Behavioral and Socioemotional Outcomes Through Age 5 Years of the Legacy for Children Public Health Approach to Improving Developmental Outcomes Among Children Born Into Poverty
We evaluated Legacy for Children, a public health strategy to improve child health and development among low-income families. Mothers were recruited prenatally or at the birth of a child to participate in Legacy parenting groups for 3 to 5 years. A set of 2 randomized trials in Miami, Florida, and L...
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Published in | American journal of public health (1971) Vol. 103; no. 6; pp. 1058 - 1066 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Washington, DC
American Public Health Association
01.06.2013
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Subjects | |
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Abstract | We evaluated Legacy for Children, a public health strategy to improve child health and development among low-income families.
Mothers were recruited prenatally or at the birth of a child to participate in Legacy parenting groups for 3 to 5 years. A set of 2 randomized trials in Miami, Florida, and Los Angeles, California, between 2001 and 2009 assessed 574 mother-child pairs when the children were 6, 12, 24, 36, 48, and 60 months old. Intent-to-treat analyses from 12 to 60 months compared groups on child behavioral and socioemotional outcomes.
Children of mothers in the intervention group were at lower risk for behavioral concerns at 24 months and socioemotional problems at 48 months in Miami, and lower risk for hyperactive behavior at 60 months in Los Angeles. Longitudinal analyses indicated that children of intervention mothers in Miami were at lower risk for behavior problems from 24 to 60 months of age.
Randomized controlled trials documented effectiveness of the Legacy model over time while allowing for implementation adaptations by 2 different sites. Broadly disseminable, parent-focused prevention models such as Legacy have potential for public health impact. These investments in prevention might reduce the need for later intervention strategies. |
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AbstractList | We evaluated Legacy for Children, a public health strategy to improve child health and development among low-income families. Mothers were recruited prenatally or at the birth of a child to participate in Legacy parenting groups for 3 to 5 years. A set of 2 randomized trials in Miami, Florida, and Los Angeles, California, between 2001 and 2009 assessed 574 mother-child pairs when the children were 6, 12, 24, 36, 48, and 60 months old. Intent-to-treat analyses from 12 to 60 months compared groups on child behavioral and socioemotional outcomes. Children of mothers in the intervention group were at lower risk for behavioral concerns at 24 months and socioemotional problems at 48 months in Miami, and lower risk for hyperactive behavior at 60 months in Los Angeles. Longitudinal analyses indicated that children of intervention mothers in Miami were at lower risk for behavior problems from 24 to 60 months of age. Randomized controlled trials documented effectiveness of the Legacy model over time while allowing for implementation adaptations by 2 different sites. Broadly disseminable, parent-focused prevention models such as Legacy have potential for public health impact. These investments in prevention might reduce the need for later intervention strategies. Objectives. We evaluated Legacy for Children, a public health strategy to improve child health and development among low-income families. Methods. Mothers were recruited prenatally or at the birth of a child to participate in Legacy parenting groups for 3 to 5 years. A set of 2 randomized trials in Miami, Florida, and Los Angeles, California, between 2001 and 2009 assessed 574 mother-child pairs when the children were 6, 12, 24, 36, 48, and 60 months old. Intent-to-treat analyses from 12 to 60 months compared groups on child behavioral and socioemotional outcomes. Results. Children of mothers in the intervention group were at lower risk for behavioral concerns at 24 months and socioemotional problems at 48 months in Miami, and lower risk for hyperactive behavior at 60 months in Los Angeles. Longitudinal analyses indicated that children of intervention mothers in Miami were at lower risk for behavior problems from 24 to 60 months of age. Conclusions. Randomized controlled trials documented effectiveness of the Legacy model over time while allowing for implementation adaptations by 2 different sites. Broadly disseminable, parent-focused prevention models such as Legacy have potential for public health impact. These investments in prevention might reduce the need for later intervention strategies. OBJECTIVESWe evaluated Legacy for Children, a public health strategy to improve child health and development among low-income families. METHODSMothers were recruited prenatally or at the birth of a child to participate in Legacy parenting groups for 3 to 5 years. A set of 2 randomized trials in Miami, Florida, and Los Angeles, California, between 2001 and 2009 assessed 574 mother-child pairs when the children were 6, 12, 24, 36, 48, and 60 months old. Intent-to-treat analyses from 12 to 60 months compared groups on child behavioral and socioemotional outcomes. RESULTSChildren of mothers in the intervention group were at lower risk for behavioral concerns at 24 months and socioemotional problems at 48 months in Miami, and lower risk for hyperactive behavior at 60 months in Los Angeles. Longitudinal analyses indicated that children of intervention mothers in Miami were at lower risk for behavior problems from 24 to 60 months of age. CONCLUSIONSRandomized controlled trials documented effectiveness of the Legacy model over time while allowing for implementation adaptations by 2 different sites. Broadly disseminable, parent-focused prevention models such as Legacy have potential for public health impact. These investments in prevention might reduce the need for later intervention strategies. We evaluated Legacy for Children, a public health strategy to improve child health and development among low-income families. Mothers were recruited prenatally or at the birth of a child to participate in Legacy parenting groups for 3 to 5 years. A set of 2 randomized trials in Miami, Florida, and Los Angeles, California, between 2001 and 2009 assessed 574 mother-child pairs when the children were 6, 12, 24, 36, 48, and 60 months old. Intent-to-treat analyses from 12 to 60 months compared groups on child behavioral and socioemotional outcomes. Children of mothers in the intervention group were at lower risk for behavioral concerns at 24 months and socioemotional problems at 48 months in Miami, and lower risk for hyperactive behavior at 60 months in Los Angeles. Longitudinal analyses indicated that children of intervention mothers in Miami were at lower risk for behavior problems from 24 to 60 months of age. Randomized controlled trials documented effectiveness of the Legacy model over time while allowing for implementation adaptations by 2 different sites. Broadly disseminable, parent-focused prevention models such as Legacy have potential for public health impact. These investments in prevention might reduce the need for later intervention strategies. Objectives. We evaluated Legacy for Children , a public health strategy to improve child health and development among low-income families. Methods. Mothers were recruited prenatally or at the birth of a child to participate in Legacy parenting groups for 3 to 5 years. A set of 2 randomized trials in Miami, Florida, and Los Angeles, California, between 2001 and 2009 assessed 574 mother-child pairs when the children were 6, 12, 24, 36, 48, and 60 months old. Intent-to-treat analyses from 12 to 60 months compared groups on child behavioral and socioemotional outcomes. Results. Children of mothers in the intervention group were at lower risk for behavioral concerns at 24 months and socioemotional problems at 48 months in Miami, and lower risk for hyperactive behavior at 60 months in Los Angeles. Longitudinal analyses indicated that children of intervention mothers in Miami were at lower risk for behavior problems from 24 to 60 months of age. Conclusions. Randomized controlled trials documented effectiveness of the Legacy model over time while allowing for implementation adaptations by 2 different sites. Broadly disseminable, parent-focused prevention models such as Legacy have potential for public health impact. These investments in prevention might reduce the need for later intervention strategies. |
Author | DANIELSON, Melissa L PEROU, Ruth HOWARD, Judy CAMILLE SMITH, D SCOTT, Keith G VISSER, Susanna N BECKWITH, Leila KAMINSKI, Jennifer W |
Author_xml | – sequence: 1 givenname: Jennifer W surname: KAMINSKI fullname: KAMINSKI, Jennifer W organization: National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, United States – sequence: 2 givenname: Ruth surname: PEROU fullname: PEROU, Ruth organization: National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, United States – sequence: 3 givenname: Susanna N surname: VISSER fullname: VISSER, Susanna N organization: National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, United States – sequence: 4 givenname: Keith G surname: SCOTT fullname: SCOTT, Keith G organization: Linda Ray Intervention Center, University of Miami, Miami, FL, United States – sequence: 5 givenname: Leila surname: BECKWITH fullname: BECKWITH, Leila organization: Department of Pediatrics, University of California at Los Angeles, United States – sequence: 6 givenname: Judy surname: HOWARD fullname: HOWARD, Judy organization: Department of Pediatrics, University of California at Los Angeles, United States – sequence: 7 givenname: D surname: CAMILLE SMITH fullname: CAMILLE SMITH, D organization: National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, United States – sequence: 8 givenname: Melissa L surname: DANIELSON fullname: DANIELSON, Melissa L organization: National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, United States |
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Keywords | Human Improvement Poverty Prognosis Development Evolution Emotion emotionality Behavior Child Age Social aspect Public health |
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Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-News-3 content type line 23 Peer Reviewed J. W. Kaminski led the drafting of the article and contributed to analytic decisions and interpretation of results. R. Perou contributed to the intervention and study design, critically reviewed the article, and supervised the evaluation. S. N. Visser designed and conducted statistical analyses, assisted in writing the article, and provided supervision of the evaluation. K. G. Scott, L. Beckwith, and J. Howard guided the study conception and design, supervised development and implementation of the intervention, and critically reviewed the article. D. C. Smith contributed to the study and intervention design, critically reviewed the article, and provided supervision and technical support to the evaluation. M. L. Danielson conducted analyses, provided statistical expertise, and critically reviewed the article. Contributors |
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Snippet | We evaluated Legacy for Children, a public health strategy to improve child health and development among low-income families.
Mothers were recruited prenatally... Objectives. We evaluated Legacy for Children, a public health strategy to improve child health and development among low-income families. Methods. Mothers were... We evaluated Legacy for Children, a public health strategy to improve child health and development among low-income families. Mothers were recruited prenatally... OBJECTIVESWe evaluated Legacy for Children, a public health strategy to improve child health and development among low-income families. METHODSMothers were... Objectives. We evaluated Legacy for Children , a public health strategy to improve child health and development among low-income families. Methods. Mothers... |
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SubjectTerms | Adult Age Age Factors Behavior Biological and medical sciences Child Behavior Disorders - epidemiology Child Welfare Child, Preschool Children & youth Clinical trials Colleges & universities Curricula Disease control Families & family life Florida Food Food stamps General aspects Health care Health maintenance organizations Health Promotion Health Promotion - methods HMOs Humans Infant Intervention Logistic Models Los Angeles Low income groups Low-Income Children Medicaid Medical sciences Mental health Miscellaneous Mother-Child Relations Mothers Nutrition research Parenting Parents & parenting Participation Poverty Prevention Program Evaluation Public health Public health. Hygiene Public health. Hygiene-occupational medicine Research and Practice Social Adjustment Socioeconomic factors Young Adult |
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Title | Behavioral and Socioemotional Outcomes Through Age 5 Years of the Legacy for Children Public Health Approach to Improving Developmental Outcomes Among Children Born Into Poverty |
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