A Multicomponent Early Intervention Program and Trajectories of Behavior, Cognition, and Health

Côté, Sylvana M.; Orri, Massimiliano; Tremblay, Richard E.; Doyle, Orla

doi:10.1542/peds.2017-3174

Cited by 20 publications

(13 citation statements)

References 40 publications

(27 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The intervention included a home visiting program, a baby massage course, and the Triple P Positive Parenting Program. The efficacy of PFL was demonstrated in previously published studies reporting on this randomized controlled trial by showing moderate-to-large effects on mother-reported behavioral problems [10,11], cognition [11,12], and health problems (asthma, chest infections, health visit) up to 4 years of age [11,13]. In addition, the final outcome report from this trial revealed positive treatment effects on emotional problems (e.g.…”

Section: Introductionsupporting

confidence: 57%

Impact of an early childhood intervention on the home environment, and subsequent effects on child cognitive and emotional development: A secondary analysis

et al. 2019

Self Cite

View full text Add to dashboard Cite

The objective of this study was to use secondary data from the Preparing for Life (PFL) trial to test (1) the impact of a prenatal-to-age-five intervention targeting women from a disadvantaged Irish community on the quality of the home environment; (2) whether any identified changes in the home environment explain the positive effects of the PFL program on children’s cognitive and emotional development at school entry which have been identified in previous reports of the PFL trial (ES = .72 and .50, respectively). Pregnant women were randomized into a treatment (home visits, baby massage, and parenting program, n = 115) or control (n = 118) group (trial registration: ISRCTN04631728). The home environment was assessed at 6 months, 1½, and 3 years using the Home Observation for Measurement of the Environment (responsiveness, acceptance, organization, learning material, involvement, variety). Cognitive skills were assessed at 5 years using the British Ability Scales. Emotional problems were teacher-reported at 5 years using the Short Early Development Inventory. Latent growth modeling was used to model changes in the home environment, and mediation analyses to test whether those changes explained children outcomes. Compared to controls, treatment children were exposed to more stimulating environments in terms of learning material (B = -1.62, p = 0.036) and environmental variety (B = -1.58, p = 0.009) at 6 months, but these differences faded at 3 years. Treatment families were also more likely to accept suboptimal child behaviors without using punishment (acceptance score, B = 1.49, p = 0.048) and were more organized at 3 years (B = 1.08, p = 0.033). None of the changes mediated children’s outcomes. In conclusion, we found that the program positively impacted different home environment dimensions, but these changes did not account for improvements in children’s outcomes. Exploratory analyses suggest that the impact of improvements in the home environment on child outcomes may be limited to specific groups of children. Limitations of the study include the potential lack of generalizability to other populations, the inability to assess the individual treatment components, and sample size restrictions which precluded a moderated mediation analysis.

show abstract

Section: Introductionsupporting

confidence: 57%

Impact of an early childhood intervention on the home environment, and subsequent effects on child cognitive and emotional development: A secondary analysis

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

“…Other encouraging results come from The Dublin Preparing for Life study, an intensive (5-year) preventive intervention started during pregnancy. Initial results have shown that significant impacts on behavior problems and health can be observed during early childhood development (Côté, Orri, Tremblay, & Doyle, 2018;Doyle, McGlanaghy, O'Farrelly, & Tremblay, 2016).…”

Section: Intergenerational Impact Of Interventions During Pregnancymentioning

confidence: 99%

Sex differences in the development of physical aggression: An intergenerational perspective and implications for preventive interventions

Tremblay

Côté

2019

Infant Mental Health Journal

Self Cite

View full text Add to dashboard Cite

This article reviews the state of knowledge on the development of chronic physical aggression (CPA), with the aim of identifying the most effective prevention strategies. We specifically focus on the early development of physical aggression, on sex differences in the use of physical aggression, and on the transmission of behavior problems from one generation to the other. The body of research on the development of CPA from the past three decades that we review shows increasing evidence that its prevention requires a long‐term biopsychosocial developmental approach which also must include an intergenerational perspective. Recent genetic and epigenetic research has indicated that there are both important genetic and environmental effects on gene expression which start at conception. We conclude that one of the most effective strategies to break the intergenerational transmission of CPA involves giving long‐term support to pregnant women with a history of behavior problems, their spouse, and their offspring.

show abstract

“…56 The increase in NV males' self-reported convictions for interpersonal violence found here, although not hypothesized, suggests that greater attention may be needed to address effective limit setting in NFP and to link this program to effective toddler and preschool parenting interventions. [57][58][59][60] Second, the nearly normative rise in male adolescent-limited antisocial behavior not linked to maltreatment or early adversity 61 may mask intervention effects on lifecourse-persistent antisocial behavior linked to early maltreatment that may become evident once adolescents assume adult roles. Note, however, that adolescents who become ensnared in substance abuse and criminal activity are at risk for longterm criminal involvement.…”

Section: Discussionmentioning

confidence: 99%

Prenatal and Infancy Nurse Home Visiting and 18-Year Outcomes of a Randomized Trial

Kitzman

Olds²,

Knudtson³

et al. 2019

Pediatrics

View full text Add to dashboard Cite

OBJECTIVES: Given earlier effects found in randomized clinical trials of the Nurse-Family Partnership, we examined whether this program would improve 18-year-old first-born youths' cognition, academic achievement, and behavior and whether effects on cognitiverelated outcomes would be greater for youth born to mothers with limited psychological resources (LPR) and on arrests and convictions among females. METHODS:We enrolled 742 pregnant, low-income women with no previous live births and randomly assigned them to receive either free transportation for prenatal care plus child development screening and referral (control; n = 514) or prenatal and infant home nurse visit (NV) plus transportation and screening (n = 228). Assessments were completed on 629 18year-old first-born offspring to evaluate these primary outcomes: (1) cognitive-related abilities (nonverbal intelligence, receptive language, and math achievement) and (2) behavioral health (internalizing behavioral problems, substance use and abuse, sexually transmitted infections, HIV risk, arrests, convictions, and gang membership).RESULTS: Compared with control-group counterparts, NV youth born to mothers with LPR had better receptive language (effect size = 0.24; 95% confidence interval [CI]: 0.00 to 0.47; P = .05), math achievement (effect size = 0.38; 95% CI: 0.14 to 0.61; P = .002), and a number of secondary cognitive-related outcomes. NV females, as a trend, had fewer convictions (incidence ratio = 0.47; 95% CI: 0.20 to 1.11; P = .08). There were no intervention effects on other behaviors. CONCLUSIONS:The program improved the cognitive-related skills of 18-year-olds born to mothers with LPR and, as a trend, reduced female convictions but produced no other effects on youth behavioral health.WHAT'S KNOWN ON THIS SUBJECT: Two randomized trials of prenatal and infant home visit by nurses found effects on children' s behavioral problems, early adolescent substance use, and among children born to mothers with limited psychological resources, cognitive outcomes. One trial found fewer convictions among females.WHAT THIS STUDY ADDS: This trial extends earlier estimates of intervention impact: compared with control-group counterparts, nurse-visited 18-year-olds born to mothers with limited psychological resources exhibited better cognitive functioning; females, as a trend, had fewer convictions. There were no significant effects on behavioral health.

show abstract

A Multicomponent Early Intervention Program and Trajectories of Behavior, Cognition, and Health

Abstract: This program revealed moderate positive impacts on trajectories of cognitive development and number of health clinic visits for all children, whereas positive impacts on externalizing behavior problems were restricted to children with the most severe problems.

Cited by 20 publications

References 40 publications

Impact of an early childhood intervention on the home environment, and subsequent effects on child cognitive and emotional development: A secondary analysis

Impact of an early childhood intervention on the home environment, and subsequent effects on child cognitive and emotional development: A secondary analysis

Sex differences in the development of physical aggression: An intergenerational perspective and implications for preventive interventions

Prenatal and Infancy Nurse Home Visiting and 18-Year Outcomes of a Randomized Trial

Contact Info

Product

Resources

About