2021
• Est. primary completion date: September 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Parents who have children aged 24 months to 3 years

Exclusion Criteria:

• Parents who have children beyond the above age range

Related Conditions & MeSH terms

• Early Childhood Development

Intervention

Other:
• Online curriculum
The psychologist and our advisory team had successfully developed a total of 100 hours of parenting curriculum. The adopted curriculum had focused on using play to facilitate parents in promoting their children's development in cognitive, motor, emotional and social aspects. Play-based activities are instrumental in improving children's development. Given that parents in poverty had difficulties spending time and money travelling back-and-forth to the training site and their homes, the research team decided to use e-learning as the medium of learning for our parenting programme. Web-based learning has the advantage of cutting time and travelling costs, which are luxuries to many parents in poverty.

Locations

Country	Name	City	State
Hong Kong	Hong Kong Christian Service	Hong Kong
Hong Kong	Hong Kong Lutheran Social Service	Hong Kong
Hong Kong	Hong Kong Young Women's Christian Association	Hong Kong
Hong Kong	Po Leung Kuk	Hong Kong
Hong Kong	The Salvation Army	Hong Kong
Hong Kong	Tung Wah Group of Hospitals	Hong Kong

Sponsors (1)

Lead Sponsor	Collaborator
The University of Hong Kong

Country where clinical trial is conducted

Hong Kong, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Bayley Scales of Infant and Toddler Development-III (Bayley III)	It is a comprehensive tool to identify development issues during early childhood.	Change from baseline assessment at 10 months
Secondary	Ages and Stages Questionnaires (ASQ) and ASQ: SE	It is a parent-report developmental screening tool. It covers the following aspects: Cognitive?Receptive Communication?Expressive Communication?Fine Motor?Gross Motor?Social-Emotion?Adaptive Behavior	Change from baseline assessment at 10 months