core topic(s)Early Relational Health , Pediatric Primary Care
Population CharacteristicsPoverty/Low-Income , Pregnancy/Postpartum
Exposures, Outcomes, OtherAnticipatory Guidance , Child Behaviors and Skills , Language and Literacy Development , Parent Behaviors and Skills , Parent Knowledge, Attitudes, and Beliefs
metric(s)Woodcock Johnson Tests (WJ)
DRAFTED UNTIL Approved by Erkoboni/Suskind — Survey of Parent/Provider Expectations and Knowledge (SPEAK)
Nursing Child Assessment Satellite Training Scale (NCAST)
objectivesTo examine the mediating role of socioeconomically disadvantaged parents' knowledge of early cognitive and language development at the first postpartum visit in the relation between education and caregiving behaviors at 9 months.
exposureAnticipatory Guidance (AG) during WCV.
outcomes evaluatedParental knowledge and parenting behaviors.
settingWell-child visits at 10 pediatric clinics predominantly serving families with public assistance in Chicago, Illinois, between June 2016 and February 2018.
methodsParental knowledge was assessed at the 1-week newborn visit (n = 468); anticipatory guidance received and desired at 1-month (n = 212) and 6-month (n = 191) visits were reported; and caregiving behaviors toward infants during a teaching task were observed at 9-month visit (n = 173).
sample sizen=173 (participants)
Measure of Basic demographics: primary language, education level, number of children in the home.
Measure of Comprehension-Knowledge (lexical, listening, verbal): two subtests of the Woodcock Johnson IV Tests of oral language, picture vocabulary, oral comprehension.
Measure of Knowledge/Expectations: Scale of Parent/Provider Expectations and Knowledge (SPEAK)
Measure of Caregiving Behaviors: Nursing Child Assessment Satellite Training (NCAST) Teaching Scale.
Measure of Anticipatory Guidance Received: parental report of topics discussed from Recommendations for Preventative Pediatric Health Care by Bright Futures.