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Published on: January 18, 2013
Reading Aloud, Play, and Social-Emotional Development
Alan L Mendelsohn1, Carolyn Brockmeyer Cates2, Adriana Weisleder2,3
1Department of Pediatrics, School of Medicine, New York University and Bellevue Hospital Center, New York, New York; alan.mendelsohn@nyumc.org.
Insights
The Video Interaction Project (VIP) improved children's social-emotional development through positive parenting practices. This pediatric intervention, delivered from birth to 5 years, showed sustained positive impacts on behavior problems.
Area of Science:
- Pediatric primary care interventions
- Child social-emotional development
- Early childhood education
Background:
- Positive parenting, reading aloud, and play are crucial for social-emotional development.
- Pediatric primary care settings offer opportunities to deliver early childhood interventions.
- The Video Interaction Project (VIP) aims to promote positive parent-child interactions.
Purpose of the Study:
- To assess the impact of the Video Interaction Project (VIP) on social-emotional development at school entry.
- To evaluate a two-phase intervention: infant-to-toddler (VIP 0-3) and preschool-age (VIP 3-5).
Main Methods:
- A factorial randomized controlled trial enrolled postpartum participants.
- Intervention groups received VIP 0-3 and/or VIP 3-5, with control groups.
- Social-emotional development was assessed at 4.5 years using the Behavior Assessment System for Children, Second Edition.
Main Results:
- Both VIP 0-3 and VIP 3-5 independently improved Behavior Assessment System for Children, Second Edition T-scores (Cohen's d ≈ -0.25 to -0.30).
- Combined VIP 0-3 and VIP 3-5 significantly reduced hyperactivity (d = -0.63, P = .001).
- VIP 0-3 showed sustained effects on behavior problems 1.5 years post-intervention and reduced "Clinically Significant" Hyperactivity.
Conclusions:
- The Video Interaction Project (VIP) effectively enhances social-emotional development in children from birth to 5 years.
- Pediatric primary care is a viable setting for implementing interventions that promote positive parenting and child development.
- Sustained positive impacts on behavior problems support the long-term benefits of early, continuous intervention.
Objectives:
To determine impacts on social-emotional development at school entry of a pediatric primary care intervention (Video Interaction Project [VIP]) promoting positive parenting through reading aloud and play, delivered in 2 phases: infant through toddler (VIP birth to 3 years [VIP 0-3]) and preschool-age (VIP 3 to 5 years [VIP 3-5]).
Methods:
Factorial randomized controlled trial with postpartum enrollment and random assignment to VIP 0-3, control 0 to 3 years, and a third group without school entry follow-up (Building Blocks) and 3-year second random assignment of VIP 0-3 and control 0 to 3 years to VIP 3-5 or control 3 to 5 years. In the VIP, a bilingual facilitator video recorded the parent and child reading and/or playing using provided learning materials and reviewed videos to reinforce positive interactions. Social-emotional development at 4.5 years was assessed by parent-report Behavior Assessment System for Children, Second Edition (Social Skills, Attention Problems, Hyperactivity, Aggression, Externalizing Problems).
Results:
VIP 0-3 and VIP 3-5 were independently associated with improved 4.5-year Behavior Assessment System for Children, Second Edition T-scores, with effect sizes (Cohen's d) ∼-0.25 to -0.30. Receipt of combined VIP 0-3 and VIP 3-5 was associated with d = -0.63 reduction in Hyperactivity (P = .001). VIP 0-3 resulted in reduced "Clinically Significant" Hyperactivity (relative risk reduction for overall sample: 69.2%; P = .03; relative risk reduction for increased psychosocial risk: 100%; P = .006). Multilevel models revealed significant VIP 0-3 linear effects and age × VIP 3-5 interactions.
Conclusions:
Phase VIP 0-3 resulted in sustained impacts on behavior problems 1.5 years after program completion. VIP 3-5 had additional, independent impacts. With our findings, we support the use of pediatric primary care to promote reading aloud and play from birth to 5 years, and the potential for such programs to enhance social-emotional development.
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