Download the full text: Mendelsohn_2011_Primary Care Strategies for Promoting Parent-Child Interactions and School Readiness in At-Risk Families- the Bellevue Project for Early Language, Literacy, and Education Success
study descriptionRandomized controlled trial.
core topic(s)Early Literacy , Pediatric Primary Care
Population CharacteristicsInfant/Newborn , Poverty/Low-Income , Urban
Exposures, Outcomes, OtherBuilding Blocks , Child Development (general) , Clinic-Based Programs and Interventions , Language and Literacy Development , Parent-Child Relationships/Interactions , Play , Programs and Interventions (other) , School Readiness and Educational Outcomes , Video Interaction Project
objectivesTo determine the effects of pediatric primary care interventions on parent-child interactions in families with low socioeconomic status.
exposureInterventions: Video Interaction Project (VIP) or Building Blocks (BB).
outcomes evaluatedParent-Child interactions.
settingMother-newborn dyads enrolled post partum from November 1, 2005, through October 31, 2008 from urban public hospital pediatric primary care clinic.
methodsIn this randomized controlled trial, participants were randomized to 1 of 2 interventions (Video Interaction Project [VIP] or Building Blocks [BB]) or the control group...In the VIP group, mothers and newborns participated in 1 on-1 sessions with a child development specialist who facilitated interactions in play and shared reading by reviewing videos made of the parent and child on primary care visit days; learning materials and parenting pamphlets were also provided. In the BB group, parenting materials, including age-specific newsletters suggesting interactive activities, learning materials, and parent-completed developmental questionnaires, were mailed to the mothers.
sample sizen=410 (families)
Measure of Parent-Child Interactions: StimQ-Infant (StimQ-I) including the following 4 subscales:
- Availability of Learning Materials: learning materials, such as toys, provided by the caregiver in the home.
- Reading Activities: number and diversity of books read to the child, frequency of reading activities, and associated interactions.
- Parental Involvement in Developmental Advancement: caregiver teaching and play activities, such as naming objects, teaching the child to play with toys, and playing make-believe games with the child.
- Parental Verbal Responsivity: caregiver-child verbal interactions, such as talking while feeding and making sounds together.
Measure of Shared Reading Behaviors: 24-hour shared reading recall diary asking the mother to provide information about any reading or storytelling involving the infant that had taken place during the last typical day, including the material used (eg, book or magazine) and time spent for each reading activity that had taken place. We calculated total daily duration by adding each exposure during the 24-hour period.