preparing for life: an overview - children's research network · 2020. 4. 30. · 1st...
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Preparing for Life: An Overview
Finding and Reusing Research Data
Ailbhe Booth(UCD School of Psychology & UCD Geary Institute for Public Policy)
15th June 2017
+‘Preparing for Life’ Programme
Preparing for Life: one of first experimental early childhood
interventions in Ireland
THREE CORE INTERVENTION COMPONENTS
→ Home visiting programme
→ Triple P Positive Parenting Programme
→ Baby Massage
Change Parent Knowledge, Attitudes & Wellbeing
Improve Parenting Behaviour
Improve Child Development
Increase School Readiness
Nutrition, aspirations, morale,
developmental milestones
Responsive to child’s needs, preventative
health care, self-reliant
Fewer injuries, better emotional &
physical health
+Aims
Evaluation Aim: Use a randomised controlled trial to investigate the effectiveness of PFL
Intervention Aim: Improve levels of school readiness by assisting parents in developing skills to prepare their children for school
+ ‘Preparing for Life’ Programme
Random Assignment
HIGH TREATMENTN = 115
LOW TREATMENTN = 118
PFL Participants233
1. €100 worth of child developmental materials annually & book packs
2. Facilitated access to enhanced preschool
3. Public health workshops
4. Facilitated access to local services
5. Access to local PFL events
6. Home visiting programme
7. Baby Massage
8. Triple P Positive Parenting Programme
1. €100 worth of child developmental materials annually & book packs
2. Facilitated access to enhanced preschool
3. Public health workshops
4. Facilitated access to local services
5. Access to local PFL events
+ What we found… PFL was effective at improving children’s school readiness
Impact on all 5 domains of school readiness - robust to small sample size, differential attrition, multiple hypothesis testing, differential misreporting & contamination
For more information please see: http://geary.ucd.ie/preparingforlife/
Cognitive DevelopmentUnderstanding information, thinking logically, familiarity with numbers, seeing patterns, and solving puzzles
Language DevelopmentUnderstanding what others are saying, being able to talk to others, and starting to read words
Approaches to LearningBeing excited and interested in learning, able to focus on and complete tasks
Social & Emotional DevelopmentUnderstanding what others are saying, being able to talk to others, and starting to read words
Physical Wellbeing & Motor DevelopmentUnderstanding what others are saying, being able to talk to others, and starting to read words
+ Timeline
Jan 2008
Recruitment & randomisation
Baseline Interview
3 Month PostpartumMaternal cognitive Assessments
6 Month PostpartumMaternal Interview
12 Month PostpartumMaternal Interview
18 Month PostpartumMaternal Interview
24 Month PostpartumMaternal Interview
36 Month PostpartumMaternal Interview
48 Month PostpartumMaternal Interview
48 Month PostpartumChild Direct Assessment
School Start Teacher Assessment
Dec 2015
+ Recruitment & Randomisationhttp://geary.ucd.ie/preparingforlife/wp-content/uploads/2012/04/Baseline-Report.pdf
Eligibility Criteria: Pregnant women
Residing in PFL catchment area between Jan 2008-August 2010
PFL Catchment Area:
Original (Jan 2008)
1st expansion (Jan 2009)
2nd expansion (June 2009)
Recruitment: Maternity hospital (~20 weeks) & within the local community
Population-based recruitment rate, based on all live births during the
recruitment phase, was 52% (n=233)
Randomisation: Unconditional probability randomisation strategy
115 allocated to High treatment group
118 allocated to Low treatment group
+Recruitment & Randomisation
0
4
8
12
16
20
Jan March May July Sept Nov Jan March May July Sept Nov Jan March May July
Nu
mb
er
Re
cru
ite
d
Month
Figure 1: Number PFL Participants Recruited Per Month(total = 233; avg. = 7/month)
2008 2009 2010
+ The Data
Gathered between Jan 2008 to Dec 2015
Impact Evaluation 1. Maternal Interviews: 7 home-based assessments (BL – 48)
2. Direct assessments: Cognitive skills & executive functioning at age 4
3. Teacher reported school readiness assessment: S-EDI in junior infants
Implementation Evaluation 1. Focus groups: PFL mothers & father figures
2. Semi-structured interviews: PFL programme staff
3. Semi-structured interviews: PFL children in junior infants
+ PFL Data Collection procedures
Maternal interviews conducted using computer assisted personal
interviewing technique
Field workers were blind to treatment status
Field workers underwent extensive training on conducting
interviews
In house training & practice
In the field shadowing
Inter-rater reliability on observational/direct assessment
components
Any data entry was double entered and checked
+ The Data (8 main domains)CHILD DEVELOPMENT
MATERNAL REPORT & DIRECT ASSESSMENT
Cognitive development (multiple standardised measures), fine and gross motor development, socialand emotional development
PARENTING
ALL MATERNAL REPORT
Maternal perceptions of parenting stress, parenting behaviour, tvexposure
CHILD HEALTH
ALL MATERNAL REPORT*
Health status, hospitalisations, weight, height
HOME ENVIRONMENT
MATERNAL REPORT + SOME OBSERVATION
e.g. Interactions in the home, safety in the home, exposure to smoke
MATERNAL HEALTH & WELLBEING
ALL MATERNAL REPORT
Physical and mental healthe.g. health status, self-esteem, substance use
SOCIAL SUPPORT
ALL MATERNAL REPORT
Perceived support from others, social engagement, service use
CHILDCARE SERVICE USE
ALL MATERNAL REPORT
Childcare attendance & type, satisfaction with childcare
HOUSEHOLD FACTORS & SES
ALL MATERNAL REPORT
Extensive information on demographicse.g. income, employment, welfare receipt
+Attrition
Low treatment mothers who were older, who already had children, and who had better
knowledge of child development when they joined PFL were more likely to stay in the study
Randomised (233)
Low Treatment118
Baseline101
Maternity Hospital Study100
6 Months90
12 Months83
18 Months74
24 Months84
36 Months76
48 Months73
Hospital Study53
Direct Assessment63
School Readiness74
High treatment mothers with better cognitive resources who had a job during pregnancy
were more likely to stay in the study
High Treatment115
Baseline104
Maternity Hospital Study106
6 Months83
12 Months82
18 Months80
24 Months82
36 Months74
48 Months74
Hospital Study55
Direct Assessment71
School Readiness75
65% Retained
63% Retained
+ Thanks to our Funders
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