Impact of an early childhood intervention on the home environment, and subsequent effects on child cognitive and emotional development: A secondary analysis
| Autor: | Orla Doyle, Sylvana M. Côté, Richard E. Tremblay, Massimiliano Orri |
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| Přispěvatelé: | McGill Group for Suicide Studies [Montréal, Canada] (MGSS), Douglas Mental Health University Institute [Montréal], McGill University = Université McGill [Montréal, Canada]-McGill University = Université McGill [Montréal, Canada], Bordeaux population health (BPH), Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM), School of Public Health [Montréal, Canada], Université de Montréal (UdeM), School of Public Health, Physiotherapy and Sports Science [Dublin, Irlande], University College Dublin [Dublin] (UCD), Department of Pediatrics [Montréal, Canada], Department of Psychology [Montréal, Canada], UCD School of Economics [Dublin, Irlande], UCD Geary Institute for Public Policy [Dublin, Irlande], We would like to thank the Northside Partnership who provided funding for the Preparing for Life evaluation through The Atlantic Philanthropies and the Department of Children and Youth Affairs, and the Children’s Research Network for providing funding through the Prevention and Early Intervention Grant Scheme (CRN-PEI-2017). We are also grateful to all those who participated in and supported this research, especially the participating families and community organizations, the PFL intervention staff, and the Expert Advisory Committee. Thanks also to Prof. James Heckman, Prof. Colm Harmon, Prof. Cecily Kelleher, Prof. Sharon Ramey, and Prof. Craig Ramey for their guidance and advice throughout the project, and the Early Childhood Research Team at UCD Geary Institute for Public Policy for their contributions to the work., Bodescot, Myriam, University of Montreal [Montréal, Canada], Université de Montréal. École de santé publique. Département de médecine sociale et préventive |
| Rok vydání: | 2019 |
| Předmět: |
Male
Maternal Health Emotions [SDV.MHEP.PSM] Life Sciences [q-bio]/Human health and pathology/Psychiatrics and mental health Social Sciences Parenting behavior Pediatrics 01 natural sciences law.invention Families 010104 statistics & probability Cognition Learning and Memory 0302 clinical medicine Moderated mediation Sociology Randomized controlled trial Pregnancy law Outcome Assessment Health Care Early Intervention Educational Medicine and Health Sciences Psychology 030212 general & internal medicine Children Child development Schools Multidisciplinary Parenting Obstetrics and Gynecology House Calls Child Preschool Medicine Female Research Article Clinical psychology Adult Mediation (statistics) Science Environment Education Young Adult 03 medical and health sciences [SDV.MHEP.PED] Life Sciences [q-bio]/Human health and pathology/Pediatrics Humans Learning Cognitive skill 0101 mathematics Poverty Behavior [SDV.MHEP.PED]Life Sciences [q-bio]/Human health and pathology/Pediatrics Latent growth modeling Infant Newborn Cognitive Psychology Infant Biology and Life Sciences Age Groups [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie [SDV.MHEP.PSM]Life Sciences [q-bio]/Human health and pathology/Psychiatrics and mental health People and Places Cognitive Science Women's Health Early childhood intervention Population Groupings [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie Ireland Neuroscience |
| Zdroj: | PLoS ONE PLoS ONE, Public Library of Science, 2019, 14 (7), pp.e0219133. ⟨10.1371/journal.pone.0219133⟩ PLoS ONE, Vol 14, Iss 7, p e0219133 (2019) |
| ISSN: | 1932-6203 |
| Popis: | International audience; The objective of this study was to use secondary data from the Preparing for Life (PFL) trial to test (1) the impact of a prenatal-to-age-five intervention targeting women from a disadvantaged Irish community on the quality of the home environment; (2) whether any identified changes in the home environment explain the positive effects of the PFL program on children's cognitive and emotional development at school entry which have been identified in previous reports of the PFL trial (ES = .72 and .50, respectively). Pregnant women were randomized into a treatment (home visits, baby massage, and parenting program, n = 115) or control (n = 118) group (trial registration: ISRCTN04631728). The home environment was assessed at 6 months, 1½, and 3 years using the Home Observation for Measurement of the Environment (responsiveness, acceptance, organization, learning material, involvement, variety). Cognitive skills were assessed at 5 years using the British Ability Scales. Emotional problems were teacher-reported at 5 years using the Short Early Development Inventory. Latent growth modeling was used to model changes in the home environment, and mediation analyses to test whether those changes explained children outcomes. Compared to controls, treatment children were exposed to more stimulating environments in terms of learning material (B = -1.62, p = 0.036) and environmental variety (B = -1.58, p = 0.009) at 6 months, but these differences faded at 3 years. Treatment families were also more likely to accept suboptimal child behaviors without using punishment (acceptance score, B = 1.49, p = 0.048) and were more organized at 3 years (B = 1.08, p = 0.033). None of the changes mediated children's outcomes. In conclusion, we found that the program positively impacted different home environment dimensions, but these changes did not account for improvements in children's outcomes. Exploratory analyses suggest that the impact of improvements in the home environment on child outcomes may be limited to specific groups of children. Limitations of the study include the potential lack of generalizability to other populations, the inability to assess the individual treatment components, and sample size restrictions which precluded a moderated mediation analysis. |
| Databáze: | OpenAIRE |
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