From Descriptive to Predictive: Linking Early Childhood Developmental and Behavioral Screening Results With Educational Outcomes in Kindergarten

Schlichting, Lauren E.; Vivier, Patrick M.; Berger, Blythe; Parrillo, Danielle; Sheldrick, R. Christopher

doi:10.1016/j.acap.2022.07.022

Cited by 8 publications

(9 citation statements)

References 13 publications

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“…The study is among the first, to our knowledge, to document the association of the COVID-19 pandemic with kindergarten readiness and among the largest studies to link primary care data to public school outcomes. 53 The mean KRA scores for the clinical population were significantly lower than the overall school district population (P < .001). KRA scores in 2021 were significantly lower than those obtained pre-COVID-19 pandemic in 2018 and 2019 in both the clinical populations and school districts population (P < .001).…”

Section: Discussionmentioning

confidence: 85%

“…The study is among the first, to our knowledge, to document the association of the COVID-19 pandemic with kindergarten readiness and among the largest studies to link primary care data to public school outcomes. 53 Literature on the effects of the COVID-19 pandemic on early childhood development is in its infancy. A recent study 54 showed gains in numeracy and executive function among children enrolled in Head Start, yet others found COVID-19 pandemic-associated declines in young children's socialemotional development, 55 communication, 56 motor development, and attitudes toward learning.…”

Section: Discussionmentioning

confidence: 99%

“…Further, lower KRA performance was significantly associated with failing developmental screening after 18 months (approximately 1.5 years), child ever rarely read to, family-reported food insecurity, Medicaid insurance, Hispanic ethnicity, family required an interpreter, and child male sex. The study is among the first, to our knowledge, to document the association of the COVID-19 pandemic with kindergarten readiness and among the largest studies to link primary care data to public school outcomes …”

Section: Discussionmentioning

confidence: 99%

“…The associations between kindergarten readiness and previous reading exposure and developmental screening results are established, although few have linked school district to health care data, with 1 exception . For children failing a developmental screen, primary care is well positioned to intervene through referrals to speech/language specialists, early intervention, developmental specialists, and promotion and/or navigational assistance with enrollment in high-quality learning.…”

Section: Discussionmentioning

confidence: 99%

“…61 The associations between kindergarten readiness and previous reading exposure and developmental screening results 37,41 are established, although few have linked school district to health care data, with 1 exception. 53 For children failing a developmental screen, primary care is well positioned to intervene through referrals to speech/language specialists, early intervention, developmental specialists, and promotion and/or navigational assistance with enrollment in highquality learning. For the modifiable risk factor of infrequent shared reading, PCPs could facilitate library card access, refer or promote enrollment in high quality ECE, 62 and more reliably implement literacy enrichment programs, such as Reach Out and Read 63 and Imagination Library.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Early Correlates of School Readiness Before and During the COVID-19 Pandemic Linking Health and School Data

Copeland,

Porter,

Gorecki

et al. 2024

JAMA Pediatr

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ImportanceMany known correlates of kindergarten readiness are captured in developmental and social screenings in primary care; little is known about how primary care data predicts school readiness.ObjectiveTo identify early Kindergarten Readiness Assessment (KRA) correlates by linking electronic health record (EHR) data with school district KRA data and to examine potential outcomes of the COVID-19 pandemic using KRA scores between 2018 and 2021.Design, Setting, and ParticipantsThis was a retrospective cohort study linking a large primary care practice (PCP) with school assessment data. Linkage used patient name, date of birth, and address. The setting was an urban school district and PCP affiliated with an academic medical center. Students had a KRA score from fall of 2018, 2019, or 2021 (no 2020 KRA due to the COVID-19 pandemic) and at least 1 prior well-child visit at the PCP.ExposuresExposures included year KRA administered, reported child race and ethnicity, child sex, interpreter for medical visits, child ever failed Ages &amp; Stages Questionnaire (ASQ) 18 to 54 months, ever rarely read to, Medicaid status, food insecurity, housing insecurity, problems with benefits, and caregiver depressive symptoms.Main Outcomes and MeasuresKRA score (continuous), with a possible range of 0 to 300 (passing score = 270).ResultsA total of 3204 PCP patients (mean [SD] age, 67 [4] months; 1612 male [50.3%]; 2642 Black [82.5%]; 94 Hispanic [2.9%]; 244 White [7.6%]) were matched to their KRA score. Mean (SD) KRA scores were significantly lower in 2021 (mean [SD], 260.0 [13.0]; 214 of 998 [21.4%]) compared with 2019 (mean [SD], 262.7 [13.5]; 317 of 1114 [28.5%]) and 2018 (mean [SD], 263.5 [13.6]; 351 of 1092 [32.1%]), a pattern mirrored in the larger school district. In the linear regression final model (n = 2883), the following binary variables significantly lowered the child’s KRA score (points lowered [95% CI]) below a mean passing score of 270.8: child ever failed ASQ after 18 months (−6.7; 95% CI, −7.7 to −5.6), Medicaid insured (−5.7; 95% CI, −9.0 to −2.3), Hispanic ethnicity (−3.8; 95% CI, −6.9 to −0.6), requires interpreter (−3.6; 95% CI, −7.1 to −0.1), 2021 year (−3.5; 95% CI, −4.7 to −2.3), male sex (−2.7; 95% CI, −3.7 to −1.8), ever rarely read to (−1.5; 95% CI, −2.6 to −0.4), and food insecurity (−1.2; 95% CI, −2.4 to −0.1). Race, caregiver depression, housing insecurity, and problems receiving benefits were not associated with KRA scores in final model.Conclusions and RelevanceFindings of this cohort study suggest a deleterious association of the COVID-19 pandemic with early learning and development. There may be potential for PCPs and school districts to collaborate to identify and mitigate risks much earlier.

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Section: Discussionmentioning

confidence: 85%

“…The study is among the first, to our knowledge, to document the association of the COVID-19 pandemic with kindergarten readiness and among the largest studies to link primary care data to public school outcomes. 53 Literature on the effects of the COVID-19 pandemic on early childhood development is in its infancy. A recent study 54 showed gains in numeracy and executive function among children enrolled in Head Start, yet others found COVID-19 pandemic-associated declines in young children's socialemotional development, 55 communication, 56 motor development, and attitudes toward learning.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Early Correlates of School Readiness Before and During the COVID-19 Pandemic Linking Health and School Data

Copeland,

Porter,

Gorecki

et al. 2024

JAMA Pediatr

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The feasibility of remote measurement of infant sleep and motor development

DeMasi,

Waugh,

Wang

et al. 2024

Infant and Child Development

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In response to the COVID‐19 pandemic shut‐down of in‐person research laboratories, remote data collection became mainstream in developmental psychology research. The aim of this study was to test the feasibility of two remote data collection methods for studying sleep and motor development in infancy and the relationship between the two. We asked 1371 parents of infants aged 4–17 months who used the Nanit baby monitor to take the online Survey of Well‐being of Young Children (SWYC) about their infants' motor experience. Nanit uses auto‐videosomnography and computer vision algorithms to calculate and report summary statistics of infants' sleep. Nanit replicated all expected developmental trends in sleep, while the SWYC only replicated some, appearing to underestimate infants at the transition between motor milestones. However, we replicated some well‐established findings regarding the relationship between sleep and motor development using both measures, suggesting that both Nanit and the SWYC can feasibly be used for remote data collection, especially if some modifications were made to how researchers explained using the SWYC to caregivers. Researchers should consider alternatives to traditional research methods not only when in‐person participation is difficult or impossible, but also when large samples are needed and/or simple measurement tools are sufficient.

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Revisiting the Implications of a Wide or Narrow Fetal Cavum Septi Pellucidi

Sichitiu,

Ghannad‐Zadeh,

Van Mieghem

et al. 2024

J of Ultrasound Medicine

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ObjectivesTo investigate short‐term neonatal developmental outcomes in fetuses with an isolated wide or narrow cavum septi pellucidi (CSP) using new reference ranges.MethodsA cross‐sectional study on fetuses at 16 + 0 to 36 + 6 weeks of gestation between December 2020 and January 2022. CSP width reference ranges were constructed from low‐risk pregnancies. Wide and narrow CSPs were defined as measurements above the 95th percentile and below the 5th percentile, respectively. For the primary outcome fetuses with normal neurosonograms were included. Neonatal developmental outcomes were assessed using the Survey of Well‐being of Young Children (SWYC).ResultsA total of 352 fetuses were included in this study, of whom 138 were healthy and had uncomplicated neonatal outcomes. These fetuses constituted the control group and were used to construct the CSP width reference ranges. Of 185 fetuses in the neurosonography group, 9.7% had wide and 7.6% had narrow CSPs, of whom 33.3% and 22.2%, respectively, scored below the SWYC threshold for expected developmental milestones, a rate similar to that reported in the general population.ConclusionsThe presence of a prenatally isolated wide or narrow CSP does not appear to the risk of neonatal neurodevelopmental delay.

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From Descriptive to Predictive: Linking Early Childhood Developmental and Behavioral Screening Results With Educational Outcomes in Kindergarten

Cited by 8 publications

References 13 publications

Early Correlates of School Readiness Before and During the COVID-19 Pandemic Linking Health and School Data

Early Correlates of School Readiness Before and During the COVID-19 Pandemic Linking Health and School Data

The feasibility of remote measurement of infant sleep and motor development

Revisiting the Implications of a Wide or Narrow Fetal Cavum Septi Pellucidi

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