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Self-Concept Reinforcement for Early School Readiness: Pilot Randomized Controlled Trial of a Clinic-Based Intervention for Young African American Children

Award Number: K23MD016944
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 08/21/2023
PERIOD OF PERFORMANCE END DATE: 11/30/2028

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Self-Concept Reinforcement for Early School Readiness: Pilot Randomized Controlled Trial of a Clinic-Based Intervention for Young African American Children - This career development award will establish Dr. Ashaunta Anderson, MD, MPH, MSHS, as an independent investigator with a focus on the development, implementation, and dissemination of evidence-based interventions for young African American children, using experimental and mixed-method approaches. This K23 award will provide her with the support she needs to develop expertise in 4 areas: 1) randomized controlled trials, 2) structural equation modeling, 3) mixed methods in dissemination and implementation science, and 4) leadership and professional development. African American children disproportionately experience conditions associated with behavioral health problems and school failure. Behavioral health problems impede learning and are more likely to be chronic, severe, disabling, and untreated in African Americans compared to Whites. Clinic-based interventions that increase self-concept may improve outcomes related to behavioral health in young African American children. However, little is known about self-concept interventions in this population. It is important to understand these processes in young children because early childhood is a period during which poor self-concept may develop and stymie behavioral health and learning, and strong self-concept may support it. This project will recruit patients from AltaMed primary care clinics affiliated with Children’s Hospital Los Angeles. AltaMed is the United States’ largest system of Federally Qualified Health Centers. The project will pilot a self-concept intervention (Self-Concept Reinforcement for Early School Readiness (SCR4ESR)) in young African American children using experimental and mixed methods. SCR4ESR provides self-concept themed children’s books and advice at health supervision visits of children enrolled at ages 2-4 years. It is based on a well-established national program called Reach Out and Read (ROR). ROR provides children’s books and book-sharing advice at health supervision visits with reports of increased book-sharing behaviors and literacy. The specific aims of the proposed project are to: 1) assess the feasibility and acceptability of SCR4ESR implementation among parents and providers, 2) evaluate the capacity of SCR4ESR to improve self-concept reinforcement and book-sharing behaviors in parents of young African American children, and 3) evaluate the capacity of SCR4ESR to improve behavioral health and literacy in young African American children. The interviews conducted in Aim 1 will guide refinement of the intervention tested in Aims 2 and 3. The qualitative assessment will be complemented by quantitative trial statistics (e.g., recruitment rate) that inform trial feasibility and acceptability. Finally, the mechanism by which SCR4ESR impacts the primary outcome, behavioral health, and the secondary outcome, literacy, will be evaluated by structural equation modeling. This project will inform the development and implementation of early childhood interventions that improve the health of African Americans.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $171,876 )
2026	2026	CHILDREN'S HOSPITAL LOS ANGELES	4650 W SUNSET BLVD	LOS ANGELES	CA	90027	LOS ANGELES	USA	Minority Health and Health Disparities Research	000	3	1/28/2026	NON-COMPETING CONTINUATION	$171,876
														Subtotal = $171,876

Issue Date FY: 2025 ( Subtotal = $171,878 )
2025	2025	CHILDREN'S HOSPITAL LOS ANGELES	4650 W SUNSET BLVD	LOS ANGELES	CA	90027	LOS ANGELES	USA	Minority Health and Health Disparities Research	002	2	7/21/2025	NON-COMPETING CONTINUATION	$17,189
2025	2025	CHILDREN'S HOSPITAL LOS ANGELES	4650 W SUNSET BLVD	LOS ANGELES	CA	90027	LOS ANGELES	USA	Minority Health and Health Disparities Research	001	2	2/27/2025	NON-COMPETING CONTINUATION	$0
2025	2025	CHILDREN'S HOSPITAL LOS ANGELES	4650 W SUNSET BLVD	LOS ANGELES	CA	90027	LOS ANGELES	USA	Minority Health and Health Disparities Research	000	2	11/29/2024	NON-COMPETING CONTINUATION	$154,689
														Subtotal = $171,878

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2023	CHILDREN'S HOSPITAL LOS ANGELES	4650 W SUNSET BLVD	LOS ANGELES	CA	90027	LOS ANGELES	USA	Minority Health and Health Disparities Research	001	1	4/8/2024	NEW	$0
2024	2023	CHILDREN'S HOSPITAL LOS ANGELES	4650 W SUNSET BLVD	LOS ANGELES	CA	90027	LOS ANGELES	USA	Minority Health and Health Disparities Research	000	1	3/29/2024	NEW	$0
														Subtotal = $0

Issue Date FY: 2023 ( Subtotal = $172,044 )
2023	2023	CHILDRENS HOSPITAL LOS ANGELES	4650 W SUNSET BLVD	LOS ANGELES	CA	90027	LOS ANGELES	USA	Minority Health and Health Disparities Research	000	1	8/21/2023	NEW	$172,044
2023	2023	CHILDRENS HOSPITAL LOS ANGELES	4650 W SUNSET BLVD	LOS ANGELES	CA	90027	LOS ANGELES	USA	Minority Health and Health Disparities Research	001	1	9/1/2023	NEW	$0
														Subtotal = $172,044

Grand Total All Awards = $515,798

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Self-Concept Reinforcement for Early School Readiness: Pilot Randomized Controlled Trial of a Clinic-Based Intervention for Young African American Children

Award Number: K23MD016944

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 08/21/2023

PERIOD OF PERFORMANCE END DATE: 11/30/2028

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