Download the full text: Miller_2022_Promoting Cognitive Stimulation in Parents Across Infancy and Toddlerhood – A Randomized Clinical Trial
study descriptionRandomized Controlled Trial
core topic(s)Pediatric Primary Care
Population CharacteristicsInfant/Newborn , Poverty/Low-Income , Pregnancy/Postpartum , Toddler/Preschool
Exposures, Outcomes, OtherClinic-Based Programs and Interventions , Home Visitation , Parent-Child Relationships/Interactions , Play , Programs and Interventions (other) , School Readiness and Educational Outcomes , Smart Beginnings , Technology and Digital/Screen-Based Media
objectivesTo test the impact of the fully integrated Smart Beginnings model on parental support of cognitive stimulation from 6 to 24 months across infancy and toddlerhood.
outcomes evaluatedParental support of cognitive stimulation
settingMothers recruited from postpartum units of hospitals in New York City and Pittsburgh, Pennsylvania.
methodsThis was a single-blind, 2-site randomized clinical trial of the Smart Beginnings intervention. Enrollment took place at birth in postpartum units of hospitals in New York City and Pittsburgh, Pennsylvania, with a consecutive sample of 403 mother-infant dyads. Smart Beginnings combines a Video Interaction Project-14-session universal primary prevention program delivered in the pediatric clinic at the time of well-child visits birth-36 months-with potential for Family Check-Up-3-4 sessions targeted secondary prevention home-visiting program. The principal outcome was parental support of cognitive stimulation assessed via parent survey and video-recorded observations of parent-child interactions. Ordinary least squares and mixed effects regressions were conducted.
sample sizen=403 (mother-infant dyads)
|Measure of Parental Support of Cognitive Stimulation – Survey Measures: 3 subscales of the StimQ was used to assess caregiver cognitive stimulation via structured interview, including
1) Parent Verbal Responsivity (PVR): verbal interactions across components
2) Parental Involvement in Developmental Advance (PIDA): teaching activities
3) Reading Activities (READ): quantity, quality, and diversity of concepts
Measure of Parental Support of Cognitive Stimulation – Observational Measure: participation in structured free-play tasks involving clean-up, free play, and teaching. Tasks were video recorded and for coding using Parent–Child Interaction Rating Scales–Infant Adaptation for a global rating of parent–child interaction.