Home-Based Child Care Toolkit for Nurturing School-Age Children Study

Child Development Clinical Trial

Official title:

Home-Based Child Care Toolkit for Nurturing School-Age Children Study

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06329778
• Other study ID #: 50884b
• Status: Recruiting
• Start date: March 15, 2024
• Est. completion date: October 27, 2024

Study information

• Verified date: March 2024
• Source: Mathematica Policy Research, Inc.
• Contact: Ashley Kopack Klein
• Phone: (202) 264-3496
• Email: AKopackKlein[@]mathematica-mpr.com
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The goal of this observational study is to build psychometric evidence for the Home-Based Child Care Toolkit for Nurturing School-Age Children (HBCC-NSAC Toolkit) provider questionnaire. The main objectives of the study are to: 1) assess the reliability of the HBCC-NSAC Toolkit provider questionnaire, 2) assess the evidence for its validity compared to other existing measures of HBCC quality, and 3) examine invariance across subgroups (that is, look for the absence of any differential item functioning [DIF]). HBCC provider participants will complete a questionnaire in the HBCC-NSAC Toolkit. A subset of providers will also participate in an observation of their child care setting. Parents or guardians of children receiving care from HBCC providers will complete a survey.

Description:

Home-based child care (HBCC), child care and early education (CCEE) offered in a provider's or child's home by someone other than a parent, is the most common form of nonparental child care in the United States and is essential for many families. However, HBCC settings often use quality measures designed for center-based settings. The Home-Based Child Care Supply and Quality (HBCCSQ) project developed the Home-Based Child Care Toolkit for Nurturing School-Age Children (HBCC-NSAC Toolkit) to address the gaps in existing measures used in HBCC settings. The HBCC-NSAC Toolkit is intended to help HBCC providers who regularly care for at least one school-age child identify and reflect on their caregiving strengths and areas of growth. It consists of a self-administered provider questionnaire (composed of multiple newly developed measures) and a family communication questionnaire (composed of one communication tool). The provider questionnaire focuses on practices that may be more likely to take place in or be implemented differently in HBCC settings, such as racial and ethnic socialization, interactions among children of different ages, and interactions among children of similar ages. The current study builds upon the pilot study (completed under NCT05730075), which provided findings used to further refine the HBCC-NSAC Toolkit instruments and improve procedures for the subsequent validation study.

This validation study will recruit 150 purposively selected providers from diverse backgrounds to complete the English version of the HBCC-NSAC Toolkit provider questionnaire. The study team will ask providers to recruit one or more families to complete a family survey, for a total of up to 166 families. The study team will complete in-person observations in a subset of 50 providers' homes.

Results from the study will assist the field in understanding the extent to which the HBCC-NSAC Toolkit provider questionnaire can support home-based providers as well as how the HBCC-NSAC Toolkit addresses gaps in existing measurement.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 316
• Est. completion date: October 27, 2024
• Est. primary completion date: August 31, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria: Home-based child care providers who, at the time of the study, care for at least one school-age child (age 5 and in kindergarten, or ages 6 through 12) in a home setting for at least 10 hours per week and 8 weeks per year (within the past year) and must also be able to distribute the family survey to at least one eligible family. Providers who participate in observations must provide care in their own home.

• The families must be the parent or guardian of school-age children who receive care in a home-based child care setting for at least 10 hours per week and 8 weeks per year.

• All participants must be at least 18 years old and be able to read and answer questions in English.

Exclusion Criteria:

• Child care providers who do not care for at least one school-age child in a home setting for at least 10 hours per week and 8 weeks per year.

• Parents or guardians of children (families) who do not have school-age children who receive child care in a home for at least 10 hours per week and 8 weeks per year.

• Any providers or family members who are below 18 years old.

• Any providers or family members who cannot read and answer questions in English.

Related Conditions & MeSH terms

• Child Development

Locations

Country	Name	City	State
United States	Mathematica Policy Research	Washington	District of Columbia

Sponsors (2)

Lead Sponsor	Collaborator
Mathematica Policy Research, Inc.	Department of Health and Human Services

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	The Home-Based Child Care Toolkit for Nurturing School-Age Children provider questionnaire	We will assess reliability and validity of the English version of the HBCC-NSAC Toolkit provider questionnaire by administering the provider questionnaire by web/paper/phone to HBCC providers.; It was developed by the study team to collect information about how providers support children in their care across five domains: 1) Support for social development, 2) Support for emotional development, 3) Positive and proactive behavior management, 4) Support for learning, 5) Support for health and physical development.; Scales, # of items, range scores Emotional development (33 items): 33-231 Social development (41 items): 41-287 Behavior management (22 items): 22-154 Learning (26 items): 26-182 Health and physical development (27 items): 27-189; Higher scores indicate provider does practices more often.	6 months
Primary	Emlen Scales	For validation purposes in this study, we will administer items from sub-scales in the Emlen Scales (Emlen 2000; composite subscale, parent's perception of caregiver's cultural sensitivity subscale and happy, safe, secure subscale). These items will be embedded in the family survey administered to family respondents. The study team selected the Emlen subscales from measures used in the field that the team hypothesized are associated with constructs represented in the domains and dimensions in the provider questionnaire. We will compare families' responses to the Emlen scale against provider's responses in the provider questionnaire in order to help validate the provider questionnaire.; Scales, number of items, and range of scores: Parent scale measuring quality of child care (composite scale, 15 items): 15-75 Risks to health, safety, and well-being (10 items): 10-50 Rich activities and environment (5 items): 5-25 Higher scores indicate higher parent satisfac	6 months
Primary	Multicultural Teaching Competency Scale	For validation purposes, we will administer items from the Multicultural Teaching Competency Scale (MTCS; Spanierman, 2011). These items will be embedded in the provider questionnaire administered to providers. We will compare responses to the MTCS against provider's responses to certain items in the provider questionnaire in order to help validate specific dimensions in the provider questionnaire.; Multicultural Teaching Competency scales, number of items, and range of scores Multicultural Teaching Skill (10 items): 10-60 Multicultural Teaching Knowledge (6 items): 6-36 Total score (16 items): 16-96 Higher scores indicate greater levels of multicultural teaching competency.	6 months
Primary	Family Child Care Program Quality Assessment (FCC PQA)	For validation purposes, we will conduct observations of providers' child care settings using the Family Child Care Program Quality Assessment (FCC PQA). The FCC PQA is designed to assess quality in FCC homes that is appropriate across various FCC size settings and age groups, including school age. The FCC PQA assesses the setting's learning environment, adult-child interactions, daily routine, and safety considerations. We will conduct the observations in-person and each observation will take approximately 3 to 4 hours to complete.; Family Child Care Program Quality Assessment scales, number of items, and range of scores Daily Schedule Sum Score (8 items): 8-40 Learning Environment Sum Score (9 items): 9-45 Provider-Child Interaction Sum Score (12 items): 12-60 Safe and Healthy Environment Sum Score (7 items): 7-35 Total Sum Score (36 items): 36-180; Higher scores indicate higher setting quality.	6 months