Download the full text: Mendelsohn_2019_Assessing the impacts of pediatric care parenting interventions on EI referrals through linkage with a health database
study descriptionSingle-blind, three-way RCT, with two intervention groups compared with a control group.
core topic(s)Early Relational Health
Population CharacteristicsPoverty/Low-Income , Urban
Exposures, Outcomes, OtherBuilding Blocks , Clinic-Based Programs and Interventions , Libraries and Public Resources , Parent Behaviors and Skills , Parent Knowledge, Attitudes, and Beliefs , Positive Parenting , Programs and Interventions (other) , Video Interaction Project
metric(s)Woodcock Johnson Tests (WJ)
Preschool Language Scale (PLS)
Baley Scales of Infant and Toddler Development (BSID)
Clinical Evaluation of Language Fundamentals (CELF)
objectivesWe sought to determine whether pediatric primary care interventions targeting positive parenting among low socioeconomic status mothers resulted in reduced referrals to the New York City Early Intervention Program (NYC-EIP).
exposureInterventions: Video Interaction Project (VIP) and Building Blocks (BB).
outcomes evaluatedEligibility and referral to EI.
settingEnrollment in the BELLE Project was performed in the postpartum ward of an inner-city public hospital serving low income, primarily immigrant families from November 2005 through October 2008.
methodsParticipants in Building Blocks (BB) and the Video Interaction Project (VIP) were linked with the NYC-EIP administrative dataset to determine referrals.
sample sizen=422 (total participants); n=139 (referred participants)
Measures of Sociodemographic and Characteristics: parental interview at enrollment assessed mother’s age, country of origin, education, primary language, marital status, family Hollingshead Socioeconomic Status, infant gender and birth order.
Measure of Word Reading as an Indicator of Maternal Literacy: the Woodcock–Johnson III/Bateria III Letter-Word Identification Test.
Measure of EI referral and EI eligibility: matching mother and child data collected as part of the BELLE Project to corresponding data obtained for children referred to NYC-EIP and maintained in the KIDS database… Outcomes were measured using the Bayley Scales of Infant and Toddler Development (Bayley, 1993) for cognitive development, the Preschool Language Scale (Zimmerman, Steiner, & Pond, 1992) for language development at 14 and 24 months, and the Clinical Evaluation of Language Fundamentals (Semel, Wiig, & Secord, 2003) for language development at 36 months. Overall