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Temperament and Early Stuttering Development: Cross-Sectional Findings From a Community Cohort
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Enhancing the early home learning environment through a brief group parenting intervention: study protocol for a cluster randomised controlled trial
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Nicholson, Jan M.; Cann, Warren; Matthews, Jan; Berthelsen, Donna; Ukoumunne, Obioha C.; Trajanovska, Misel; Bennetts, Shannon K.; Hillgrove, Tessa; Hamilton, Victoria; Westrupp, Elizabeth; Hackworth, Naomi J.. - : BioMed Central, 2016
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Abstract:
BACKGROUND: The quality of the home learning environment has a significant influence on children's language and communication skills during the early years with children from disadvantaged families disproportionately affected. This paper describes the protocol and participant baseline characteristics of a community-based effectiveness study. It evaluates the effects of 'smalltalk', a brief group parenting intervention (with or without home coaching) on the quality of the early childhood home learning environment. METHODS/DESIGN: The study comprises two cluster randomised controlled superiority trials (one for infants and one for toddlers) designed and conducted in parallel. In 20 local government areas (LGAs) in Victoria, Australia, six locations (clusters) were randomised to one of three conditions: standard care (control); smalltalk group-only program; or smalltalk plus (group program plus home coaching). Programs were delivered to parents experiencing socioeconomic disadvantage through two existing age-based services, the maternal and child health service (infant program, ages 6-12 months), and facilitated playgroups (toddler program, ages 12-36 months). Outcomes were assessed by parent report and direct observation at baseline (0weeks), post-intervention (12weeks) and follow-up (32weeks). Primary outcomes were parent verbal responsivity and home activities with child at 32weeks. Secondary outcomes included parenting confidence, parent wellbeing and children's communication, socio-emotional and general development skills. Analyses will use intention-to-treat random effects ("multilevel") models to account for clustering. RECRUITMENT AND BASELINE DATA: Across the 20 LGAs, 986 parents of infants and 1200 parents of toddlers enrolled and completed baseline measures. Eighty four percent of families demonstrated one or more of the targeted risk factors for poor child development (low income; receives government benefits; single, socially isolated or young parent; culturally or linguistically diverse background). DISCUSSION: This study will provide unique data on the effectiveness of a brief group parenting intervention for enhancing the early home learning environment of young children from disadvantaged families. It will also provide evidence of the extent to which additional one-on-one support is required to achieve change and whether there are greater benefits when delivered in the 1st year of life or later. The program has been designed for scale-up across existing early childhood services if proven effective.
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Keyword:
Australia; Child; Child Development; Clinical Protocols; Cluster randomised controlled trial; COGNITIVE-DEVELOPMENT; COMMUNICATION; Early childhood; Early Intervention (Education); EARLY-CHILDHOOD; Education; Female; Follow-Up Studies; Home coaching; Home learning environment; Humans; Infant; Intention to Treat Analysis; LANGUAGE; Learning; Life Sciences & Biomedicine; Male; Nonprofessional; Parenting; Parenting group intervention; Pediatrics; Playgroups; Poverty; Preschool; PROGRAM; RELIABILITY; Science & Technology; SHORT-FORM; Social Environment; Socioeconomic disadvantage; SOCIOECONOMIC-STATUS; VALIDITY; YOUNG CHILDRENS DEVELOPMENT
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URL: http://hdl.handle.net/10536/DRO/DU:30110578
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| 3 |
Two-year outcomes of a population-based intervention for preschool language delay : an RCT
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| 4 |
Teaching classroom management – A potential public health intervention?
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Randomized trial of a population-based, home-delivered intervention for preschool language delay
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Improving outcomes of preschool language delay in the community : protocol for the Language for Learning randomised controlled trial
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Improving outcomes of preschool language delay in the community: protocol for the Language for Learning randomised controlled trial
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Outcomes of population based language promotion for slow to talk toddlers at ages 2 and 3 years: let’s learn language cluster randomised controlled trial
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Outcomes of population based language promotion for slow to talk toddlers at ages 2 and 3 years: Let's Learn Language cluster randomised controlled trial
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The early language in Victoria study (ELVS) : a prospective, longitudinal study of communication skills and expressive vocabulary development at 8, 12 and 24 months.
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In: International Journal of Speech-Language Pathology, 11(5): 344-357 (2009)
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Predicting language at 2 years of age: a prospective community study
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Growth of infant communication between 8 and 12 months: a population study
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Growth of infant communication between 8 and 12 months: a population study
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In: Journal of Paediatrics and Child Health, Vol. 42, no. 12 (Dec 2006), pp. 764-770 (2006)
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