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Child Executive Functioning in Nebraska Educares Jolene Johnson, Ed.D Dawn Davis, Ph.D. Mashael Altwijri, M.S. Jan Esteraich, M.S. Helen Raikes, Ph.D.

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Page 1: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

Child Executive Functioning in Nebraska Educares

Jolene Johnson, Ed.DDawn Davis, Ph.D.

Mashael Altwijri, M.S.Jan Esteraich, M.S.Helen Raikes, Ph.D.

Page 2: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

VIDEOhttps://video.search.yahoo.com/yhs/search?fr=yhs-pty-pty_converter&hsimp=yhs-pty_converter&hspart=pty&p=youtube+cookie+monster+self+control#id=2&vid=4eb6602a3429383694a6eacde6ac8281&action=click

Page 3: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

What are Executive Functions?Brain-based skills involved in deliberate, top-down, goal-directed control of attention, thought, emotion and behaviorCognitive processes located in the prefrontal cortex that coordinate and

integrate the broader functions of thought, memory, emotions and motor movement. Likened to an Air Traffic Control Center.

– Cognitive Flexibility

– Working Memory

– Inhibitory Control

Page 4: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

Why does EF matter for children? EF provides a foundation for learning and adaptation across situations.

– Insocialsituations;tochangebehaviors;forproblemsolving(getoutsidethebox)

School Readiness– Payattentiontoteacherdirections– Rememberandapplyteacherdirections– Focus– Transition– Manageemotions– Maintainpositivepeerrelations– Thinkwithflexibility

Haight,Jones,Bailey,2GenExecFunct,2016;Toub,ReflectionSciences,2017

Page 5: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

Timeline of 3 years

Year1

•NeedsAssessment/FocusGroups•OverviewofPyramid/PositiveBehaviorSupports•ConsciousDisciplineTraining• EstablishmentofBehaviorSupportTeams•OnlineCSEFELmodules

Year2

•ExecutiveFunctioningandSafefromtheStartWorkshop•MEFSadministration(5sites)• ImplementationofPyramidTeams;ApplyforNEPyramidprocess•ReflectiveConsultationTraintheTrainer•Planningforintegrationofparents

Year3

•SafefromtheStartTraumaTraining(sitelevel)ParentsandStaff• BrainBags(3forall;4th forstudentstransitioningtoK)•ReflectiveConsultation•ParentGroups(CircleofSecurity;PBISgroups)•ChildParentPsychotherapy(CPP)

Page 6: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

WhyisEF SoImportantinEducare?HowDoExecutiveFunctions Develop?

CenterontheDevelopingChild,2011

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Minnesota Executive Function Scale (MEFS)Carlson, S.M., & Zelazo, P.D. (2014)

Students in Nebraska EducaresAssessed Fall and Spring (2016-2018)Beginning at age 2 years

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§ Firstobjective,scientificallybasedmeasureofEF§ DevelopedattheUniversityofMinnesota

§ Over9yearsofresearch§ $1.3millionoffundingfromtheNationalInstitutesofHealth

§ ReleasedinSeptemberof2014,MEFShasalreadybeenusedtoassessexecutivefunctionover21,000timesin100+locations

Minnesota Executive Function Scale (MEFSTM)

Page 9: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

§ MeasureofExecutiveFunction designedforconvenientusewithchildren2-13 years

§ Sensitivetoindividualdifferencesacrosswideabilityrange,includingverylowandveryhighfunctioningchildren

Minnesota Executive Function Scale – Childhood Version

Page 10: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

Minnesota Executive Function Scale Key Features

§ Suitable for ages 2+ years§ Time to administer: 3-6 min (avg = 4 min)§ Multiple forms for repeated administration (e.g., to

measure change)§ Adaptive§ Automated scoring§ Clear guidelines for using and interpreting the

data§ Reliable (ICC = .94)§ Validated § Normed (currently ~7,500 children and 600

adults)§ English, Spanish, Mandarin, Dutch, German,

Swedish, Somali, Hmong

Page 11: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

PsychometricsConstruct Validity:

Convergent: High correlations with other measures of EF including NIH Toolbox Battery of EF and Head-Toes-Knees-Shoulders (HTKS)

Divergent: Low correlations with IQ (Stanford-Binet Early 5; WPPSI

Criterion Validity:High correlations with Woodcock-Johnson III-NU

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MEFS and EducareMeasuresMeasure 1 2 3 4 5 6 7

MEFS F

MEFS S .347**

PPVTF .324** .400**

PPVTS .425** .429** .768**

PLSF .391** .435** .672** .647**

PLS S .382** .486** .616** .611** .752**

DECABC -.068 -.096 -.097 -.078 -.148* -.143*

DECA PF .250** .265** .327** .303** .334** .292** -.496**

**p<.01;*p<.05

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ChildExecutiveFunctioninginNebraskaEducarePrograms:TheRoleofDosage

DawnL.Davis,Ph.D.,HelenRaikes,Ph.D.,EvanChoi,Ph.D.;UniversityofNebraska-LincolnCYFSSummitonResearchinEarlyChildhood

April2018

Page 14: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

Agenda

• BackgroundonExecutiveFunctionandDosage• ReviewofCurrentStudy• Findings• Implications&FutureDirections

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BackgroundonExecutiveFunctionandDosageResearch

• Dosage• Definition• Patternsofgrowth

• VariablesthatimpactEFinyoungchildren• EFanddosage• Gapsinliterature

• SmallbutgrowingbodyaroundeffectiveEFinterventions• Moreneededonpatternsofchildren’sEFgrowth(whatgrowthshouldbeexpected/indicatepositiveimpacts?)

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CurrentStudy:ResearchQuestions

1. Whatistherelationshipbetweentimeinprogram(dosage)andchildexecutivefunctiondevelopment?• Doweseethemostgrowthinthefirstyearand/orlowestskilled?

2. Whatotherchildcharacteristicsimpacttheexecutivefunctiongrowthtrajectories?• Age andgenderdifferences

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Measures

• MinnesotaExecutiveFunctionScale• OverallExecutiveFunction• StandardScoreforFall2016andSpring2017

• Dosage• NeworReturner:Wasthisthechild’sfirstyearinEducare?• HowmanyyearshasthechildbeeninEducare?

• ParentInterview/programinformation• ChildDemographics(age,gender,race/ethnicity)

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CurrentSample

• 4NebraskaEducarePrograms• Matchedsampleover1academicyear,aged3-yearsandolder(n=330)

Gender Race/Ethnicity Age(inmonths,asofFall2016)

Dosage

51%Female 43%White28%NativeAmerican22%Black7%Other/Multi-racial

Mean=46.1months(StdDev=7.4months)46%3yearolds45%4yearolds9%5yearolds

31%in1st year26%in2nd year19%in3rd year24%in4th+year

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Findings1a:Whatistherelationshipbetweentimeinprogram(dosageinyears)andchildexecutivefunctiondevelopment?

92.8

96.294.7

95.8

91.4

95.295.4

97.5

88

90

92

94

96

98

Fall2016 Spring2017

EFGrowthbyDosage(Years)

Firstyear(n=102) Secondyear(n=85)

Thirdyear(n=61) Fourthyear(n=78)

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Findings1b:Whatistherelationshipbetweentimeinprogram(neworreturner)andchildexecutivefunctiondevelopment?

92.8

96.2

94

96.2

91

92

93

94

95

96

97

Fall2016 Spring2017

EFGrowthbyDosage(New/Returner)

New(n=102) Returner(n=224)

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Findings2a:Whatotherchildcharacteristicsimpacttheexecutivefunctiongrowthtrajectories?AGE

92.7

95.5

93.8

96.696

97.6

90

92

94

96

98

Fall2016 Spring2017

EFGrowthbyAge

3yearolds(n=151) 4yearolds(n=148) 5yearolds(n=31)

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Findings2b:Whatotherchildcharacteristicsimpacttheexecutivefunctiongrowthtrajectories?GENDER

94.7

97.5

92.3

94.8

88

90

92

94

96

98

Fall2016 Spring2017

EFGrowthbyGender

Girls(n=168) Boys(n=159)

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Findings2c:Whatotherchildcharacteristicsimpacttheexecutivefunctiongrowthtrajectories?AGE,GENDER,DOSAGE(new/returner)

Age Fall2016 Spring2017

F M F M

New Ret New Ret New Ret New Ret

3years 92.2 93.8 92.9 90.8 96.4 95.8 96.2 93.1

4years 95.5 96.5 90.8 92.6 100.2 98.5 93.7 95.0

5years n/a 97.7 94.8 94.9 n/a 100.2 91.8 96.9

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Conclusions&Discussion

Whatinformationresultedfromthisinvestigation?Whatarethekeytake-awaypoints?• EFgrowthacrosssubsamples(butstilllagbehindadvantagedpeers)• YoungerandnewerchildrentendedtostartoffwithlowerEFscores• Differencesseenacrossgenderandage

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Limitations

• NotaRCT• DonothavebaselinedataforchildrenwhoenrolledpriortoMEFSdatacollection

• NospecificEFinterventioninprogram• Onlytwotimepoints• OnlyonemeasureofEFanddoesn’tbreakoutEFcomponents

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Implications

Howcaninformationfromthisstudyinformoradvanceearlychildhoodpractice?• EFisanimportantareaandwarrantsattentionandinterventions• EFstrategiesinECDmayimprovechildren’sschoolreadinessHowcaninformationfromthisstudyinformoradvanceearlychildhoodpublicpolicy?• ContinuedsupportforhighqualityECDprograms,particularlythosewithanEFcomponent

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Implications&FutureDirections

Howcanlessonsfrompracticeorpolicyinformthislineofresearch?• TargetedEFinterventionsmayresultinpositiveoutcomesandcontinuedgrowthafterfirstyear

Whatadditionalresearchisneededtoinformoradvanceearlychildhoodpracticeand/orpolicy?• FurtherexplorefactorsassociatedwithEF(roleofadults,etc.)• IncludeadditionalEFmeasures• Lookatageofentryandpossibleimpacts/keytimeperiods• Areweseeinga‘ceilingeffect’orlimittogrowththatcanbemade?

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Thankyou!Contactinformation:

[email protected]

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Differences in Executive Functionby sex

& by parent-child interaction

Mashael Altwijri, MS.Ed, Helen Raikes, Ph.D

Princess Nourah University & University of Nebraska-Lincoln

CYFS Summit on Research in Early Childhood

April 2018

Page 30: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

Agenda ..

• Differences in executive function (EF)

• Lincoln Educare

• demographics

• By sex

• Parent-child relationship

• Overview & measures

• Relationship with EF

• Differences by sex

Page 31: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

Differences in EF .. By sex

• No gender differences in the development of executive function (Welsh, Pennington, & Grossier, 1991)

• Females have better executive function abilities

• Working memory (Anderson et al, 2001)

• Set-shifting and problem solving (Luboyeski, Han, Lansing, Holdnack, & Delis, 2009)

• Measures

• MEFS

• Parent interview ( demographics)

Page 32: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

Lincoln Educare

• Diverse

• Many different races

• More than 9 languages spoken

• About half are single parents

• Different levels of education

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Lincoln Educare

Races:Black 39%White 33%Native American3%Asian 4%Multi 16%

Education:Have no high school 20%Have high school 16%Have technical training34%Havetwoyearsormoreofcollege18%

HomelanguagesEnglish 71%Arabic 10%Spanish 9%Creole 4%Kaghana 3%Chinese,Tigrinya …1%

Ethnicity:Hispanic 11%Non-Hispanic 89%

Family structureSingle 51%Two-parents 49%

GenderMale 53%Female 47%

Page 34: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

Research Questions

EF differences by sex

• Do boys differ from girls in their level of executive function skills?

• Do boys’ executive function growth differ from girls during preschool?

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Matched - participants for two years (fall-16, spring-17, fall-17, & spring-18), male=18, female=23

828486889092949698100

Fall-16 Spring-17 Fall-17 Spring-18

EFbysex

Male Female

Significantp=.02

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Matched - participants for each year (fall-16, spring-17) – male=34, female=44, not significant

86

88

90

92

94

96

98

Fall-16 Spring-17

EFbysex

Male Female

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Matched - participants for each year (fall-17, spring-18) – male= 5 , female= 9, not significant

92.5

93

93.5

94

94.5

95

95.5

96

Fall-17 Spring-18

EFbysex

Male Female

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Child-Parent relationship

• Parental relationship influence EF, especially in low-SES families (Rhoades, Mark, Lanza & Blair, 2010)

• Low-SES children can benefit from going to high-quality childcare (Yazejian et al., 2015)

• Measure

• Child Parent Relationship Scale, Short Form (CPRS-SF) (parent-report) , Conflict and Closeness subscales (Pianta, 1992)

• Conflict: e.g., “Your child easily become angry with you.” • Closeness: e.g., “If upset, your child will seek comfort from you.”• 1-5 Likert scale• Once a year, Fall-16 & Fall-17

Page 39: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

Research Questions

EF & CPRS – differences by sex

• Do conflict and/or closeness in parent-child relationship associate with children’s executive function skills?

• Do conflict and/or closeness in child-parent relationship predict children’s executive function skills?

• Does the influence of child-parent relationship on executive function differ for boys from girls?

Page 40: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

Matched - EF & CPRS (Fall-16, Spring-17)

• Child-parent conflict relationship is negatively correlated with children’s EF in Fall-16

• r=-.310*, p=.009

89.593.1

95.6 9…

85

90

95

100

Fall-16 Spring-17

High&LowConflict

High Low

93.396.4

91.9 92.9

85

90

95

100

Fall-16 Spring-17

High&LowCloseness

High Low

n=32 n=38 n=47 n=23

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Matched - EF & CPRS (Fall-16, Spring-17)

• Differences by sex• Boy-parent conflict relationship is negatively correlated with children’s EF in Fall-16

• r= -.399* , p= .02

• Boys grew more than girls

93.7

95.696.8

97.9

90

92

94

96

98

100

Fall-16 Spring-17

Lowconflict

Male Female

87.2

9292.8

94.8

8284868890929496

Fall-16 Spring-17

Highconflict

Male Female

n=24n=14 n=13n=19

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Matched - EF & CPRS (Fall-16, Spring-17)

• Differences by sex• Girl-parent close relationship is positively correlated with children EF in Spring-17

• r= .477**, p=.003

90.1

94.494.6

90.6

868890929496

Fall-16 Spring-17

Lowcloseness

Male Female

89.992.8

95.698.8

85

90

95

100

Fall-16 Spring-17

Highcloseness

Male Female

n=14 n=9 n=28n=19

Page 43: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

Conclusion ..

• Females tend to have higher executive function skills than males during early childhood

• Children with higher conflicted relationship tend to have a lower executive function skills, but grew the most

• Boys’ EF more than girls are more likely to be negatively influenced by a conflicted relationship.

• Girls’ EF more than boys are more likely to benefit from a close parent-child relationship

Page 44: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

Limitation ..

• Need a bigger sample

• Need to measure CPRS two times Fall-Spring

• A detailed measure of EF

Page 45: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

Implication ..

• More attention to environmental factors

• Parent-child relationship

• Provide different EF enhancement opportunities for boys and girls

• An advocacy plan for the importance of high quality early childhood care

Page 46: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

Future direction ..

• Need more/ different EF measures

• Maybe call for a qualitative study that looks at Parent-child relationship and interaction (Observation)

• Investigate cultural desirability that may influence parental self-report

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Thankyou

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Young Children’s Use and Parent-Child Co-use

of Tablets:

Jan Esteraich, M.S.

Investigating Mobile Media’s Effect on Children’s Executive Function

Early Childhood Education Research Summit

April 24, 2018

Page 49: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

Young children, mobile media, and executive function

Page 50: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

?

?

??

?

??

?

?

?Young children, mobile media, and executive function

Page 51: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

Time Content Context

Time: Higher tablet time associated with lower effortful control, but only among children who slept less than 10.6 hours/night (Nathanson, et al., 2018).

Content: Educational television programming has been positively related to EF (Nathanson, et al., 2014).

Context: Toddlerslearnednovelwordsjustaswellfromvideochatasfromliveinteractions(Roseberry,Hirsh-Pasek,andGolinkoff,2014).

� Parent Co-use: Scaffolding and autonomy support are strong predictors of children’s current and future EF

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Primary (RCT – Two treatment groups and a control group)1: Do children who use high-quality apps demonstrate a greater gain in EF than children who use apps of their choice?

2: Do children who co-use high-quality apps daily with their parents demonstrate a greater gain in EF than children who use the same apps independently?

Secondary3: How does a child’s amount of time using a mobile device in a relate to his/her EF?

4: How does a child’s amount of time co-using a mobile device with a parent relate to his/her EF?

5: How does the amount of time a child uses a mobile device interact with the amount they co-use with a parent to his/her EF?

Research Questions

Page 53: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

Twenty-threehigh-qualityeducationalapps,andatimemeasurementapp

The Tablet and Apps Used in the Research

Page 54: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

Go!

MeMom & DadGo!

MeMom & Dad

Measurement App

• Who is using the tablet,

• What app is being played, and

• Amount of time in the app Login-inscreen

Page 55: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

Design

10-Week Intervention

• Group 1: Participants used the research tablets in place of their own devices.

• Group 2: Same as Group 1, PLUS parents co-used an additional 15 min/day.

• Control: Children continued to use their own mobile devices

Pre-test MEFS

Post-testMEFS

Random assignment

n=24

n=25

n=26

Page 56: Child Executive Functioning in Nebraska Educarescyfs.unl.edu/ecs/2018/downloads/presentations/JoleneJohnson_Child... · Child Executive Functioning in Nebraska Educares Jolene Johnson,

Methods

Measures

• Minnesota Executive Function Assessment (child measure)

• Time Log from app

• Parent Media Diary

• Pre-intervention Parent Survey

• Post-intervention Parent Survey

N = 75 Head Start Parents and their Children – from 3 Sites

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FindingsTime Use

ChildUseHr./week

Co-useHr./week

Group1 3.6(30min/day) .90(8 min/day)**

Group2 3.4(30min/day) 2.4(20min/day)**

Control 4.2(36 min/day)* 3.1(27 min/day)*

• Childrenusedthetabletabout3daysaweek(noteveryday)

*Controlgrouptimewasfromparentestimatesormediadiary,whichtypicallyarehigherthanactualuse.

**Co-usewasfromMediaDiaryestimates

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FindingsPrimary Research Questions

Repeated measures ANOVA

Within-subjects factor: Time (Pre-, Post- EF scores)

Between-subjects factor: Group membership (G1, G2, C)

No differences between groups

• No difference between children who used high-quality apps and children who used their own devices.

• No difference between children who co-used high-quality apps and those who used the apps independently.

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90

92

94

96

98

100

102

104

Group 1 Group 2Co-use

Exec

utiv

e Fu

nctio

n Sc

ores

GirlsBoys

Post-test Executive Function scores for Groups * Sex

Control

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Key Points

• Young children may not be spending as much time on mobile devices as we think. The measurement app showed children spent about 70 minutes a day, three times a week using the tablets.

• This research opens the possibility that boys’ and girls’ EF development reacts differently to co-use of the same apps. More research is needed.

• More accurate measure of the amount of children spend on mobile media devices resulting in a better understanding of how valid parent self-report and media diaries are, and more accurate analyses.

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AcknowledgementsAdministration for Children and Families – OPREDr. Helen Raikes, ChairCommittee: Dr. Carolyn Edwards, Dr. Soo-Young Hong,Dr. Greg Welch, Dr. Maria De GuzmanLincoln Educare, Kellom Educare, and Indian Hill Educare, including the

Administration and Staff, Family Engagement Specialists, Teachers, TranslatorsParticipating Families from Lincoln, Kellom, and Indian Hill EducaresNebraska Center for Research on Children, Youth, Families and SchoolsInstitute of Technology and Information Services, University of NE-OmahaMunroe Meyer Institute – University of Nebraska Medical CenterUniversity of Nebraska-Lincoln Educare Local Evaluation Partner TeamOffice of Sponsored Programs – UNLChild, Youth, and Family DepartmentBethany Barone – Undergraduate Research AssistantUndergraduate and Graduate Students…and many others

Research reported in this presentation is supported by the Administration for Children and Families - Office of Planning, Research and Evaluation; Grant Award 90YR0097. The content is solely the responsibility of the author and does not necessarily represent the official views of the Administration for Children and Families.