Primary Care Strategies for Promoting Parent-Child Interactions and School Readiness in At-Risk Families

Enhancing Parent Talk, Reading, and Play in Primary Care: Sustained Impacts of the Video Interaction Project

“…In line with earlier findings from a prior(11,12) and the current RCT(15), VIP and BB, which begin in early infancy, were associated with enhanced parent-child interactions at 14 months. These findings reinforce previous conclusions from prior studies that pediatricians should consider intervening with families beginning in early infancy.…”

“…Unlike prior analyses of VIP’s impact on socioemotional development (19), VIP’s impact on parenting was not found to vary with of social risk; this suggests that there may be some differences in the mechanisms by which these domains are affected by VIP. Additionally, current findings yielded comparable impacts on parenting regardless of maternal literacy/education, differing from prior analyses demonstrating some reduction in impacts on parent cognitive stimulation for families with very low literacy(15). Although additional study, including qualitative research, would be needed to understand why this was the case, findings suggest the possibility that cumulative exposure to VIP may have resulted in greater impacts for these families.…”

Enhancing Parent Talk, Reading, and Play in Primary Care: Sustained Impacts of the Video Interaction Project

“…In line with earlier findings from a prior(11,12) and the current RCT(15), VIP and BB, which begin in early infancy, were associated with enhanced parent-child interactions at 14 months. These findings reinforce previous conclusions from prior studies that pediatricians should consider intervening with families beginning in early infancy.…”

“…Unlike prior analyses of VIP’s impact on socioemotional development (19), VIP’s impact on parenting was not found to vary with of social risk; this suggests that there may be some differences in the mechanisms by which these domains are affected by VIP. Additionally, current findings yielded comparable impacts on parenting regardless of maternal literacy/education, differing from prior analyses demonstrating some reduction in impacts on parent cognitive stimulation for families with very low literacy(15). Although additional study, including qualitative research, would be needed to understand why this was the case, findings suggest the possibility that cumulative exposure to VIP may have resulted in greater impacts for these families.…”

Enhancing early language and literacy skills for racial/ethnic minority children with low incomes through a randomized clinical trial: The mediating role of cognitively stimulating parent–child interactions

“…The indirect impacts of SB through both surveyreported and observed parental support of cognitive stimulation are consistent with previously reported earlier results from the SB RCT, which found significant direct impacts of the SB intervention on parental support of cognitive stimulation beginning at 6 months (attributable to VIP, given no FCU until this point) and sustained until 24 months (Miller et al, 2023;Roby et al, 2021), as well as findings documenting robust and sustained impacts on parental support of cognitive stimulation resulting from VIP (Cates et al, 2018;Mendelsohn et al, 2011). These findings provide additional support for the theory of change of the SB model, which posits that the SB program would positively impact parental support of cognitive stimulation and subsequent improvements in children's language and literacy.…”

Assessing the Impacts of Pediatric Primary Care Parenting Interventions on EI Referrals Through Linkage With a Public Health Database

“…Furthermore, the theory that decreased referral to EI is due to positive effects of VIP participation is supported by data collected as part of the BELLE Project protocol. In line with prior analysis which demonstrated improved child development outcomes resulting from VIP (Cates et al, 2018;Mendelsohn et al, 2005;Mendelsohn, Huberman, et al, 2011;Mendelsohn et al, 2007;Weisleder & Fernald, 2013), results from the current study demonstrated a reduction in eligibility for EI associated with VIP participation, estimated through performance on standardized measures of cognitive and language development administered in the context of the research protocol. Specifically, results indicated an estimated 17.8% eligibility in the control group (20.8% in the subgroup with mothers ≥ seventh-grade education) relative to only 12.8% eligibility in the VIP group (5.6% for mothers with ≥ seventh-grade education).…”

“…Results indicated no differences in rate of EI referral as a result of participation in the BB intervention, which is unsurprising given the relatively low intensity of BB. However, although we did not find impacts of BB on EI referrals, we have previously shown that this intervention does lead to some improvements in parent–child interactions and in maternal depressive symptoms (Berkule et al, 2014; Mendelsohn, Huberman, et al, 2011). It is possible that BB may represent an effective approach for a subset of families who do not require as intensive an intervention as VIP.…”

Enhancing Parent Talk, Reading, and Play in Primary Care: Sustained Impacts of the Video Interaction Project

“…In line with earlier findings from a prior(11,12) and the current RCT(15), VIP and BB, which begin in early infancy, were associated with enhanced parent-child interactions at 14 months. These findings reinforce previous conclusions from prior studies that pediatricians should consider intervening with families beginning in early infancy.…”

“…Unlike prior analyses of VIP’s impact on socioemotional development (19), VIP’s impact on parenting was not found to vary with of social risk; this suggests that there may be some differences in the mechanisms by which these domains are affected by VIP. Additionally, current findings yielded comparable impacts on parenting regardless of maternal literacy/education, differing from prior analyses demonstrating some reduction in impacts on parent cognitive stimulation for families with very low literacy(15). Although additional study, including qualitative research, would be needed to understand why this was the case, findings suggest the possibility that cumulative exposure to VIP may have resulted in greater impacts for these families.…”

Enhancing early language and literacy skills for racial/ethnic minority children with low incomes through a randomized clinical trial: The mediating role of cognitively stimulating parent–child interactions

“…The indirect impacts of SB through both surveyreported and observed parental support of cognitive stimulation are consistent with previously reported earlier results from the SB RCT, which found significant direct impacts of the SB intervention on parental support of cognitive stimulation beginning at 6 months (attributable to VIP, given no FCU until this point) and sustained until 24 months (Miller et al, 2023;Roby et al, 2021), as well as findings documenting robust and sustained impacts on parental support of cognitive stimulation resulting from VIP (Cates et al, 2018;Mendelsohn et al, 2011). These findings provide additional support for the theory of change of the SB model, which posits that the SB program would positively impact parental support of cognitive stimulation and subsequent improvements in children's language and literacy.…”

Assessing the Impacts of Pediatric Primary Care Parenting Interventions on EI Referrals Through Linkage With a Public Health Database

“…Furthermore, the theory that decreased referral to EI is due to positive effects of VIP participation is supported by data collected as part of the BELLE Project protocol. In line with prior analysis which demonstrated improved child development outcomes resulting from VIP (Cates et al, 2018;Mendelsohn et al, 2005;Mendelsohn, Huberman, et al, 2011;Mendelsohn et al, 2007;Weisleder & Fernald, 2013), results from the current study demonstrated a reduction in eligibility for EI associated with VIP participation, estimated through performance on standardized measures of cognitive and language development administered in the context of the research protocol. Specifically, results indicated an estimated 17.8% eligibility in the control group (20.8% in the subgroup with mothers ≥ seventh-grade education) relative to only 12.8% eligibility in the VIP group (5.6% for mothers with ≥ seventh-grade education).…”

“…Results indicated no differences in rate of EI referral as a result of participation in the BB intervention, which is unsurprising given the relatively low intensity of BB. However, although we did not find impacts of BB on EI referrals, we have previously shown that this intervention does lead to some improvements in parent–child interactions and in maternal depressive symptoms (Berkule et al, 2014; Mendelsohn, Huberman, et al, 2011). It is possible that BB may represent an effective approach for a subset of families who do not require as intensive an intervention as VIP.…”

Enhancing Parent Talk, Reading, and Play in Primary Care: Sustained Impacts of the Video Interaction Project

“…In line with earlier findings from a prior(11,12) and the current RCT(15), VIP and BB, which begin in early infancy, were associated with enhanced parent-child interactions at 14 months. These findings reinforce previous conclusions from prior studies that pediatricians should consider intervening with families beginning in early infancy.…”

“…Unlike prior analyses of VIP’s impact on socioemotional development (19), VIP’s impact on parenting was not found to vary with of social risk; this suggests that there may be some differences in the mechanisms by which these domains are affected by VIP. Additionally, current findings yielded comparable impacts on parenting regardless of maternal literacy/education, differing from prior analyses demonstrating some reduction in impacts on parent cognitive stimulation for families with very low literacy(15). Although additional study, including qualitative research, would be needed to understand why this was the case, findings suggest the possibility that cumulative exposure to VIP may have resulted in greater impacts for these families.…”

Enhancing early language and literacy skills for racial/ethnic minority children with low incomes through a randomized clinical trial: The mediating role of cognitively stimulating parent–child interactions

“…The indirect impacts of SB through both surveyreported and observed parental support of cognitive stimulation are consistent with previously reported earlier results from the SB RCT, which found significant direct impacts of the SB intervention on parental support of cognitive stimulation beginning at 6 months (attributable to VIP, given no FCU until this point) and sustained until 24 months (Miller et al, 2023;Roby et al, 2021), as well as findings documenting robust and sustained impacts on parental support of cognitive stimulation resulting from VIP (Cates et al, 2018;Mendelsohn et al, 2011). These findings provide additional support for the theory of change of the SB model, which posits that the SB program would positively impact parental support of cognitive stimulation and subsequent improvements in children's language and literacy.…”

Assessing the Impacts of Pediatric Primary Care Parenting Interventions on EI Referrals Through Linkage With a Public Health Database

“…Furthermore, the theory that decreased referral to EI is due to positive effects of VIP participation is supported by data collected as part of the BELLE Project protocol. In line with prior analysis which demonstrated improved child development outcomes resulting from VIP (Cates et al, 2018;Mendelsohn et al, 2005;Mendelsohn, Huberman, et al, 2011;Mendelsohn et al, 2007;Weisleder & Fernald, 2013), results from the current study demonstrated a reduction in eligibility for EI associated with VIP participation, estimated through performance on standardized measures of cognitive and language development administered in the context of the research protocol. Specifically, results indicated an estimated 17.8% eligibility in the control group (20.8% in the subgroup with mothers ≥ seventh-grade education) relative to only 12.8% eligibility in the VIP group (5.6% for mothers with ≥ seventh-grade education).…”

“…Results indicated no differences in rate of EI referral as a result of participation in the BB intervention, which is unsurprising given the relatively low intensity of BB. However, although we did not find impacts of BB on EI referrals, we have previously shown that this intervention does lead to some improvements in parent–child interactions and in maternal depressive symptoms (Berkule et al, 2014; Mendelsohn, Huberman, et al, 2011). It is possible that BB may represent an effective approach for a subset of families who do not require as intensive an intervention as VIP.…”