The intervention aims to increase positive parenting of infants and toddlers in low-income families.
Poverty-related educational disparities are established in the first three years of a child’s life. This research offers a population-level approach to encourage positive parenting behaviors and promote early child development in low-income families, which are precursors of later educational achievement.
Recognized by the National Institute on Child Health and Human Development as a target for research to improve early child development and school readiness among at-risk families, the primary care setting offers an ideal opportunity to reach the millions of children who live in poverty.
In this study, we develop and pilot-test a brief, theory-based intervention for delivery in the primary care setting.
The investigator will gather data essential to test the intervention’s efficacy on parental and child outcomes (to be proposed in a subsequent R01 application) by pursuing these aims:
This research builds upon Dr. Shah’s strong clinical background in developmental-behavioral pediatrics, serves as a framework to develop accessible and sustainable clinical interventions that seek to enhance early child development, and prepares her for long-term independence as a clinical researcher. The grant also supports Dr. Shah’s training in the design, execution, and analysis of clinical trials in the primary care setting; qualitative methods and longitudinal data analysis for intervention development; childhood development and its social determinants; and professional development through scientific publications and presentations.
In the video on the right, [2] Reshma Shah and Erika Gustofson discuss their study, "Parental Attitudes and Beliefs Surrounding Play Among Predominantly Low-Income Urban Families: A Qualitative Study," published in the Journal of Developmental & Behavioral Pediatrics.
Read the article. [3]
Eunice Kennedy Shriver National Institute of Child Health & Human Development [5] of the National Institutes of Health (Grant No. K23HD086295)
This Mentored Patient-Oriented Research Career Development Award [6] (K23) supports the training of Dr. Shah as an independent clinical investigator.
Her mentors are Marc Atkins, PhD [7], and Alan Schwartz, PhD [8], at UIC, and Michael Msall, MD [9], at the University of Chicago.
Shah R, Gustafson E, Atkins M. Parental Attitudes and Beliefs Surrounding Play Among Predominantly Low-income Urban Families: A Qualitative Study. J Dev Behav Pediatr. 2019 Oct/Nov;40(8):606-612. doi: 10.1097/DBP.0000000000000708. (via PubMed [10])
Shah R, Isaia A, Schwartz A, Atkins M. Encouraging Parenting Behaviors That Promote Early Childhood Development Among Caregivers From Low-Income Urban Communities: A Randomized Static Group Comparison Trial of a Primary Care-Based Parenting Program. Matern Child Health J. 2019 Jan;23(1):39-46. doi: 10.1007/s10995-018-2589-8. (via PubMed [11])
Shah R, DeFrino D, Kim Y, Atkins M. Sit Down and Play: A Preventive Primary Care-Based Program To Enhance Parenting Practices. J Child Fam Stud. 2017 Feb;26(2):540-547. doi: 10.1007/s10826-016-0583-6. (via PubMed [12])
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). pii: e20153393. doi: 10.1542/peds.2015-3393. (via PubMed [13])
Shah R, Sobotka SA, Chen YF, Msall ME. Positive Parenting Practices, Health Disparities, and Developmental Progress. Pediatrics. 2015 Aug;136(2):318-26. doi: 10.1542/peds.2014-3390. (via PubMed [14])
Links
[1] http://www.reachoutandread.org/
[2] https://journals.lww.com/jrnldbp/pages/videogallery.aspx?videoId=75&autoPlay=true
[3] http://www.ncbi.nlm.nih.gov/pubmed/31335583
[4] https://www.ihrp.uic.edu/../researcher/reshma-shah-md-mph
[5] https://www.nichd.nih.gov
[6] http://www.nhlbi.nih.gov/research/training/programs/independent/mentor-patient-oriented-parent-k23
[7] http://www.psych.uic.edu/department-of-psychiatry-faculty-list/154-about-us/directory/faculty/465-marc-atkins-phd
[8] http://chicago.medicine.uic.edu/cms/One.aspx?pageId=9858877
[9] http://www.uchospitals.edu/physicians/physician.html?id=6171
[10] https://www.ncbi.nlm.nih.gov/pubmed/31335583
[11] https://www.ncbi.nlm.nih.gov/pubmed/30003519
[12] https://www.ncbi.nlm.nih.gov/pubmed/29217964
[13] https://www.ncbi.nlm.nih.gov/pubmed/27244800
[14] https://www.ncbi.nlm.nih.gov/pubmed/26216325