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.

摘要: Objective To determine the effects of pediatric primary care interventions on parent-child interactions in families with low socioeconomic status. Design In this randomized controlled trial, participants were to 1 2 (Video Interaction Project [VIP] or Building Blocks [BB]) control group. Setting Urban public hospital clinic. Participants Mother-newborn dyads enrolled post partum from November 1, 2005, through October 31, 2008. Interventions VIP group, mothers and newborns participated 1-on-1 sessions a child development specialist who facilitated play shared reading by reviewing videos made parent visit days; learning materials parenting pamphlets also provided. BB materials, including age-specific newsletters suggesting interactive activities, parent-completed developmental questionnaires, mailed mothers. Main outcome measures Parent-child assessed at 6 months StimQ-Infant 24-hour recall diary. Results A total 410 assessed. The group had higher increased StimQ score (mean difference, 3.6 points; 95% confidence interval, 1.5 5.6 Cohen d, 0.51; 0.22 0.81) more activities compared an overall (Cohen 0.31; 0.03 0.60). greatest for found ninth-grade level 0.68; 0.33 1.03). Conclusions groups each led interactions. Pediatric represents significant opportunity enhancing trajectories at-risk children. Trial registration clinicaltrials.gov Identifier: NCT00212576.