Legacy for Children, The CDC Parenting Research Projects
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Child Development
- Sponsor
- Centers for Disease Control and Prevention
- Enrollment
- 547
- Locations
- 2
- Primary Endpoint
- child cognition
- Status
- Completed
- Last Updated
- 10 years ago
Overview
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- •Multiple birth greater than twins
- •Existing Substance abuse
- •Existing Mental Health issues
Outcomes
Primary Outcomes
child cognition
Time Frame: 1 yr, 3 yr, 5 yr
child social skills
Time Frame: 1yr, 2 yr, 3 yr, 4 yr, 5 yr
child attachment
Time Frame: 2 yr
child academics
Time Frame: 4 yr, 5 yr
parent-child interaction
Time Frame: 6 months, 5 yr
child behavior
Time Frame: 1yr, 2 yr, 3 yr, 4 yr, 5 yr
child peer relationships
Time Frame: 5 yr
child language/communication
Time Frame: 2 yr, 4 yr, 5 yr
Secondary Outcomes
- 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)