Promoting Math in Young Children: Leveraging Pediatric Clinics to Reach Underrepresented Children in Rural Communities
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 1,000
- 试验地点
- 2
- 主要终点
- Change in child early math skills measured by the Research-based Early Math Assessment (REMA-Brief)
研究概览
简要总结
The goals of this clinical trial to examine how pediatricians prescribing early math enriching texts to the parents of their patients affects the early math skills of under-resourced pre-kindergarten-aged children in rural Oregon. The main question it aims to answer is: What is the impact of the text intervention on early math skills in preschool-aged children? Participants will be randomized to receive the early math text intervention or standard of care. Researchers will compare pre-and-post math performance between the intervention and control group.
详细描述
The goals of this clinical trial to examine how pediatricians prescribing early math enriching texts (TipsbyText) to parents of 3-4 year olds affects the math skills of under-resourced pre-kindergarten-aged children in rural Oregon. The main question it aims to answer is: What is the impact of the text intervention on early math skills in preschool-aged children using the Research-based Early Math Assessment (REMA-Brief)? Two secondary questions of the study are: What is the impact on child literacy using the Phonological Awareness Literacy Screening Tool (PALS-PreK) and parent confidence using the Development and Research in Early Math Education (DREME)? Participants will be randomized to receive intervention (the early math text intervention) or control (no texts). Researchers will compare pre-and-post math performance on the REMA-Brief (primary outcome), PALS-PreK (secondary child outcome) and DREME (secondary parent outcome) between the intervention and control group.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Outcomes Assessor)
盲法说明
Outcome assessors of PALS and REMA are masked to intervention status
入排标准
- 年龄范围
- 36 Months 至 59 Months（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Parents of participants must be at least 18 years of age
- •Child must be 3 or 4 years old at the time of screening
- •Child receives care at a participating Oregon Rural Practice-based Research Network (ORPRN) clinic
- •Parent and child can communicate in English or Spanish
- •Parent is able to give informed consent
- •Child is eligible for Medicaid services
排除标准
- •Parent is not able to receive text messages
- •Parent is not able to read text messages
- •Child is too ill to participate
- •Parents who are unable to complete study activities
- •Child has a sibling currently enrolled in the study
- •Child has a developmental delay including neurodevelopmental disorders such as autism or syndromes associated with developmental delay (e.g. cerebral palsy, seizure disorders, attention deficit / hyperactivity disorder). Isolated expressive speech delay is not a developmental exclusion criteria.
结局指标
主要结局
Change in child early math skills measured by the Research-based Early Math Assessment (REMA-Brief)
时间窗: baseline and month 9
The Research-based Early Math Assessment (REMA-Brief) REMA-Brief assesses core mathematical abilities of children in PK and Transitional Kindergarten (TK) using an individual interview format, with explicit protocol and scoring procedures. Abilities are assessed according to theoretically and empirically based developmental progressions that underlie mathematical learning trajectories. The REMA Brief is a content-referenced test, built on psychological development that includes normative interpretations. There are twenty items; with a maximum possible raw score is 28. Average T score is 50. Standard deviation is 7.
次要结局
- Change in child literacy measured by the Phonological Awareness Literacy Screening Tools (PALS-PreK) Score(baseline and month 9)
- Change in parent confidence teaching math and literacy by the Development and Research in Early Math Education (DREME)(baseline and month 9)