Cultural Pride Reinforcement for Early School Readiness

NCT05140460 | Completed

• 1 other identifier: HS-17-139
• Study Type: interventional
• Target: 106
• Locations: 1 country
• Sites: 1

Brief Summary

Minority children disproportionately experience racial bias, which is linked to school failure, toxic stress, and health disparities. In contrast, a type of racial socialization called cultural pride reinforcement has been associated with positive academic, behavioral, and mental health outcomes. A clinic-based intervention to boost cultural pride may help parents foster resilience in their young children against the negative effects of racial bias. The investigators evaluated the extent to which a standard clinic-based early literacy program (Reach Out and Read (ROR)) and a similar program enhanced with cultural pride content (Cultural Pride Reinforcement for Early School Readiness (CPR4ESR)) are associated with improved cultural pride reinforcement practices, child development, family-provider communication, and health care utilization. Given the high representation of young children of color in the sample, the investigators hypothesized better outcomes among those who received the culturally tailored CPR4ESR program compared to those who received the standard ROR program.

Conditions

School Readiness; Racial Socialization; Child Development

Keywords

Racial Socialization; Ethnic Socialization; Early Childhood; Literacy; Child Development

Outcome Measures

Primary Outcomes (4)

• 3-Month Change in Language Development

  3-month change in the percentage of child participants who achieved all age-appropriate language development milestones

  Baseline at enrollment to 3 months after enrollment

• 3-Month Change in Social Development

  3-month change in the percentage of child participants who achieved all age-appropriate social development milestones

  Baseline at enrollment to 3 months after enrollment

• 3-Month Change in Fine Motor Development

  3-month change in the percentage of child participants who achieved all age-appropriate fine motor development milestones

  Baseline at enrollment to 3 months after enrollment

• 3-Month Change in Gross Motor Development

  3-month change in the percentage of child participants who achieved all age-appropriate gross motor development milestones

  Baseline at enrollment to 3 months after enrollment

Secondary Outcomes (6)

• 3-Month Change in Family-Provider Communication

  Baseline at enrollment to 3 months after enrollment

• 3-Month Change in Family-Provider Cultural Understanding

  Baseline at enrollment to 3 months after enrollment

• 3-Month Change in Family-Provider Cultural Concordance

  Baseline at enrollment to 3 months after enrollment

• Up-to-date Status of Well Child Visits

  12 months after study enrollment

• Up-to-date Status of Vaccination

  12 months after study enrollment

Study Arms (2)

Intervention

EXPERIMENTAL

Behavioral: Cultural Pride Reinforcement for Early School Readiness (CPR4ESR)

Control

ACTIVE COMPARATOR

Behavioral: Reach Out and Read (ROR)

Interventions

Cultural Pride Reinforcement for Early School Readiness (CPR4ESR) BEHAVIORAL

The intervention entails distribution of a children's book with a cultural pride theme and the cultural pride parent book-sharing guide. Intervention participants select and receive a developmentally appropriate (baby, toddler, or preschool) book that features African American, Latino, Asian or diverse cultural pride perspectives.

Intervention

Reach Out and Read (ROR) BEHAVIORAL

The control condition involves distribution of a standard ROR book and book-sharing advice. Distributed books are developmentally appropriate (baby, toddler, or preschool).

Control

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 18 years or older
• Parent of at least 1 child 6 months to 5 years old
• English-speaking or Spanish-speaking

You may not qualify if:

• N/A

Sponsors & Collaborators

• Children's Hospital Los Angeles: lead

Study Sites (1)

Children's Hospital Los Angeles

Los Angeles, California, 90027, United States

Location

MeSH Terms

Conditions

Literacy

Condition Hierarchy (Ancestors)

Communication; Behavior

Study Officials

• Ashaunta T Anderson, MD, MPH

  Children's Hospital Los Angeles

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor of Pediatrics

Study Record Dates

• First Submitted: November 8, 2021
• First Posted: December 1, 2021
• Study Start: August 6, 2018
• Primary Completion: March 28, 2019
• Study Completion: November 25, 2019
• Last Updated: December 1, 2021

Record last verified: 2021-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)