Adriana Weisleder1, Carolyn Brockmeyer Cates2, Jessica F Harding3, Samantha B Johnson4, Caitlin F Canfield5, Anne M Seery5, Caroline D Raak5, Angelica Alonso5, Benard P Dreyer5, Alan L Mendelsohn5. 1. New York University School of Medicine, Department of Pediatrics, New York, NY; Northwestern University, Department of Communications Sciences and Disorders, Evanston, IL. Electronic address: adriana.weisleder@northwestern.edu. 2. New York University School of Medicine, Department of Pediatrics, New York, NY; SUNY Purchase College, Department of Psychology, Purchase, NY. 3. Mathematica, Princeton, NJ. 4. New York University School of Medicine, Department of Pediatrics, New York, NY; Marymount Manhattan College, Department of Psychology, New York, NY. 5. New York University School of Medicine, Department of Pediatrics, New York, NY.
Abstract
OBJECTIVE: To investigate pathways by which interventions that promote shared reading and play help prevent child behavior problems. We examined whether family processes associated with the family investment pathway (eg, parental cognitive stimulation) and the family stress pathway (eg, mothers' psychosocial functioning) mediated impacts of a pediatric-based preventive intervention on child behavior. STUDY DESIGN: The sample included 362 low-income mothers and their children who participated in a randomized controlled trial of the Video Interaction Project, a pediatrics-based preventive intervention that promotes parent-child interactions in the context of shared reading and play. Parent-child dyads were randomly assigned to group at birth. Three mediators-parental cognitive stimulation, maternal stress about the parent-child relationship, and maternal depressive symptoms-were assessed at child ages 6 and 36 months. The outcome, child externalizing behaviors, was assessed at 36 months. We used a series of path analytic models to examine how these family processes, separately or together, mediated the impacts of the Video Interaction Project on child behavioral outcomes. RESULTS: Intervention impacts on child behavior were mediated by enhancements in cognitive stimulation and by improvements in mothers' psychosocial functioning. A sequential mediation model showed that Video Interaction Project impacts on cognitive stimulation at 6 months were associated with later decreases in mothers' stress about the parent-child relationship and that this pathway mediated intervention impacts on child behavioral outcomes at 3 years of age (P = .023). CONCLUSIONS: Using an experimental design, this study identifies pathways by which parent-child interactions in shared reading and play can improve child behavioral outcomes. TRIAL REGISTRATION: Clinicaltrials.gov: NCT00212576.
RCT Entities:
OBJECTIVE: To investigate pathways by which interventions that promote shared reading and play help prevent child behavior problems. We examined whether family processes associated with the family investment pathway (eg, parental cognitive stimulation) and the family stress pathway (eg, mothers' psychosocial functioning) mediated impacts of a pediatric-based preventive intervention on child behavior. STUDY DESIGN: The sample included 362 low-income mothers and their children who participated in a randomized controlled trial of the Video Interaction Project, a pediatrics-based preventive intervention that promotes parent-child interactions in the context of shared reading and play. Parent-child dyads were randomly assigned to group at birth. Three mediators-parental cognitive stimulation, maternal stress about the parent-child relationship, and maternal depressive symptoms-were assessed at child ages 6 and 36 months. The outcome, child externalizing behaviors, was assessed at 36 months. We used a series of path analytic models to examine how these family processes, separately or together, mediated the impacts of the Video Interaction Project on child behavioral outcomes. RESULTS: Intervention impacts on child behavior were mediated by enhancements in cognitive stimulation and by improvements in mothers' psychosocial functioning. A sequential mediation model showed that Video Interaction Project impacts on cognitive stimulation at 6 months were associated with later decreases in mothers' stress about the parent-child relationship and that this pathway mediated intervention impacts on child behavioral outcomes at 3 years of age (P = .023). CONCLUSIONS: Using an experimental design, this study identifies pathways by which parent-child interactions in shared reading and play can improve child behavioral outcomes. TRIAL REGISTRATION: Clinicaltrials.gov: NCT00212576.
Authors: Alan L Mendelsohn; Harris S Huberman; Samantha B Berkule; Carolyn A Brockmeyer; Lesley M Morrow; Benard P Dreyer Journal: Arch Pediatr Adolesc Med Date: 2011-01
Authors: Caitlin F Canfield; Elizabeth B Miller; Daniel S Shaw; Pamela Morris; Angelica Alonso; Alan L Mendelsohn Journal: Dev Psychol Date: 2020-04-30
Authors: Rachel S Gross; Mary Jo Messito; Perri Klass; Caitlin F Canfield; H Shonna Yin; Pamela A Morris; Daniel S Shaw; Benard P Dreyer; Alan L Mendelsohn Journal: Acad Pediatr Date: 2021 Nov-Dec Impact factor: 3.107