study descriptionQuality improvement.
core topic(s)Early Literacy
Population CharacteristicsImmigrant , Race, Ethnicity, and Culture
Exposures, Outcomes, OtherChild Development (general) , Community , Connections for Child Development , Home Visitation , Play , Programs and Interventions (other) , School Readiness and Educational Outcomes
metric(s)Ages and Stages Questionnaire (ASQ)
objectivesThe purpose of this paper is to provide a programmatic evaluation of a culturally sensitive parenting and school preparedness program for first-generation Latinx children using a home visitation model with community health workers (CHWs).
exposureConnections for Child Development (CCD).
outcomes evaluatedChildhood development in the home.
settingFamilies identified as immigrants, Spanish speaking, and with at least one child aged 0-5 were recruited. Over half of the parent participants reported Mexico as their country of origin, 11% reported other (e.g., Bolivia, Peru, Venezuela, Columbia, Dominica, El Salvador, Nicaragua). The highest percentage of children lived in Berkeley County (61%), followed by Charleston County (35%) and Dorchester County (4%).
methodsA cultural and linguistic appropriate program was developed in coordination with the state's largest Latinx advocacy organization and two patient-centered pediatric medical homes (PCPMHs) after securing extramural grant funding for an evidenced-based home visitation program using skilled community health workers (CHWs) aimed at Latinx children at the age of 0-5 years and their caregivers. The program includes developmental screenings using the Ages & Stages Questionnaires®, Third Edition (ASQ®-3), CHW role modeling of developmentally appropriate play, early literacy, connection to resources, oral health, nutrition, and physical activity.
sample sizen=103 (children)
Measure of Development in the Home: pre and post intervention administration of Ages & Stages Questionnaires®, Third Edition (ASQ®-3) involving 6 questions about 5 major developmental domains (communication gross motor, fine motor, problem-solving, personal social).