Effects of ParentCorps in Prekindergarten on Child Mental Health and Academic Performance: Follow-up of a Randomized Clinical Trial Through 8 Years of Age.

Effects of ParentCorps in Prekindergarten on Child Mental Health and Academic Performance: Follow-up of a Randomized Clinical Trial Through 8 Years of Age.
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DOI:
10.1001/jamapediatrics.2016.1891
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发表时间:
2016-12-01
期刊:
影响因子:
26.1
通讯作者:
Petkova E
Petkova E
中科院分区:
医学1区
文献类型:
--
作者:
Brotman LM;Dawson-McClure S;Kamboukos D;Huang KY;Calzada EJ;Goldfeld K;Petkova E

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居住在城市社区的低收入少数民族儿童心理健康问题和成绩不佳的风险很高。ParentCorps是一家以家庭为中心、以学校为基础的幼儿园前干预机构,在2个随机临床试验中改善了父母养育和上学准备情况(即自我调节和学业前技能)。对儿童心理健康和学习成绩的长期影响尚不清楚。考察ParentCorps是否加强了高贫困城市学校的学前教育项目,从而减少了心理健康问题,并提高了小学早期的学习成绩。这是一项为期3年的跟踪研究,对纽约市公立学校家长服务队进行了一项为期3年的随机临床试验。2005年,10所主要服务于低收入黑人学生人口的小学被随机抽查,从2005年9月12日到2008年12月31日,连续4个幼儿园前儿童队列被录取。我们报告了在最初一年实施后登记的3个队列的后续行动。数据分析从2014年9月1日至2015年12月31日进行。ParentCorps包括针对幼儿园前教师和幼儿园教师的专业发展,以及针对家长和幼儿园学生的计划(由教师和心理健康专业人员在放学后举办13次两小时的小组会议)。每年教师对幼儿园和二年级的心理健康问题和学习成绩进行评分,并由测试者进行标准化测试,随机分为干预组或控制组。共有99个幼儿园班级的1050名儿童(4岁;518名男孩[49.3%]和532名女孩[50.7%])参加了试验(占学龄前儿童总数的88.1%),2006年至2008年共有792名学生参加。跟踪研究中的大多数家庭(421个(69.6%))是低收入家庭;680个(85.9%)非拉丁裔黑人,78个(9.8%)拉丁裔,34个(4.3%)其他。与学前班的同龄人相比,参加ParentCorps强化学前班的儿童在二年级时的心理健康问题水平较低(Cohen d=0.44;95%CI,0.08-0.81),而教师评价的学习成绩较高(Cohen d=0.21;95%CI,0.02-0.39)。3年后,对学龄前儿童进行干预后,他们的心理健康和学习成绩有所改善。以家庭为中心的早期干预有可能预防问题,缩小低收入少数族裔儿童的差距。ClinicalTrials.gov标识:NCT01670227
Low-income minority children living in urban neighborhoods are at high risk for mental health problems and underachievement. ParentCorps, a family-centered, school-based intervention in prekindergarten, improves parenting and school readiness (ie, self-regulation and preacademic skills) in 2 randomized clinical trials. The longer-term effect on child mental health and academic performance is not known. To examine whether ParentCorps delivered as an enhancement to prekindergarten programs in high-poverty urban schools leads to fewer mental health problems and increased academic performance in the early elementary school years. This is a 3-year follow-up study of a cluster randomized clinical trial of ParentCorps in public schools with prekindergarten programs in New York City. Ten elementary schools serving a primarily low-income, black student population were randomized in 2005, and 4 consecutive cohorts of prekindergarten students were enrolled from September 12, 2005, through December 31, 2008. We report follow-up for the 3 cohorts enrolled after the initial year of implementation. Data analysis was performed from September 1, 2014, to December 31, 2015. ParentCorps included professional development for prekindergarten and kindergarten teachers and a program for parents and prekindergarten students (13 two-hour group sessions delivered after school by teachers and mental health professionals). Annual teacher ratings of mental health problems and academic performance and standardized tests of academic achievement in kindergarten and second grade by testers masked to the intervention or control group randomization. A total of 1050 children (4 years old; 518 boys [49.3%] and 532 girls [50.7%]) in 99 prekindergarten classrooms participated in the trial (88.1% of the prekindergarten population), with 792 students enrolled from 2006 to 2008. Most families in the follow-up study (421 [69.6%]) were low income; 680 (85.9%) identified as non-Latino black, 78 (9.8%) as Latino, and 34 (4.3%) as other. Relative to their peers in prekindergarten programs, children in ParentCorps-enhanced prekindergarten programs had lower levels of mental health problems (Cohen d = 0.44; 95% CI, 0.08–0.81) and higher teacher-rated academic performance (Cohen d = 0.21; 95% CI, 0.02–0.39) in second grade. Intervention in prekindergarten led to better mental health and academic performance 3 years later. Family-centered early intervention has the potential to prevent problems and reduce disparities for low-income minority children. clinicaltrials.gov Identifier: NCT01670227
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