Child Development and Primary Care in Low Income Families
Promoting Early Child Development in Primary Care for Low-Income Families
2 other identifiers
interventional
60
1 country
1
Brief Summary
The objective of this study is to conduct a 12-month pilot longitudinal study of a parent-directed program delivered in a primary care setting serving primarily low-income families. The parent-direction program will be evaluated in a randomized controlled design to determine the feasibility of protocol implementation and to investigate the potential impact on parental outcomes. Process outcomes will include success with recruitment, participant retention, and ability to collect outcome measures. Clinical outcomes will incorporate measures of parental self-efficacy and parenting behaviors, including observational assessments of parent-child interactions.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Oct 2017
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 18, 2017
CompletedFirst Posted
Study publicly available on registry
April 24, 2017
CompletedStudy Start
First participant enrolled
October 20, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 5, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
December 19, 2022
CompletedMarch 25, 2026
January 1, 2025
1.7 years
April 18, 2017
March 20, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Change in parental knowledge regarding importance of verbal interactions
Change in knowledge regarding importance of talking with children less then 2 years of age as measured by the Thirty Million Word Questionnaire
6 and 12 months post-enrollment
Participation in cognitively stimulating activities
Participation in cognitively stimulating activities such as reading and play as measured by the StimQ
12 months post enrollment
Parent-child interactions
Observational assessment to assess parental sensitivity, involvement in child activities, and engagement in language experiences utilizing the Parenting Interactions with Children: Checklist of Observations Linked to Outcomes (PICCOLO)
12 months post enrollment
Study Arms (2)
Sit Down and Play
EXPERIMENTALFamilies randomized to intervention group will receive Sit Down and Play while they wait in the waiting room to be seen by their primary care provider at current and subsequent well-child visits.
Handout
ACTIVE COMPARATORFamilies in the control group will receive handouts regarding child safety
Interventions
Sit Down and Play (SDP) is designed to be a brief, low-cost intervention that incorporates key theoretical constructs to elicit positive parenting behaviors. It is intended to be delivered by existing clinical staff, nonprofessionals, or volunteers during each of the eight well-child visits between 2-24 months of age while a family waits to be seen by their pediatrician in the examination room.
Eligibility Criteria
You may qualify if:
- Parent is 18 years or older
- Child is present for a 2 month well-child visit
- Adult present with child at appointment is parent/caregiver of child
You may not qualify if:
- Parent is non-English speaking
- Child is acutely sick
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Illinois at Chicago
Chicago, Illinois, 60612, United States
Related Publications (2)
Shah R, Kennedy S, Clark MD, Bauer SC, Schwartz A. Primary Care-Based Interventions to Promote Positive Parenting Behaviors: A Meta-analysis. Pediatrics. 2016 May;137(5):e20153393. doi: 10.1542/peds.2015-3393. Epub 2016 Apr 19.
PMID: 27244800BACKGROUNDShah RP, Kunnavakkam R, Msall ME. Pediatricians' knowledge, attitudes, and practice patterns regarding special education and individualized education programs. Acad Pediatr. 2013 Sep-Oct;13(5):430-5. doi: 10.1016/j.acap.2013.03.003. Epub 2013 Mar 14.
PMID: 23707687BACKGROUND
Study Officials
- PRINCIPAL INVESTIGATOR
Reshma Shah, MD
University of Illinois at Chicago
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- CARE PROVIDER, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor of Pediatrics
Study Record Dates
First Submitted
April 18, 2017
First Posted
April 24, 2017
Study Start
October 20, 2017
Primary Completion
July 5, 2019
Study Completion
December 19, 2022
Last Updated
March 25, 2026
Record last verified: 2025-01
Data Sharing
- IPD Sharing
- Will not share