Language Development Disorders Clinical Trial
Official title:
Promoting Early School Readiness in Primary Health Care
Verified date | November 2019 |
Source | NYU Langone Health |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This project will measure the degree to which parenting programs based in pediatric primary
care can be effective in promoting language development and school readiness in at-risk young
children.
The study is a randomized controlled trial in which two different primary care-based
parenting programs will be compared to a control group in a population that is at risk on the
basis of poverty. The two programs represent varying levels of low intensity, but each has
the same goals: enhancing parent-child interaction in order to improve language, cognitive
and social-emotional development and ultimately promote school readiness and school
performance.
One program is called the "Video Interaction Project". While waiting to see the primary care
provider for well child care, the family meets with a child development specialist, who
videotapes the parent and infant interacting together. The videotape is then rewound and
watched together by the parent (and infant!) and child development specialist. This leads to
a discussion about child development, infant cues and parenting, with the child development
specialist building on observed strengths in the interaction. In addition, families are
provided with parenting pamphlets developed for the project, and with inexpensive
developmentally stimulating toys.
The other program is called the "ASQ-Building Blocks Project". This project employs a public
health approach to facilitate parental engagement in child development. Families are sent
monthly newsletters that focus on child development, infant cues and parenting; included with
each newsletter is an inexpensive, developmentally stimulating toy. In addition, families
periodically receive Ages and Stages Questionnaires, which they complete and mail back to the
program. Based on the questionnaires, the program determines whether the infant has screened
positive for possible developmental delay and provides this information to both the family
and the primary care provider.
This study will test 2 hypotheses:
1. Primary care based parenting interventions can impact parent-child interaction, early
child development and school readiness.
2. Interventions of differing intensity will have impacts of differing magnitude depending
on the risk level of the family.
Status | Completed |
Enrollment | 675 |
Est. completion date | December 18, 2017 |
Est. primary completion date | December 18, 2017 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 35 Weeks and older |
Eligibility |
Inclusion Criteria: - Intention to receive primary care in the well-child clinic (FCC or newborn clinic) at Bellevue Hospital Center. - Intention to remain in the New York City area for at least 3 years. - Primary caregiver's language is English or Spanish. - Birthweight 2000gm or higher - Gestational age 35 weeks or higher Exclusion Criteria: - Significant newborn medical complication - Significant congenital anomaly or syndrome |
Country | Name | City | State |
---|---|---|---|
United States | New York University School of Medicine | New York | New York |
Lead Sponsor | Collaborator |
---|---|
NYU Langone Health | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) |
United States,
Berkule SB, Dreyer BP, Huberman HS, Fierman AH, Mendelsohn AL. Attitudes about shared reading among at-risk mothers of newborn babies. Ambul Pediatr. 2007 Jan-Feb;7(1):45-50. — View Citation
Berkule SB, Dreyer BP, Klass PE, Huberman HS, Yin HS, Mendelsohn AL. Mothers' expectations for shared reading after delivery: implications for reading activities at 6 months. Ambul Pediatr. 2008 May-Jun;8(3):169-74. doi: 10.1016/j.ambp.2008.01.002. Epub 2008 Apr 8. — View Citation
Green CM, Berkule SB, Dreyer BP, Fierman AH, Huberman HS, Klass PE, Tomopoulos S, Yin HS, Morrow LM, Mendelsohn AL. Maternal literacy and associations between education and the cognitive home environment in low-income families. Arch Pediatr Adolesc Med. 2009 Sep;163(9):832-7. doi: 10.1001/archpediatrics.2009.136. — View Citation
Mendelsohn AL, Berkule SB, Tomopoulos S, Tamis-LeMonda CS, Huberman HS, Alvir J, Dreyer BP. Infant television and video exposure associated with limited parent-child verbal interactions in low socioeconomic status households. Arch Pediatr Adolesc Med. 2008 May;162(5):411-7. doi: 10.1001/archpedi.162.5.411. — View Citation
Mendelsohn AL, Dreyer BP, Flynn V, Tomopoulos S, Rovira I, Tineo W, Pebenito C, Torres C, Torres H, Nixon AF. Use of videotaped interactions during pediatric well-child care to promote child development: a randomized, controlled trial. J Dev Behav Pediatr. 2005 Feb;26(1):34-41. — View Citation
Mendelsohn AL, Valdez PT, Flynn V, Foley GM, Berkule SB, Tomopoulos S, Fierman AH, Tineo W, Dreyer BP. Use of videotaped interactions during pediatric well-child care: impact at 33 months on parenting and on child development. J Dev Behav Pediatr. 2007 Jun;28(3):206-12. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Discipline assessed using the Discipline Survey | Discipline mediates effects of poverty on social-emotional outcomes (Gershoff, 2007), and attitudes about discipline practices form early in children's lives (Socolar, 1996). | 6, 14, 24, 36, 54 mos and in 1st grade | |
Primary | Stress related to interactions and lack of warmth will be assessed using The Parenting Stress Index - Short Form (PSI) | Stress related to interactions and lack of warmth mediate effects of poverty on emotional outcomes. | 6, 14, 24, 36, 54 mos and in 1st grade | |
Primary | Bayley Scales of Infant and Toddler Development | Will assess cognitive development | 14, 24, and 36 mos | |
Primary | Woodcock-Johnson III Tests of Cognitive Abilities | Will be used to estimate child's cognitive. Four sub-tests will be used: Verbal comprehension (VC) assesses the comprehension knowledge Cattell-Horn-Carroll cognitive factor (Gc); Memory for Words and Auditory Working Memory assess the short term memory CHC factor (Gsm); Visual Matching measures the CHC processing speed factor (Gs). | 14, 24, and 36 mos |
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