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| ID | Type | Description | Link |
|---|---|---|---|
| 200-94-0828 | |||
| 200-98-0110 | |||
| 200-98-0111 |
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| Name | Class |
|---|---|
| RTI International | OTHER |
| University of California, Los Angeles | OTHER |
| University of Miami | OTHER |
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The purpose of this study is to determine if an intervention focused on promoting parent-child interaction, parental responsibility, parental commitment of time and energy, and sense of community results in better developmental outcomes for low-income children.
The early years of life (birth to age 5 years) are crucial in a child's development. Parents play a critical role in their children's development and are responsible for the environment in which they grow up. Past research shows that the personal characteristics of successful children consistently correlate to parental influences and behavior. Thus, the theoretical foundation in the Legacy study is that parents can positively influence their child's development. Also, parents are more likely to maintain positive parenting behaviors if they are part of a community greater than themselves. Legacy intervention activities are designed to enhance sensitive and responsive parenting, parent/child interaction, and promote a sense of community. Other activities include verbal and cognitive stimulation through parent and parent/child group meetings, visits to the home, and participation in community events. Legacy has both a pilot phase and a main study phase. There are 180 intervention and 120 comparison families in the main study phase and 60 of each in the pilot phase at each study site, Miami and Los Angeles. The 720 participating families are those whose children, on average, would be expected to fall below national norms on a range of developmental outcomes. Process, cost, and short- and long-term outcome data are being collected.
Comparison group: In addition to the current standard of care, the comparison families receive regular comprehensive child development and maternal assessments at 6 months, 1 yr, 2 yr, 3 yr, 4 yr, and 5 yr.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Parenting group |
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| 2 | No Intervention | Families in this "usual care" comparison group were not prevented from utilizing any service that would otherwise be available to them, even if the service was similar to the services received in the intervention arm of the study. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Parenting group | Behavioral | Weekly and periodic (10 weeks blocks with 6 week break) parenting group meetings (2.5-3 hr), periodic one-on-one meetings (2 hr), visits to community resources (2-3 hr per event). Legacy intervention activities are designed to enhance sensitive and responsive parenting, parent/child interaction, and promote a sense of community. Other activities include verbal and cognitive stimulation through parent and parent/child group meetings, visits to the home, and participation in community events. |
| Measure | Description | Time Frame |
|---|---|---|
| child behavior | 1yr, 2 yr, 3 yr, 4 yr, 5 yr | |
| child social skills | 1yr, 2 yr, 3 yr, 4 yr, 5 yr | |
| child cognition | 1 yr, 3 yr, 5 yr | |
| child language/communication | 2 yr, 4 yr, 5 yr | |
| child attachment | 2 yr | |
| child peer relationships | 5 yr | |
| child academics | 4 yr, 5 yr | |
| parent-child interaction | 6 months, 5 yr |
| Measure | Description | Time Frame |
|---|---|---|
| child physical growth | baseline, 6 month, 1 yr, 2 yr | |
| child violence exposure | 2 yr, 4 yr, 5 yr | |
| parenting |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ruth Perou, PhD | Centers for Disease Control and Prevention | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UCLA Department of Pediatrics | Los Angeles | California | 90095 | United States | ||
| University of Miami School of Medicine |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33941737 | Derived | Barry CM, Robinson LR, Kaminski JW, Danielson ML, Jones CL, Lang DL. Behavioral and Socioemotional Outcomes of the Legacy for Children Randomized Control Trial to Promote Healthy Development of Children Living in Poverty, 4 to 6 Years Postintervention. J Dev Behav Pediatr. 2022 Jan 1;43(1):e39-e47. doi: 10.1097/DBP.0000000000000962. | |
| 22917446 |
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| baseline, 6 mos, 2 yr, 3 yr 5 yr |
| maternal health | baseline, 1 yr 3 yr, 5 yr |
| maternal mental health | baseline, 1yr, 2yr, 3yr, 4 yr, 5 yr |
| sense of community | baseline, 1yr, 2yr, 3yr, 4 yr, 5 yr |
| community involvement | baseline, 6 mos, 2yr, 3yr, 5 yr |
| coping | 6mos, 2yr, 3 yr, 5 yr |
| HOME environment | 1 yr |
| Miami |
| Florida |
| 33101 |
| United States |
| Perou R, Elliott MN, Visser SN, Claussen AH, Scott KG, Beckwith LH, Howard J, Katz LF, Smith DC. Legacy for ChildrenTM: a pair of randomized controlled trials of a public health model to improve developmental outcomes among children in poverty. BMC Public Health. 2012 Aug 23;12:691. doi: 10.1186/1471-2458-12-691. |