跳至主要内容
临床试验/NCT05224700
NCT05224700Unknown不适用

Early Development of Academic Skills in the Classroom: Short- and Mid-term Effects of a Tablet-based Game That Stimulates Cognitive, Emotional, and Social Skills for Pre-kindergarten Children

University of Talca0 个研究点目标入组 754 人开始时间: 2022年3月1日最近更新:
适应症

试验速览

阶段
不适用
发起方
入组人数
754
主要终点
subtest Battery III of Woodcock-Muñoz (Pre-calculation)

研究概览

简要总结

This is a two-arm cluster randomized controlled trial. The two arms will be: 1) Intervention group, where the stimulation program will be implemented; and 2) Comparison group (active).

The aim of this study is: To evaluate the effectiveness of a program aimed at stimulating cognitive (working memory and inhibitory control), emotional (emotion recognition), and social competence skills (choice of prosocial behaviors) for the development of initial literacy learning and pre-calculation in socioeconomically disadvantaged preschoolers immediately after the intervention and at 6, 12, 18, and 24 months post intervention, controlling for gender, mental health, and baseline state of the skills stimulated.

The intervention program, which targets cognitive, emotional, and social competence skills, was designed for socioeconomically disadvantaged preschoolers in order to stimulate their working memory, inhibitory control, emotion recognition, and choice of prosocial behaviors during the development of the academic skills of initial literacy learning and pre-calculation. Immediately after the completion of the intervention program, participants are expected to show improvements in these skills and the academic skills of initial literacy learning and pre-calculation.

详细描述

General background information:

The literature suggests that children born to low-income families can begin the preschool stage with less developed academic skills (such as pre-calculation and initial literacy learning) and non-academic skills (such as emotional and social competence) compared to children from higher-income families. These differences appear to increase socioemotional, educational, and health-related disparities in the long term. Furthermore, the available evidence indicates that several landmarks of human development take place between 3 and 7 years of age, including the emergence of emotion recognition, control over one's behavior, and executive functions. Therefore, it is essential to work with children who are more economically vulnerable, stimulating these skills at an early age.

Working memory and inhibitory control (executive functions) have been identified as key components in the development of academic skills such as early literacy learning and pre-calculation, with evidence that participants can be stimulated at an early age. Furthermore, a meta-analysis conducted by Blewitt et al. (2018), which examined programs for children aged 2 - 6 years, found that children exposed to social and emotional stimulation programs exhibited significant improvements in social and emotional competences, learning outcomes, and behavioral regulation, while their emotional and behavioral problems were reduced. Several skill-building initiatives aimed at children which involve the use of tactile devices have been reported. For example, Herodotou (2017) conducted a systematic review in order to examine how using tactile screen devices impacted on the learning of children aged 2 to 5 years, finding that most studies evaluated cognitive aspects and largely overlooked socioemotional aspects. However, to the best of our knowledge, no effectiveness evaluations of a program combining cognitive and socioemotional stimulation have been conducted, let alone of a tablet-based program for preschoolers that involves mid-term follow-up.

Specific background information:

Several successful experiences of early cognitive skill stimulation exist, including COGMED for children with ADHD aged 7-17 years (Klingberg et al., 2005) and Memory Booster for children aged 5-8 years (St Clair-Thompson et al., 2010). Examples of socioemotional skill stimulation include PATHS, which involves verbalizing feelings and the usage of self-control strategies. However, our search yielded no effectiveness evaluations of a program combining cognitive and socioemotional stimulation, let alone of a tablet-based program for preschoolers featuring mid-term follow-up. The experience of our research team stems which found results favoring the intervention group in children aged 4-5 years (with a delta greater than 10%), both when stimulating working memory (Rojas-Barahona et al., 2015) and inhibitory control and planning (Rojas-Barahona et al., 2021). The intervention was conducted using a tablet computer in establishments with a high index of school vulnerability (ISV; Spanish: índice de vulnerabilidad escolar, IVE). Therefore, there is evidence in Chile, with socioeconomically disadvantaged preschool-age children, showing that the stimulation of cognitive skills (such as executive functions: working memory and inhibitory control) improves cognitive development and academic skills such as initial literacy learning and pre-calculation. In this context, the aim of this study is to determine the effectiveness of a program that jointly stimulates the cognitive and socioemotional skills of preschoolers in order to boost the development of their academic skills, controlling for gender, mental health, and baseline skills.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
Single (Outcomes Assessor)

盲法说明

In all evaluations, the evaluators will be blind to the trial arm where the schools/students were allocated

入排标准

年龄范围
3 Years 至 5 Years(Child)
性别
All
接受健康志愿者

入选标准

  • Establishments with an index of school vulnerability (ISV) ≥70%. (Based on information provided by participating families).
  • Establishment that offers preschool and elementary education.
  • Establishment located in the region of Maule, Chile.
  • Co-educational School.
  • Classes with a minimum of 15 students each.

排除标准

  • School is implementing a similar program.
  • Special education school.
  • Children with a reported cognitive disability

结局指标

主要结局

subtest Battery III of Woodcock-Muñoz (Pre-calculation)

时间窗: 1 month

Pre-calculation skills using Battery III of Woodcock-Muñoz, which includes the following subtests: number identification (17 items), quantification (7 items), verbal counting (1 item), and applied problems (34 items). This test can be used to measure people from 5 to 95 years old.

Texas Lee Test (Initial literacy learning)

时间窗: 1 month

An instrument designed to evaluate Initial literacy learning in Spanish-speaking children, validated for Chile and which considers the following dimensions: Book and Print Awareness (10 items), Phonological Awareness (12 items), Graphophonemic and phonological Knowledge (44 items), and Listening Comprehension (6 items). This test was designed for K1 to 3rd grade students.

Kaufman Assessment Battery for Children (K-ABC) (Vocabulary)

时间窗: 1 month

A measure of cognitive skill and academic knowledge used to evaluate the knowledge acquired and the level of school learning attained. This test was designed to evaluate children from 2 and a half to 12 and a half years old, in 4 dimensions: mental, sequential and simultaneous processing, and knowledge. The last one is the one will be used to measure vocabulary by 17 items.

次要结局

  • Hearts & Flowers (Inhibitory control)(1 month)
  • Challenging Situations Task (CST) (Ability to select prosocial behaviors)(1 month)
  • Corsi Cube test (Visuo-spatial working memory)(1 month)
  • Assessment of Children's Emotional Skills (ACES) (Emotion recognition)(1 month)
  • Strengths and Difficulties Questionnaire (SDQ) (Mental health problems)(1 month)
  • subtest of Battery III of Woodcock-Muñoz (Phonological working memory)(1 month)

研究者

发起方
University of Talca
申办方类型
Other
责任方
Principal Investigator
主要研究者

Cristián A. Rojas-Barahona

Principal Investigator

University of Talca

相似试验