Download the full text: Roby_2021_Improving Parent-Child Interactions in Pediatric Health Care – A Two-Site Randomized Controlled Trial
study descriptionTwo-site randomized controlled trial.
core topic(s)Early Relational Health , Pediatric Primary Care
Population CharacteristicsInfant/Newborn , Poverty/Low-Income , Pregnancy/Postpartum
Exposures, Outcomes, OtherClinic-Based Programs and Interventions , Disparity/Adversity , Family Check-Up , Home Visitation , Parent-Child Relationships/Interactions , Play , Programs and Interventions (other) , Smart Beginnings , Technology and Digital/Screen-Based Media , Video Interaction Project
metric(s)StimQ Cognitive Home Environment Questionnaire (StimQ)
Parent Infant/Child Interaction Rating Scales (PIIRS/PCIRS)
objectivesOur objective was to assess initial SB impacts on parent-child activities and interactions at 6 months, reflecting early VIP exposure.
exposureSmart Beginnings (SB).
outcomes evaluatedParent-Child activities and interactions.
settingThe postpartum units of NYC Health+Hospitals and Bellevue from June 2015 to January 2017 and UPMC Magee-Women’s Hospital adjacent to the UPMC Children’s Hospital of Pittsburgh from June 2016 to October 2017.
methodsSmart Beginnings (SB) integrates two interventions: Video Interaction Project (VIP) (birth to 3 years), delivered universally to low-income families in pediatric primary care, and Family Check-Up (6 months to 3 years), targeted home visiting for families with additional family risks...Two-site randomized controlled trial in New York City (84% Latinx) and Pittsburgh (81% Black), with postpartum enrollment and random assignment to treatment (SB) or control. At 6 months, we assessed parent-child interactions through surveys (StimQ, Parenting Your Baby) and observation (video-recorded play, coded by using Parent-Child Interaction Rating Scales - Infant Adaptation).
sample sizen=403 (families at birth); n=362 (families at 6 months)
Measure of Cognitive Stimulation and Parent-Child Interaction: Three subscales of the StimQ2 Infant were administered:
- Parent Verbal Responsivity (PVR), measuring verbal interactions across 2 subdimensions (Everyday Routines, Play and Pretend).
- Parental Involvement in Developmental Advance (PIDA), measuring teaching activities.
- Reading Activities (READ), with 3 subdimensions (Quantity, Quality, Diversity of Concepts)
Measure of Parental Warmth: examined as a secondary outcome using the Supporting and Enjoying subscale of the Parenting Your Baby questionnaire.
Measure of Cognitive Stimulation and Parent-Child Interaction: Observational measures of global parent-child interaction quality were assessed by using video recording and review of 10 minutes of free play…Coding of the videos was performed by using the Parent-Child Interaction Rating Scales – Infant Adaptation (PCIRS-IA), using five domains:
- parental sensitivity (awareness of child’s needs, interests, and capabilities).
- parental intrusiveness (imposition of own agenda).
- parental support for cognitive development (intention to support learning).
- parental support for language quantity (verbal stimulation).
- parental support for language quality (richness of language).