[R01] Combining financial and parenting support to support early relational health and promote child development
Ente: Eunice Kennedy Shriver National Institute of Child Health and Human Development
Scadenza: 2031-05-31
Importo max: 706.646 EUR
Paese: US
Descrizione
Disparities in early child development (e.g., cognitive, language, social-emotional) associated with exposure to chronic toxic stressors in early life, such as poverty, reduce children’s school readiness and produce and perpetuate gaps in health and economic attainment across the lifecourse. Parent investments in children and early relational health (ERH; positive parent-child interactions and parenting behaviors such as reading aloud and play, structuring of routines) are key early factors that support child development in the context of adversity. As such, positive parenting interventions directly targeting investments and ERH through support of parenting skills have shown efficacy in reducing disparities. However, these programs can be limited, as families’ underlying needs may create barriers to program engagement and effectiveness. There is increasing evidence that providing direct financial support to families with young children in the form of unconditional cash transfers (UCT) can benefit child development. While these programs support families’ underlying financial needs, they do not specifically target knowledge and parenting skills related to ERH. Complementary strengths and limitations of the two approaches suggest an opportunity to increase impacts on ERH and child development through their combination, but there has been limited study of such partnerships.
In this Competing Renewal application, we propose a study in Flint, Michigan, to determine the impacts of combining parenting and financial support, by delivering strengths-based parenting support in the context of an ongoing UCT program that aims to remediate “upstream” fundamental causes of disparities (i.e., poverty). We will conduct an RCT, enrolling a sample of newborns whose families are enrolled in the nation’s first city-wide UCT program for pregnant parents and babies, “Rx Kids”, which is based in Flint. This UCT program will not be funded by NIH; it is funded through local government and philanthropic funders. We will randomly assign families to additionally receive either the evidence-based responsive parenting program “PlayReadVIP”, which our team has been delivering in Flint since 2017, or to a control group (i.e., UCT only). We will also continue follow-up of an ongoing cohort of families, who have been engaged in an RCT of the PlayReadVIP intervention since 2019, before the launch of Rx Kids, from which important historical comparisons can be made. The project aims are to 1) test whether combined parenting support and UCT has additive impacts on parenting and child development vs. either type of support alone or no treatment; 2) test whether additive impacts resulting from combined parenting support and UCT vs. either type of support alone are moderated by baseline characteristics; and 3) test mechanisms through which combined parenting support and UCT impact parenting outcomes longitudinally, including indirect effects on ERH through parent assets and vulnerabilit
Istituzione: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
PI: Caitlin Ford Canfield, Eric D Finegood
Progetto: 2R01HD096909-06A1
Settori: Eunice Kennedy Shriver National Institute of Child Health and Human Development
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