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Updated: May 17, 2026

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Published on: July 1, 2015
Timing of high-quality child care and cognitive, language, and preacademic development
Weilin Li1, George Farkas, Greg J Duncan
1School of Education, University of California, Irvine, 2000 Education, Irvine, CA 92697, USA. weilinl@uci.edu
Insights
High-quality child care during infancy, toddlerhood, and preschool positively impacts children's cognitive and preacademic skills. Continuous high-quality care yields the best developmental outcomes for early childhood education.
Area of Science:
- Child Development
- Early Childhood Education
- Developmental Psychology
Background:
- Child care quality significantly influences early development.
- Understanding the cumulative effects of care quality across different developmental stages is crucial.
Purpose of the Study:
- To examine the impact of high- versus low-quality child care during infancy-toddlerhood and preschool on children's skills.
- To assess the differential effects of consistent versus intermittent high-quality care.
Main Methods:
- Utilized data from the National Institute of Child Health and Human Development Study of Early Child Care.
- Employed propensity score matching to control for family background differences.
- Analyzed cognitive, language, and preacademic skills prior to school entry.
Main Results:
- Children with continuous high-quality care (infant-toddler and preschool) demonstrated the highest cognitive, language, and preacademic skills.
- Children experiencing high-quality care in only one period showed intermediate outcomes.
- Low-quality care in both periods was associated with the lowest skill levels.
- High-quality preschool care improved language and preacademic outcomes, regardless of infant care quality.
- High-quality infant-toddler care improved memory skills, irrespective of preschool care quality.
Conclusions:
- Consistent high-quality child care across early developmental periods is optimal for cognitive and preacademic development.
- Specific benefits are associated with high-quality care during infancy (memory) and preschool (language, preacademic skills).
- Interventions should prioritize sustained high-quality child care experiences for young children.
Abstract:
The effects of high- versus low-quality child care during 2 developmental periods (infant-toddlerhood and preschool) were examined using data from the National Institute of Child Health and Human Development Study of Early Child Care. Propensity score matching was used to account for differences in families who used different combinations of child care quality during the 2 developmental periods. Findings indicated that cognitive, language, and preacademic skills prior to school entry were highest among children who experienced high-quality care in both the infant-toddler and preschool periods, somewhat lower among children who experienced high-quality child care during only 1 of these periods, and lowest among children who experienced low-quality care during both periods. Irrespective of the care received during infancy-toddlerhood, high-quality preschool care was related to better language and preacademic outcomes at the end of the preschool period; high-quality infant-toddler care, irrespective of preschool care, was related to better memory skills at the end of the preschool period.
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