Legacy for Children, The CDC Parenting Research Projects
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 547
- 试验地点
- 4
- 主要终点
- child cognition
研究概览
简要总结
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.
详细描述
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.
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)
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- •Multiple birth greater than twins
- •Existing Substance abuse
- •Existing Mental Health issues
结局指标
主要结局
child cognition
时间窗: 1 yr, 3 yr, 5 yr
child social skills
时间窗: 1yr, 2 yr, 3 yr, 4 yr, 5 yr
child attachment
时间窗: 2 yr
child academics
时间窗: 4 yr, 5 yr
parent-child interaction
时间窗: 6 months, 5 yr
child behavior
时间窗: 1yr, 2 yr, 3 yr, 4 yr, 5 yr
child peer relationships
时间窗: 5 yr
child language/communication
时间窗: 2 yr, 4 yr, 5 yr
次要结局
- 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)
