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Sustained Benefits of a Preschool Home Visiting Program: Child Outcomes in Fifth Grade
Karen L Bierman1, Brenda S Heinrichs1, Janet A Welsh1
1The Pennsylvania State University.
Insights
The Research-based Developmentally Informed Parent program (REDI-P) showed sustained benefits in academic performance and parent-child functioning up to fifth grade. However, parenting risks moderated social-emotional outcomes, impacting children from disadvantaged backgrounds.
Area of Science:
- Child Development
- Educational Psychology
- Public Health
Background:
- Early childhood interventions aim to improve long-term outcomes for children in poverty.
- Preschool home-visiting programs are a key strategy for supporting vulnerable families.
- Sustained effects of such programs require ongoing evaluation.
Purpose of the Study:
- To evaluate the long-term (fifth grade) effects of the Research-based Developmentally Informed Parent program (REDI-P).
- To examine sustained impacts on child academic performance, social-emotional adjustment, and parent-child functioning.
- To explore whether parenting risks moderate the intervention's sustained effects.
Main Methods:
- Randomized controlled trial with 200 Head Start prekindergarten children and caregivers.
- Intervention: 16-session home-visiting program.
- Longitudinal analysis using growth curves from prekindergarten through fifth grade.
Main Results:
- Sustained intervention effects observed in academic performance (reading, motivation, engagement) and parent-child functioning (expectations, stress) at fifth grade.
- Parenting risks (e.g., education, parental depression) moderated social-emotional outcomes (social competence, student-teacher relationships).
- Intervention effects were larger for children from families with fewer risks.
Conclusions:
- The REDI-P intervention demonstrates lasting positive impacts on academic and family functioning for children in poverty.
- Home-visiting programs should consider tailoring approaches to mitigate the influence of parenting risks on social-emotional development.
- Findings inform the design of effective early childhood interventions to promote school success and well-being.
Abstract:
This study evaluated the sustained effects of the Research-based Developmentally Informed Parent program (REDI-P) at fifth grade, six years after intervention. Participants were 200 prekindergarten children attending Head Start (55% White, 26% Black, 19% Latinx, 56% male, mean age of 4.45 years at study initiation) and their primary caregivers, who were randomly assigned to a control group or a 16-session home-visiting intervention that bridged the preschool and kindergarten years. In addition, the study explored moderation of sustained effects by parenting risks (e.g., less than high-school education, single-parent status, parental depression, and low parent-child warmth). Growth curves over the course of the elementary years examined outcomes in three domains: child academic performance, social-emotional adjustment, and parent-child functioning. At fifth grade, significant main effects for intervention were sustained in the domains of academic performance (e.g., reading skills, academic motivation, and learning engagement) and parent-child functioning (e.g., academic expectations and parenting stress). Significant moderation by parenting risk emerged on measures of social-emotional adjustment (e.g., social competence and student-teacher relationships); parenting risk also amplified effects on some measures of academic performance and parent-child functioning, with larger effects for children from families experiencing fewer risks. Implications are discussed for the design of preschool home visiting programs seeking to enhance the school success and social-emotional well-being of children living in poverty.
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