Promoting School Readiness in Primary Care: A Kinder Coaching Program With Community Health Workers
Oregon Health and Science University
Summary
In this study, the investigators compare two novel primary care interventions (School Readiness Checklist vs. Kinder Coaching) for low-income parents, which were co-developed by parent, clinical, and educational stakeholders. This R01 builds evidence on a low touch (low intensity, lower cost intervention) School Readiness Checklist compared to high touch (higher intensity, embedded program) Kinder Coaching with Community Health Workers in a hybrid effectiveness-implementation RCT.
Description
Children who enter school ready to learn are more likely to succeed academically. Yet, children from low income households often enter school behind their high income peers. The primary care clinic has an opportunity to promote school readiness (SR), as pediatricians have trusted, repeated relationships with children and families. In prior work, families of recent kindergarteners identified specific SR interventions for pediatric clinics to increase parent SR knowledge through Checklists and parent empowerment through Coaching with community health workers. The research objective of this R01…
Eligibility
- Age range
- 2+ years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * Parent or caregiver is 18 years of age or older with no intellectual disability and can speak and understand Spanish and/or English. Participants unable to read will be eligible as data will be verbally collected by bilingual research staff. * Child is between 3 and 4 years of age at enrollment and receives primary care at a study site. * Child is from a low-income household on Medicaid insurance. * Child has no significant developmental disability or serious medical condition that limits communication with the Kinder Coach. Children with mild developmental delays includ…
Interventions
- BehavioralKinder Coaching
The Kinder Ready Coaching Intervention provides two structured, individualized parent-child school readiness coaching sessions with a bilingual community health worker (CHW) to: 1) share knowledge of kindergarten skills, 2) assess child school readiness, 3) set goals and model activities for home practice, 4) connect families to critical school readiness resources including preschool and behavioral health, and 5) provide educational tools for home such as culturally concordant books, games, and/or puzzles.
Location
- Hillsboro Pediatric ClinicHillsboro, Oregon