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Integrated model for promoting parenting and early school readiness in pediatrics: Follow-up and getting ready for scale

Award Number: R01HD076390
ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 06/01/2014
PERIOD OF PERFORMANCE END DATE: 06/30/2025

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Integrated model for promoting parenting and early school readiness in pediatrics: Follow-up and getting ready for scale - ABSTRACT Despite well-documented effects on families from parenting interventions aimed at improving child school readiness for low-income families, making progress at the population level has been limited. Key barriers include identification and engagement of families, challenges of scalability and sustainability at low cost within existing service systems, and heterogeneity of risk even in high-risk populations. Vulnerability in parent-child relational health is linked to detriments in child school readiness; however, such vulnerabilities have yet to be systematically integrated into population-level strategies, contributing to limitations in population-level progress. The Smart Beginnings (SB) model (R01HD076390-05) is a birth to 3 year program that addresses each of these barriers through: 1) utilization of pediatric primary care as a universal platform to facilitate population- level engagement and scalability; 2) provision of a tiered preventive intervention through universal primary prevention (Video Interaction Project [VIP], delivered through health care) integrated with a selective, targeted secondary intervention (Family Check Up [FCU], delivered through strategic home visiting). A significant innovation of the SB approach is its use of periodic, systematic screening for early parent-child relational health risks to inform targeted delivery of support for parenting by addressing ecological and proximal stressors. Both of the interventions integrated in SB (VIP and FCU) bring an established record of sustained impact for low-income families. Our current study (including program delivery and assessment through child age 2 years) examines the impact of the integrated model in a randomized controlled trial (RCT) of 400 families in a scalable platform: pediatric primary care. Preliminary findings with initial outcomes through age 2 demonstrate substantial promise, with positive impacts on relational health (enhanced parenting of infants/toddlers) and child development (reduced toddler problem behaviors), paving the way for enhanced later school readiness. The current proposal seeks to build on this work, by completing delivery of the SB model through child age 3 and performing assessments of children in the RCT at ages 4 and 6 years to determine whether early impacts of the SB tiered intervention on relational health and early child development translate to later benefits for school readiness. In addition, the proposal will address important gaps necessary for refinement and implementation of tiered prevention models like SB including: 1) understanding mechanisms of action (i.e., mediation) of SB across all families and by intervention offer, and 2) moderation of treatment response based on baseline differences in financial/human capital and psychosocial risk. Findings from the application will provide a long-term test of program efficacy with information to support next-stage scaling. Completion of study aims will directly support NICHD priorities seeking to optimize school readiness skills in economically and socially disadvantaged children and could result in transformative changes in policy and practice.


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 = -$5,877 )
2026	2023	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Child Health and Human Development Extramural Research	000	10	12/16/2025	NON-COMPETING CONTINUATION	-$5,877
														Subtotal = -$5,877

Issue Date FY: 2023 ( Subtotal = $916,697 )
2023	2023	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Child Health and Human Development Extramural Research	002	10	8/18/2023	NON-COMPETING CONTINUATION	$0
2023	2023	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Child Health and Human Development Extramural Research	001	10	6/23/2023	SUPPLEMENT FOR EXPANSION	$61,026
2023	2023	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Child Health and Human Development Extramural Research	000	10	6/22/2023	NON-COMPETING CONTINUATION	$855,671
														Subtotal = $916,697

Issue Date FY: 2022 ( Subtotal = $1,235,182 )
2022	2022	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Child Health and Human Development Extramural Research	001	9	6/28/2022	NON-COMPETING CONTINUATION	-$162,137
2022	2022	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Child Health and Human Development Extramural Research	000	9	6/17/2022	NON-COMPETING CONTINUATION	$1,164,824
2022	2022	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Child Health and Human Development Extramural Research	004	9	9/19/2022	SUPPLEMENT FOR EXPANSION	$0
2022	2022	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Child Health and Human Development Extramural Research	002	9	6/29/2022	SUPPLEMENT FOR EXPANSION	$162,137
2022	2022	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Child Health and Human Development Extramural Research	003	9	9/1/2022	SUPPLEMENT FOR EXPANSION	$70,358
														Subtotal = $1,235,182

Issue Date FY: 2021 ( Subtotal = $1,249,447 )
2021	2021	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Child Health and Human Development Extramural Research	000	8	7/2/2021	NON-COMPETING CONTINUATION	$1,087,378
2021	2021	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Child Health and Human Development Extramural Research	001	8	7/9/2021	SUPPLEMENT FOR EXPANSION	$162,069
														Subtotal = $1,249,447

Issue Date FY: 2020 ( Subtotal = $1,219,934 )
2020	2020	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Child Health and Human Development Extramural Research	002	7	8/12/2020	NON-COMPETING CONTINUATION	$1,219,934
2020	2019	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Child Health and Human Development Extramural Research	001	6	4/1/2020	COMPETING CONTINUATION	$352,053
2020	2018	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Child Health and Human Development Extramural Research	000	5	4/1/2020	NON-COMPETING CONTINUATION	-$352,053
														Subtotal = $1,219,934

Issue Date FY: 2019 ( Subtotal = $1,366,920 )
2019	2019	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Child Health and Human Development Extramural Research	002	6	9/25/2019	COMPETING CONTINUATION	$1,366,920
2019	2018	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Child Health and Human Development Extramural Research	000	5	8/8/2019	NON-COMPETING CONTINUATION	$0
2019	2018	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Child Health and Human Development Extramural Research	001	5	8/12/2019	NON-COMPETING CONTINUATION	$0
														Subtotal = $1,366,920

Issue Date FY: 2018 ( Subtotal = $784,671 )
2018	2018	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Child Health and Human Development Extramural Research	000	5	6/6/2018	NON-COMPETING CONTINUATION	$784,671
														Subtotal = $784,671

Issue Date FY: 2017 ( Subtotal = $1,132,835 )
2017	2017	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Child Health and Human Development Extramural Research	000	4	6/12/2017	NON-COMPETING CONTINUATION	$1,132,835
														Subtotal = $1,132,835

Issue Date FY: 2016 ( Subtotal = $1,155,546 )
2016	2016	NEW YORK UNIVERSITY	SPONSORED PGMS ACCOUNTING	NEW YORK	NY	10003	NEW YORK	USA	Child Health and Human Development Extramural Research	000	3	6/3/2016	NON-COMPETING CONTINUATION	$1,155,546
														Subtotal = $1,155,546

Issue Date FY: 2015 ( Subtotal = $1,069,226 )
2015	2015	NEW YORK UNIVERSITY	SPONSORED PGMS ACCOUNTING	NEW YORK	NY	10003	NEW YORK	USA	Child Health and Human Development Extramural Research	000	2	6/9/2015	NON-COMPETING CONTINUATION	$1,069,226
														Subtotal = $1,069,226

Issue Date FY: 2014 ( Subtotal = $728,006 )
2014	2014	NEW YORK UNIVERSITY	SPONSORED PGMS ACCOUNTING	NEW YORK	NY	10003	NEW YORK	USA	Child Health and Human Development Extramural Research	000	1	5/20/2014	NEW	$728,006
														Subtotal = $728,006

Grand Total All Awards = $10,852,587

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Integrated model for promoting parenting and early school readiness in pediatrics: Follow-up and getting ready for scale

Award Number: R01HD076390

ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 06/01/2014

PERIOD OF PERFORMANCE END DATE: 06/30/2025

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