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School Readiness Predictors of Early Academic Achievement in Children Born Very Preterm
H Gerry Taylor1,2, Rebekah A Benkart3, Daphne M Vrantsidis4
1Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH.
Insights
Children born very preterm (VPT) show more achievement difficulties linked to readiness skills. Deficits in spatial ability, executive function, and preacademic skills at age 4 predict later academic struggles in VPT children.
Area of Science:
- Developmental Psychology
- Pediatric Medicine
- Educational Neuroscience
Background:
- Early childhood development is crucial for academic success.
- Children born very preterm (VPT) often face developmental challenges.
- Understanding school readiness predictors is vital for early intervention.
Purpose of the Study:
- To investigate the link between pre-entry school readiness and academic achievement in very preterm (VPT) and full-term (FT) children.
- To identify specific readiness domains most associated with later academic outcomes in VPT children.
- To compare these associations between VPT and FT groups.
Main Methods:
- Longitudinal study of 38 VPT and 30 FT children from age 4 to early school age.
- Assessed readiness using global cognition, executive function, motor, and preacademic skills tests, plus caregiver ratings.
- Measured academic achievement via math, reading, and spelling tests, controlling for socioeconomic status and siblings.
Main Results:
- VPT children exhibited more pronounced achievement difficulties.
- Readiness deficits in spatial ability, executive function, and preacademic skills were strongly associated with achievement problems in VPT children.
- Some associations remained significant after controlling for global cognition at age 4, with some unique to the VPT group.
Conclusions:
- Deficits in multiple readiness domains before school entry are linked to later academic achievement in both VPT and FT children.
- Early identified readiness deficits in VPT children are key indicators of future academic challenges.
- Further research is needed to improve school readiness assessments for VPT populations.
Objective:
This study examined associations of school readiness measures obtained before school entry with academic achievement at early school age in children born very preterm (VPT, gestational age ≤ 30 weeks) and children born full term (FT, GA ≥ 37 weeks).
Method:
The sample included 38 children born VPT and 30 born FT recruited at age 4 years and followed to early school age. Measures of readiness included tests of global cognition, executive function, motor abilities, and preacademic skills, as well as caregiver behavior ratings. Tests of math, reading, and spelling were administered to assess school-age achievement. Analyses that controlled for socioeconomic status and accounted for inclusion of siblings compared the groups on the achievement tests and identified measures of readiness related to school-age achievement.
Results:
Achievement difficulties were more pronounced in the VPT group and associated with problems in multiple readiness domains. Effect sizes for these associations were largest for measures of spatial ability, executive function, and preacademic skills. Some associations remained significant when controlling for global cognitive ability at age 4 years, and others were significant only for the VPT group.
Conclusion:
Findings suggest that deficits on tests in multiple readiness domains assessed before school entry in children born VPT or FT are associated with early school-age achievement. The most pronounced readiness deficits in the VPT group at age 4 years were also among those most closely associated with later difficulties in achievement. Further research is needed to refine assessment of school readiness in children born VPT.
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