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Diet and behavior in at-risk children: evaluation of an early intervention program
John Worobey1, Joan Pisuk, Kathleen Decker
1Rutgers, The State University of New Jersey, New Brunswick, 08901-2882, USA. worobley@rci.rutgers.edu
Insights
Early intervention improved health outcomes for at-risk children. The Prevention-Oriented System for Child Health Project demonstrated significant gains in physical development through home visits and tailored health education.
Area of Science:
- Child Health
- Developmental Pediatrics
- Public Health Interventions
Background:
- At-risk families often face challenges impacting child health and development.
- Early intervention programs are crucial for mitigating these risks.
- Targeted support can improve developmental trajectories in young children.
Purpose of the Study:
- To evaluate the effectiveness of the Prevention-Oriented System for Child Health Project.
- To assess the impact of an early intervention program on health and developmental status.
- To explore nutrition-development associations in at-risk children.
Main Methods:
- A cohort of 60 at-risk families participated in the study.
- Public health nurses conducted home visits, providing tailored nutrition and health education.
- Children were assessed using the Developmental Assessment of Young Children (DAYC) twice, 8 months apart.
- Dietary intake was recorded to analyze energy consumption.
Main Results:
- Children showed significant improvements in physical subtest scores on the DAYC.
- Positive associations between nutrition and development were observed at follow-up.
- The intervention demonstrated success in enhancing physical development.
Conclusions:
- The Prevention-Oriented System for Child Health Project positively impacted at-risk children's physical development.
- Nutrition and health education delivered through home visits can be an effective early intervention strategy.
- Findings support the implementation of similar programs for vulnerable populations.
Abstract:
This study describes outcomes for children enrolled in the Prevention-Oriented System for Child Health Project, an early intervention program aimed at improving health and developmental status in at-risk families. Through a series of home visits by public health nurses, 60 families received lessons on nutrition- and health-related topics determined by the child and family's needs. On two occasions, some 8 months apart, the children were evaluated using the Developmental Assessment of Young Children, and their energy intake over the previous day was recorded. Analyses of the dietary and behavioral records indicated that the children's scores on the physical subtest improved significantly. A number of nutrition-development associations were found at follow-up, suggesting that the intervention was successful. Implications of the results for at-risk children are discussed.
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