Assessing the Impacts of Pediatric Primary Care Parenting Interventions on EI Referrals Through Linkage With a Public Health Database

Abstract

We sought to determine whether pediatric primary care interventions targeting positive parenting among low socioeconomic status mothers resulted in reduced referrals to the New York City Early Intervention Program (NYC-EIP). Participants in Building Blocks (BB) and the Video Interaction Project (VIP) were linked with the NYC-EIP administrative dataset to determine referrals. In all, 139 of 422 study participants (31.4%) meeting inclusion criteria were referred to the NYC-EIP. Although referrals did not differ overall by group (VIP 29.8%; BB 33.8%; control 35.3%), differences were found for mothers with education/literacy of seventh grade or higher (interaction p = .02). In that subgroup, VIP was associated with reduced referrals by age 3 years (22.4%; adjusted odds ratio 0.53; 95% confidence interval [0.29, 0.97]), compared with BB (35.0%) and controls (34.3%), with survival analysis showing reduced cumulative risk (p = .04). We conclude that VIP resulted in reduced referrals for early intervention evaluation among children of mothers with seventh-grade education or higher.

Keywords

child development cognitive development behavior problems and disorders disabilities and development delays

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References

Barfield

W. D.

Clements

K. M.

Lee

K. G.

Kotelchuck

Wilber

Wise

P. H.

(2008). Using linked data to assess patterns of early intervention (EI) referral among very low birth weight infants. Maternal and Child Health Journal, 12(1), 24-33.

Bayley

(1993). Bayley Scales of Infant Development (2nd ed.). San Antonio, TX: Psychological Corporation.

Berkule

S. B.

Cates

C. B.

Dreyer

B. P.

Huberman

H. S.

Arevalo

Burtchen

Mendelsohn

A. L.

(2014). Reducing maternal depressive symptoms through promotion of parenting in pediatric primary care. Clinical Pediatrics, 53, 460-469.

Brooks-Gunn

Markman

L. B.

(2005). The contribution of parenting to ethnic and racial gaps in school readiness. The future of children, 139-168.

Cates

C. B.

Weisleder

Johnson

S. B.

Seery

A. M.

Canfield

C. F.

Huberman

Mendelsohn

A. L.

(2018). Enhancing parent talk, reading, and play in primary pare: Sustained impacts of the video interaction project. The Journal of Pediatrics, 199, 49-56.

Cates

C. B.

Weisleder

Mendelsohn

A. L.

(2016). Mitigating the effects of family poverty on early child development through parenting interventions in primary care. Academic Pediatrics, 16, S112-S120.

Chazan-Cohen

Raikes

Brooks-Gunn

Ayoub

Pan

B. A.

Kisker

E. E.

Fuligni

A. S.

(2009). Low-income children’s school readiness: Parent contributions over the first five years. Early Education and Development, 20, 958-977.

Clements

D. H.

Sarama

(2007). Effects of a preschool mathematics curriculum: Summative research on the building blocks project. Journal for Research in Mathematics Education, 38, 136-163.

Clements

K. M.

Barfield

W. D.

Kotelchuck

Lee

K. G.

Wilber

(2006). Birth characteristics associated with early intervention referral, evaluation for eligibility, and program eligibility in the first year of life. Maternal and Child Health Journal, 10, 433-441.

10.

Eckenrode

Campa

Luckey

D. W.

Henderson

C. R.

Cole

Kitzman

Olds

(2010). Long-term effects of prenatal and infancy nurse home visitation on the life course of youths: 19-year follow-up of a randomized trial. Archives of Pediatrics & Adolescent Medicine, 164(1), 9-15.

11.

Ensler

Lieser

D. J.

Lincoln

Shanok

R. S.

Schurmann

Schwartz

Tsamas

A. C.

(2008). About the New York zero-to-three network. Retrieved from http://nyztt.org/2015/wp-content/uploads/pdf_checkupNYC.pdf

12.

Garner

A. S.

Shonkoff

J. P.

Siegel

B. S.

Dobbins

M. I.

Earls

M. F.

McGuinn

, . . . Committee on Early Childhood, Adoption, and Dependent Care. (2012). Early childhood adversity, toxic stress, and the role of the pediatrician: Translating developmental science into lifelong health. Pediatrics, 129, e224-e231.

13.

Green

C. M.

Berkule

S. B.

Dreyer

B. P.

Fierman

A. H.

Huberman

H. S.

Klass

P. E.

Mendelsohn

A. L.

(2009). Maternal literacy and associations between education and the cognitive home environment in low-income families. Archives of Pediatrics & Adolescent Medicine, 163, 832-837.

14.

Hagan

J. F.

Shaw

J. S.

Duncan

P. M.

(2007). Bright futures: Guidelines for health supervision of infants, children, and adolescents (3rd ed.). Elk Grove Village, IL: American Academy of Pediatrics.

15.

High

P. C.

LaGasse

Becker

Ahlgren

Gardner

(2000). Literacy promotion in primary care pediatrics: Can we make a difference? Pediatrics, 105(Suppl. 3), 927-934.

16.

Hillemeier

M. M.

Morgan

P. L.

Farkas

Maczuga

S. A.

(2011). Perinatal and socioeconomic risk factors for variable and persistent cognitive delay at 24 and 48 months of age in a national sample. Maternal and Child Health Journal, 15, 1001-1010.

17.

Hollingshead

A. B.

(1975). Four factor index of social status (Unpublished Working Paper, 1975). Yale J Sociol, 2011(8), 21-52.

18.

Klass

Dreyer

B. P.

Mendelsohn

A. L.

(2009). Reach out and read: Literacy promotion in pediatric primary care. Advances in Pediatrics, 56(1), 11-27.

19.

Klass

Needlman

Zuckerman

(1999). Reach out and read program manual (2nd ed.). Boston, MA: Reach Out and Read National Center, Boston Medical Center.

20.

Landry

S. H.

Smith

K. E.

Swank

P. R.

Guttentag

(2008). A responsive parenting intervention: The optimal timing across early childhood for impacting maternal behaviors and child outcomes. Developmental Psychology, 44, 1335-1353.

21.

Mather

Woodcock

R. W.

(2001). Woodcock–Johnson III Tests of Achievement. Chicago, IL: Riverside.

22.

Mendelsohn

A. L.

(2002). Promoting language and literacy through reading aloud: The role of the pediatrician. Current Problems in Pediatric and Adolescent Health Care, 32(6), 188-202.

23.

Mendelsohn

A. L.

Cates

C. B.

Weisleder

Berkule

S. B.

Dreyer

B. P.

(2013). Promotion of early school readiness using pediatric primary care as an innovative platform. Zero to Three, 34, 29-40.

24.

Mendelsohn

A. L.

Cates

C. B.

Weisleder

Johnson

S. B.

Seery

A. M.

Canfield

C. F.

Dreyer

B. P.

(2018). Reading aloud, play, and social-emotional development. Pediatrics, 141(5), e20173393.

25.

Mendelsohn

A. L.

Dreyer

B. P.

Brockmeyer

C. A.

Berkule-Silberman

S. B.

Morrow

L. M.

(2011). Fostering early development and school readiness in pediatric settings (Vol. 3). New York, NY: Guilford.

26.

Mendelsohn

A. L.

Dreyer

B. P.

Flynn

Tomopoulos

Rovira

Tineo

Nixon

A. F.

(2005). Use of videotaped interactions during pediatric well-child care to promote child development: A randomized, controlled trial. Journal of Developmental and Behavioral Pediatrics, 26(1), 34-41.

27.

Mendelsohn

A. L.

Huberman

H. S.

Berkule

S. B.

Brockmeyer

C. A.

Morrow

L. M.

Dreyer

B. P.

(2011). Primary care strategies for promoting parent-child interactions and school readiness in at-risk families: The Bellevue project for early language, literacy, and education success. Archives of Pediatric and Adolescent Medicine, 165, 33-41. doi:10.1001/archpediatrics.2010.254

28.

Mendelsohn

A. L.

Mogilner

L. N.

Dreyer

B. P.

Forman

J. A.

Weinstein

S. C.

Broderick

Napier

(2001). The impact of a clinic-based literacy intervention on language development in inner-city preschool children. Pediatrics, 107, 130-134.

29.

Mendelsohn

A. L.

Valdez

P. T.

Flynn

Foley

G. M.

Berkule

S. B.

Tomopoulos

Dreyer

B. P.

(2007). Use of videotaped interactions during pediatric well-child care: Impact at 33 months on parenting and on child development. Journal of Developmental and Behavioral Pediatrics, 28, 206-212. doi:10.1097/DBP.0b013e3180324d87

30.

Milteer

R. M.

Ginsburg

K. R.

Mulligan

D. A.

(2012). The importance of play in promoting healthy child development and maintaining strong parent-child bond: Focus on children in poverty. Pediatrics, 129, e204-e213.

31.

Minkovitz

C. S.

Hughart

Strobino

Scharfstein

Grason

Hou

Guyer

(2003). A practice-based intervention to enhance quality of care in the first 3 years of life: The Healthy Steps for Young Children Program. The Journal of the American Medical Association, 290, 3081-3091.

32.

Minkovitz

C. S.

Strobino

Mistry

K. B.

Scharfstein

D. O.

Grason

Hou

Guyer

(2007). Healthy steps for young children: Sustained results at 5.5 years. Pediatrics, 120, e658-e668.

33.

Muñoz-Sandoval

A. F.

Woodcock

R. W.

McGrew

K. S.

Mather

(2005). Batería III Woodcock-Muñoz. Itasca, IL: Riverside.

34.

Needlman

Toker

K. H.

Dreyer

B. P.

Klass

Mendelsohn

A. L.

(2005). Effectiveness of a primary care intervention to support reading aloud: A multicenter evaluation. Academic Pediatrics, 5, 209-215.

35.

Peacock-Chambers

Ivy

Bair-Merritt

(2017). Primary care interventions for early childhood development: A systematic review. Pediatrics, 140, e20171661.

36.

Rosenberg

S. A.

Robinson

C. C.

Shaw

E. F.

Ellison

M. C.

(2013). Part C early intervention for infants and toddlers: Percentage eligible versus served. Pediatrics, 131, 38-46.

37.

Rosenberg

S. A.

Zhang

Robinson

C. C.

(2008). Prevalence of developmental delays and participation in early intervention services for young children. Pediatrics, 121, e1503-e1509.

38.

Semel

Wiig

Secord

(2003). Clinical evaluation of language fundamentals (4th ed.). San Antonio, TX: The Psychological Corporation.

39.

Squires

Bricker

Twombly

Potter

(2009). Ages & Stages Questionnaires (ASQ-3): A parent-completed child monitoring system (3rd ed.). Baltimore, MD: Brookes.

40.

U.S. Census Bureau American Community Survey. (2011). 2006-2010 American Community Survey. Retrieved from http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=ACS_10_5YR_B17003&prodType=table

41.

Weisleder

Cates

C. B.

Dreyer

B. P.

Johnson

S. B.

Huberman

H. S.

Seery

A. M.

Mendelsohn

A. L.

(2016). Promotion of positive parenting and prevention of socioemotional disparities. Pediatrics, 137, e20153239.

42.

Weisleder

Fernald

(2013). Talking to children matters: Early language experience strengthens processing and builds vocabulary. Psychological Science, 24, 2143-2152.

43.

Zimmerman

I. L.

Steiner

V. G.

Pond

R. E.

(1992). Preschool Language Scale–3. San Antonio, TX: The Psychological Corporation.

44.

Zuckerman

Khandekar

(2010). Reach out and read: Evidence based approach to promoting early child development. Current Opinion in Pediatrics, 22, 539-544.