117 research outputs found
A Randomized Trial Examining the Effects of Parent Engagement on Early Language and Literacy: The Getting Ready Intervention
Language and literacy skills established during early childhood are critical for later school success. Parental engagement with children has been linked to a number of adaptive characteristics in preschoolers including language and literacy development, and family-school collaboration is an important contributor to school readiness. This study reports the results of a randomized trial of a parent engagement intervention designed to facilitate school readiness among disadvantaged preschool children, with a particular focus on language and literacy development. Participants included 217 children, 211 parents, and 29 Head Start teachers in 21 schools. Statistically significant differences in favor of the treatment group were observed between treatment and control participants in the rate of change over 2 academic years on teacher reports of childrenâs language use (d = 1.11), reading (d = 1.25), and writing skills (d = .93). Significant intervention effects on childrenâs direct measures of expressive language were identified for a subgroup of cases where there were concerns about a childâs development upon entry into preschool. Additionally, other child and family moderators revealed specific variables that influenced the treatmentâs effects
Negotiating policy in practice: child and family health nursesâ approach to the process of postnatal psychosocial assessment
Identifying the participant characteristics that predict recruitment and retention of participants to randomised controlled trials involving children : a systematic review
Background
Randomised controlled trials (RCTs) are recommended as the âgold standardâ in evaluating health care interventions. The conduct of RCTs is often impacted by difficulties surrounding recruitment and retention of participants in both adult and child populations. Factors influencing recruitment and retention of children to RCTs can be more complex than in adults. There is little synthesised evidence of what influences participation in research involving parents and children.
Aim
To identify predictors of recruitment and retention in RCTs involving children.
Methods
A systematic review of RCTs was conducted to synthesise the available evidence. An electronic search strategy was applied to four databases and restricted to English language publications. Quantitative studies reporting participant predictors of recruitment and retention in RCTs involving children aged 0â12 were identified. Data was extracted and synthesised narratively. Quality assessment of articles was conducted using a structured tool developed from two existing quality evaluation checklists.
Results
Twenty-eight studies were included in the review. Of the 154 participant factors reported, 66 were found to be significant predictors of recruitment and retention in at least one study. These were classified as parent, child, family and neighbourhood characteristics. Parent characteristics (e.g. ethnicity, age, education, socioeconomic status (SES)) were the most commonly reported predictors of participation for both recruitment and retention. Being young, less educated, of an ethnic minority and having low SES appear to be barriers to participation in RCTs although there was little agreement between studies. When analysed according to setting and severity of the childâs illness there appeared to be little variation between groups. The quality of the studies varied. Articles adhered well to reporting guidelines around provision of a scientific rationale for the study and background information as well as displaying good internal consistency of results. However, few studies discussed the external validity of the results or provided recommendations for future research.
Conclusion
Parent characteristics may predict participation of children and their families to RCTs; however, there was a lack of consensus. Whilst sociodemographic variables may be useful in identifying which groups are least likely to participate they do not provide insight into the processes and barriers to participation for children and families. Further studies that explore variables that can be influenced are warranted. Reporting of studies in this field need greater clarity as well as agreed definitions of what is meant by retention
Joint Attention and Coordinated Interactions with Toys in Relation to Language Development
The Development of Social Toy Play and Language in Infancy
This longitudinal study examined the development of mother-infant social toy play in relation to infant language in two samples, one from 11 to 14 months (n = 70), and another from 14 to 17 months (n = 51) infant age. Infants were videotaped during a laboratory free-play session with mothers and were also assessed for language development. Individual variations in mother and infant social toy play behaviors were stable over time, but the frequency of infant initiations and maternal responses increased over time, especially from 11 to 14 months. Maternal responses to infant toy initiations, as well as manipulation and labeling of toys at 11 months were related to infant language at 14 months, while maternal coordinations with infants at 14 months were related to infant language at 17 months. The implications of mother and infant involvement in social toy play are discussed in relation to infant language development
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