54 research outputs found

    From Clinical-Developmental Theory to Assessment: The Holistic Student Assessment Tool

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    A description and test of the Holistic Student Assessment Tool (HSA), an assessment tool to measure children’s and adolescents’ resiliencies in relation to externalizingand internalizing problem behaviors. The HSA is based on the authors’ research-based clinical-developmental Clover Leaf Model of resilience and psychopathology, and is one of the first attempts at closing the gap between risk and resilience approaches in developmental assessment. The HSA was tested in a cross-sectional sample of 423 children and adolescents.The results lend support to the HSA as a valid measure of children’s and adolescents’ resiliencies. Furthermore, the resilience scales mostly exhibited the theoreticallyexpected convergent and divergent relationships with the psychopathology scales. In addition, we show how the resilience scales predict adolescents’ externalizing and internalizing symptoms. We contend that evidence-based intervention to address youth aggression needs to be based on sound developmental assessment

    The Canadian Neighbourhood Early Childhood Development (CanNECD) Socioeconomic Index: Stability and Measurement Invariance Over Time.

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    Objectives and Approach The CanNECD SES Index is a composite of 10 Canadian Census and Income Tax Filer variables, aggregated to 2,038 custom neighbourhoods covering all of Canada. The baseline 2006 Index accounted for 32% of the neighbourhood-level variance in overall developmental vulnerability in Kindergarten children, as measured by the Early Development Instrument (EDI). Other existing SES indices accounted for 17% at most. The Index now has two additional time points (2011 and 2016), which allows an evaluation of its consistency over time. Our objective is to assess three aspects of the Index’s temporal consistency. The first is the consistency of the strength of association between the Index and vulnerability rates across EDI developmental domains. The second is the consistency of neighbourhoods’ quintile rank over time. Finally, we use Confirmatory Factor Analysis in an SEM framework to assess the Index’s measurement invariance over time. Results For each EDI domain, the strength of association between Index scores and neighbourhood-level vulnerability rates were either maintained or minimally declined over time. Additionally, neighbourhood quintile rankings were highly consistent over time with over 60% of neighbourhoods in the same quintile between 2006 and 2016, and fewer than 3% with a greater than one-quintile change. Finally, our preliminary measurement invariance results show at least configural invariance over the three time points. Conclusion / implications Our results confirm the stability of the CanNECD Index, justifying its utility for: mapping SES indicators across neighbourhoods and over time, contextualizing neighbourhood-level developmental vulnerability in young children, and identifying interesting neighbourhoods for future study, especially those where the children are faring much better than predicted by the Index

    Defying Expectations: Can We Identify Neighbourhoods with “Other Than Expected” Developmental Outcomes?

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    Objectives To contribute to the evidence on the association between neighbourhood-level child development in Kindergarten and neighbourhood SES, our objective was to quantify the sociodemographic and child development characteristics of the neighbourhoods that “defy expectations”: high SES neighbourhoods with much-worse-than-expected child outcomes, and low SES neighbourhoods with much-better-than-expected child outcomes. Approach Using exploratory and model-based Latent Profile Analysis (LPA), we identified homogenous profile groups of 2038 customized Canadian neighbourhoods using ten SES indicators. We identified the most parsimonious number of profile groups and validated and characterized the derived groups of neighbourhoods using neighbourhood and aggregated child characteristics. Next, as our outcome, we created quartile groups for developmental vulnerability risk, measured with the Early Development Instrument (EDI), to match the number of derived neighbourhood profile groups. Last, we used contingency table analysis to identify neighbourhoods that defy expectations, and then characterized these neighbourhoods using descriptive statistics and correlational analysis. Results The LPA identified four neighbourhood SES groups which we labelled “Low” (31.6%), “Low-moderate” (12.7%), “High-moderate” (38.4%) and “High” (17.4%). These four SES groups were cross-tabulated with quartile groups of EDI vulnerability risk. Inspection of the resulting 4-by-4 contingency table showed that within the “Low” SES profile group 57 (8.9%) neighbourhoods had much-better-than-expected developmental vulnerability risk. Conversely, within the “High” SES profile group, 12 (3.4%) neighbourhood had much-worse-than-expected developmental vulnerability risk. Additionally, these analyses identified large provincial differences in the proportion of neighbourhoods that defy expectation. In 12 provinces and territories in the study, the proportion of neighbourhoods that defied expectations within each province ranged from zero to 50%. Conclusion The identification of neighbourhoods that defy expectations contributes to our understanding of neighbourhood factors influencing child development. Using mixed-methods approaches, these neighbourhoods can be compared to nearby neighbourhoods from the same SES profile group that do not defy expectations, in an effort to identify contextual factors that differentiate them

    Does social capital flatten the social gradient in early childhood development? An ecological study of two provinces in Canada

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    Social capital is thought to buffer the negative effects of low income on health and thereby flatten the social gradient. Child development research on social capital has suggested that social networks of adults and children in a neighborhood may play a protective role in children's outcomes. Yet little is known about how this relationship applies to diverse developmental outcomes in early childhood. This study examines whether the presence of role model adults and the willingness of neighbors to help keep children safe moderates the relationship between neighborhood income and five developmental outcomes for children in kindergarten: (1) physical health and well-being, (2) social competence, (3) emotional maturity, (4) language and cognitive development, and (5) communication and general knowledge. We linked neighborhood-level data on child development from two Canadian provinces, British Columbia (BC, n = 100) and Ontario (n = 482), to neighborhood-level data on social capital from the Ontario Kindergarten Parent Survey, and the BC Social Capital Study; and income data from the 2006 Canadian Census. Multiple regression analyses were conducted to examine the main and interaction effects of social capital and income in relation to child development outcomes. In Ontario, higher levels of social capital were associated with better child outcomes on all five developmental domains. Similar trends were observed in BC. Higher levels of social capital flattened the income gradient in language and cognitive development in both provinces, and social competence in Ontario. Implications for research and practice are discussed

    Profiles of children\u27s social-emotional health at school entry and associated income, gender and language inequalities: a cross-sectional population-based study in British Columbia, Canada

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    OBJECTIVES: Early identification of distinct patterns of child social-emotional strengths and vulnerabilities has the potential to improve our understanding of child mental health and well-being; however, few studies have explored natural groupings of indicators of child vulnerability and strengths at a population level. The purpose of this study was to examine heterogeneity in the patterns of young children\u27s social and emotional health and investigate the extent to which sociodemographic characteristics were associated. DESIGN: Cross-sectional study based on a population-level cohort. SETTING: All kindergarten children attending public schools between 2004 and 2007 in British Columbia (BC), Canada. PARTICIPANTS: 35 818 kindergarten children (age of 5 years) with available linked data from the Early Development Instrument (EDI), BC Ministry of Health and BC Ministry of Education. OUTCOME MEASURE: We used latent profile analysis (LPA) to identify distinct profiles of social-emotional health according to children\u27s mean scores across eight social-emotional subscales on the EDI, a teacher-rated measure of children\u27s early development. Subscales measured children\u27s overall social competence, responsibility and respect, approaches to learning, readiness to explore, prosocial behaviour, anxiety, aggression and hyperactivity. RESULTS: Six social-emotional profiles were identified: (1) overall high social-emotional functioning, (2) inhibited-adaptive (3) uninhibited-adaptive, (4) inhibited-disengaged, (5) uninhibited-aggressive/hyperactive and (6) overall low social-emotional functioning. Boys, children with English as a second language (ESL) status and children with lower household income had higher odds of membership to the lower social-emotional functioning groups; however, this association was less negative among boys with ESL status. CONCLUSIONS: Over 40% of children exhibited some vulnerability in early social-emotional health, and profiles were associated with sociodemographic factors. Approximately 9% of children exhibited multiple co-occurring vulnerabilities. This study adds to our understanding of population-level distributions of children\u27s early social-emotional health and identifies profiles of strengths and vulnerabilities that can inform future intervention efforts

    The Shape of the Socioeconomic Gradient: Testing to Functional Form of the Relationship between Socioeconomic Status and Early Child Development

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    Introduction The literature provides abundant evidence of socioeconomic gradients in health outcomes. However, it is unclear, and particularly understudied in early child development research, whether these observed gradients are linear, whether they diminish as socioeconomic status (SES) increases, and if they ultimately reverse in slope at the highest SES values. Objectives and Approach We linked neighbourhood-level Census and Tax Filer data with Early Development Instrument (EDI) data across Canada. The EDI is a kindergarten teacher-completed measure of five domains of early child development. We used this linked database to statistically compare and choose the most appropriate functional form of the relationship between each of the EDI domains (dependent variables), and the Canadian Neighbourhoods and Early Child Development (CanNECD) study's SES index (predictor) in regression models. Model comparison approaches included: visual checks of lines fitted using Generalized Additive Models, Akaike and Bayesian Information Criterions, Ramsay’s RESET, J and Cox tests. Results The results indicate the optimal functional form of the gradient varies across domains of the EDI. The best model for the Physical Health and Well-Being domain was quadratic, suggesting there may be some reversal in slope at higher values of SES. The best models for the Social Competence and Language and Cognitive Development domains were logarithmic, indicating diminishing returns to SES but with no slope reversal. The best model for the Emotional Maturity domain was linear, suggesting the gradient was consistent across all values of SES. The best fit for the Communication Skills and General Knowledge domain was a cubic ‘S’ curve, suggesting the curve is positive and concave for lower levels of SES but curves upwards beyond a certain SES threshold. Conclusion/Implications The results demonstrate the importance of examining functional forms when modeling socioeconomic gradients. Assuming linear relationships between SES and health outcomes (early child development, in this case) may distort and bias the true nature of the relationships, thus leading to misinterpretations, especially at the highest and lowest values of SES

    Measuring social-emotional development in middle childhood: the Middle Years Development Instrument

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    This paper discusses the conceptualization, development, validation, and application of the Middle Years Development Instrument (MDI) – a population-based child self-report tool that assesses children\u27s social-emotional development and well-being in the context of their home, school, and neighborhood. The MDI is administered at a population-level to 4th and 7th grade students within participating public school districts across British Columbia, Canada. Children respond to items in five domains: (1) social-emotional development, (2) connectedness to peers and adults, (3) school experiences, (4) physical health and well-being, and (5) constructive use of after-school time. Results are aggregated for schools and communities and reported back in comprehensive reports and community maps to inform planning and decision making at local and regional levels. Shared testimonials exemplify how MDI results have been used by educators, community organizers, and city planners as a catalyst for promoting children\u27s social and emotional competence and facilitating collaboration between schools and communities

    Neighbourhood-level socioeconomic status and prevalence of teacher-reported health disorders among Canadian kindergarten children

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    BackgroundThe evidence on the association between neighborhood-level socioeconomic status (SES) and health disorders in young children is scarce. This study examined the prevalence of health disorders in Canadian kindergarten (5–6 years old) children in relation to neighborhood SES in 12/13 Canadian jurisdictions.MethodsData on child development at school entry for an eligible 1,372,980 children out of the total population of 1,435,428 children from 2004 to 2020, collected using the Early Development Instrument (EDI), were linked with neighborhood sociodemographic data from the 2006 Canadian Census and the 2005 Taxfiler for 2,058 neighborhoods. We examined the relationship using linear regressions. Children’s HD included special needs, functional impairments limiting a child’s ability to participate in classroom activities, and diagnosed conditions.ResultsThe neighborhood prevalence of health disorders across Canada ranged from 1.8 to 46.6%, with a national average of 17.3%. The combined prevalence of health disorders was 16.4%, as 225,711 children were identified as having at least one health disorder. Results of an unadjusted linear regression showed a significant association between neighborhood-level SES and prevalence of health disorders (F(1, 2051) = 433.28, p < 0.001), with an R2 of 0.17. When province was added to the model, the R2 increased to 0.40 (F(12, 2040) = 115.26, p < 0.001). The association was strongest in Newfoundland & Labrador and weakest in Ontario.ConclusionOur study demonstrated that the prevalence of health disorders among kindergarten children was higher in lower SES neighborhoods and varied by jurisdiction in Canada, which has implications for practice and resource allocation
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