Legacy for Children, an Early Intervention Study to Promote Optimal Child Development in Low-income Families
- Conditions
- Child Development
- Interventions
- Behavioral: Parenting group
- Registration Number
- NCT00164697
- Lead Sponsor
- Centers for Disease Control and Prevention
- Brief Summary
The purpose of this study is to determine if an intervention focused on promoting parent-child interaction, parental responsibility, parental commitment of time and energy, and sense of community results in better developmental outcomes for low-income children.
- Detailed Description
The early years of life (birth to age 5 years) are crucial in a child's development. Parents play a critical role in their children's development and are responsible for the environment in which they grow up. Past research shows that the personal characteristics of successful children consistently correlate to parental influences and behavior. Thus, the theoretical foundation in the Legacy study is that parents can positively influence their child's development. Also, parents are more likely to maintain positive parenting behaviors if they are part of a community greater than themselves. Legacy intervention activities are designed to enhance sensitive and responsive parenting, parent/child interaction, and promote a sense of community. Other activities include verbal and cognitive stimulation through parent and parent/child group meetings, visits to the home, and participation in community events. Legacy has both a pilot phase and a main study phase. There are 180 intervention and 120 comparison families in the main study phase and 60 of each in the pilot phase at each study site, Miami and Los Angeles. The 720 participating families are those whose children, on average, would be expected to fall below national norms on a range of developmental outcomes. Process, cost, and short- and long-term outcome data are being collected.
Comparison group: In addition to the current standard of care, the comparison families receive regular comprehensive child development and maternal assessments at 6 months, 1 yr, 2 yr, 3 yr, 4 yr, and 5 yr.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 547
- English speaking
- Live within 10 miles of UCLA
- 18 years of age or older
- Receive their prenatal and well-baby care from MediCal
- Live within 50 minutes of the three community intervention sites
- Reside within zip codes corresponding to the lowest performing schools in the broad Miami area
- Give birth to the target child at participating hospitals
- Multiple birth greater than twins
- Existing Substance abuse
- Existing Mental Health issues
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description 1 Parenting group Parenting group
- Primary Outcome Measures
Name Time Method child attachment 2 yr child social skills 1yr, 2 yr, 3 yr, 4 yr, 5 yr child academics 4 yr, 5 yr parent-child interaction 6 months, 5 yr child behavior 1yr, 2 yr, 3 yr, 4 yr, 5 yr child peer relationships 5 yr child cognition 1 yr, 3 yr, 5 yr child language/communication 2 yr, 4 yr, 5 yr
- Secondary Outcome Measures
Name Time Method sense of community baseline, 1yr, 2yr, 3yr, 4 yr, 5 yr parenting baseline, 6 mos, 2 yr, 3 yr 5 yr child physical growth baseline, 6 month, 1 yr, 2 yr child violence exposure 2 yr, 4 yr, 5 yr maternal health baseline, 1 yr 3 yr, 5 yr community involvement baseline, 6 mos, 2yr, 3yr, 5 yr coping 6mos, 2yr, 3 yr, 5 yr maternal mental health baseline, 1yr, 2yr, 3yr, 4 yr, 5 yr HOME environment 1 yr
Trial Locations
- Locations (2)
University of Miami School of Medicine
🇺🇸MIami, Florida, United States
UCLA Department of Pediatrics
🇺🇸Los Angeles, California, United States