The added value of a family-centered approach to optimize infants' social-emotional development: A quasi-experimental

Sijmen A Reijneveld1, Margriet Hielkema1, Roy E Stewart1

  • 1Department of Health Sciences, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.

Plos One
|December 22, 2017
PubMed

Insights

Family-centered care (FCC) may improve early identification of social-emotional problems in children. However, this approach did not reduce child psychosocial problems by 18 months.

Area of Science:

  • Pediatric Healthcare
  • Child Psychology
  • Family Support Services

Background:

  • Family-centered care (FCC) is linked to positive pediatric outcomes.
  • The Netherlands Trial Register study (NTR2681) investigated FCC's impact on social-emotional development.
  • Routine well-child care in the Netherlands served as the study setting.

Purpose of the Study:

  • To evaluate if family-centered care (FCC) improves early identification of social-emotional problems.
  • To assess if FCC reduces child psychosocial problems at 18 months.
  • To compare the pace and frequency of social-emotional risk identification between FCC and usual care.

Main Methods:

  • A quasi-experimental design compared FCC-JointStart regions with usual care (CAU) regions.
  • Professionals conducted well-child visits from 2-18 months, assessing social-emotional risks.
  • Child psychosocial wellbeing was measured using the Child Behavior Checklist (CBCL) at 18 months.

Main Results:

  • Risks for social-emotional problems were identified more frequently and earlier in the FCC-JointStart group.
  • Additional care was provided to more severe cases under FCC.
  • No significant differences in Child Behavior Checklist (CBCL) scores were observed between groups at 18 months.

Conclusions:

  • Family-centered care (FCC) shows potential for earlier and increased identification of social-emotional risks.
  • FCC may facilitate better identification of families requiring additional support.
  • FCC did not demonstrate a reduction in child psychosocial problems by 18 months.
Abstract

Related Concept Videos

Socioemotional Development during Infancy01:30

Socioemotional Development during Infancy

Socio-emotional development in infancy is primarily shaped by early emotional responses and social connections, with temperament playing a central role. Temperament refers to the consistent patterns in an individual's emotional and behavioral responses, observable even in infancy. By examining temperament, researchers can better understand an infant's unique ways of interacting with the world, influencing subsequent personality and socio-emotional growth.
Primary Temperament Types
561
Relationship with Parents: Attachment01:28

Relationship with Parents: Attachment

Parent-child interactions lay the foundation for how we understand relationships throughout life. These interactions are not uniform across families; instead, they are shaped by a range of environmental, emotional, and behavioral factors unique to each caregiver-child dynamic. Social psychologists study these early relationships to understand how patterns formed in infancy influence social functioning and interpersonal behavior in adulthood.Attachment Theory and Early Relational ModelsJohn...
275
Attachment01:20

Attachment

Attachment is vital for infant development, as warm social interactions support growth and well-being. In a classic 1958 study by Harry Harlow, the significance of warmth and comfort in forming attachments was examined. Harlow separated newborn monkeys from their mothers and provided two artificial "mothers": one made of cold wire and the other covered in soft cloth. Despite the wire mother offering food, the infant monkeys preferred the comfort of the cloth mother, demonstrating that...
576
Socioemotional Experience and Gender Development01:30

Socioemotional Experience and Gender Development

Social-emotional experiences and cultural influences play significant roles in shaping gender development. During middle childhood, from ages 6 to 11, peer groups become dominant in reinforcing gender norms. Children in this age group often align with same-gender peer groups, which actively encourage behaviors that conform to traditional gender roles. For instance, boys may be discouraged from engaging in activities perceived as feminine, reinforcing culturally dictated norms about masculinity...
342
Impact of Social Context on Individuals01:21

Impact of Social Context on Individuals

Social psychology examines how the real or imagined presence of others influences individuals' thoughts, feelings, and behaviors. A key concept in this field is the role of social context in shaping behavior. The same individual may act differently depending on the social setting, due to the varying expectations and norms associated with each environment. This context-dependent behavior illustrates the influence of social roles, which prescribe appropriate conduct in specific situations.Social...
355
Relationship with Other Adult Family Members and Siblings01:29

Relationship with Other Adult Family Members and Siblings

Other adult family members and siblings play a crucial role in shaping children’s social and emotional development. While parents or primary caregivers are often the central figures in early attachment and socialization, other adults in a child’s life, such as grandparents, aunts, and uncles, can significantly influence developmental outcomes. These influences depend on each adult’s personality and may help compensate when a primary caregiver is emotionally distant or...
206