Pediatric Parenting Support in Flint

NYU Langone Health

Status: Active, not recruiting

Conditions: Healthy; Family Research

Treatments: Behavioral: Video Interaction Project

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03945552

18-01347

R01HD096909-01A1 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

Public health disasters have disproportionate impacts on low income communities, through pathways that add to those of poverty and associated stressors, and act over extended periods. Very young children are highly vulnerable to long-term impacts on development and mental health in the context of parenting challenges following disasters, yet frequently receive the least attention and resources. This study will test the role of universal parenting support in enhancing young children's development and mental health in Flint, Michigan following the Flint Water Crisis.

Full description

There are three specific aims of this study: Specific Aim 1: Characterize participants' experience of the FWC using ecological (neighborhood-level), geocoded STYH data, ecological indicators of water quality and parent self-report measures. These metrics will be obtained from Speak to Your Health (STYH) survey, a biennial community survey including neighborhood-level measures of stress collected before, during and after the FWC. Specific Aim 2: Assess impacts of strengths-based parenting support (VIP) after a disaster compounding chronic poverty (FWC). Specific Aim 3: Assess variation in VIP impacts in relation to FWC experience.

Enrollment: 486 estimated patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Infant is receiving pediatric care at Hurley Children's Clinic
• Caregiver can be contacted (has a working phone)
• Infant is three months old or younger at time of enrollment

Exclusion criteria

• Infant very low birth weight (<1500gm)
• Infant born in non-singleton birth (twin, triplet, etc.)
• Infant has known or suspected significant genetic syndrome or malformation
• Infant has other significant medical or developmental complication or risk (e.g., known neurodevelopmental/neuromuscular disorder likely to affect development)
• Parent/legal guardian not present with infant at visit and/or unable to provide consent
• Parent/legal guardian is not English speaking
• Parent/legal guardian with known significant impairment that will be barrier to communication and participation (e.g., intellectual disability, schizophrenia)
• Parent/legal guardian has previously participated in VIP intervention with another child
• Not planning to stay in Flint area for at least 3 years

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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486 participants in 2 patient groups

Control

No Intervention group

Description:

Care as usual

Video Interaction Project

Experimental group

Description:

VIP is a strengths-based, family-centered intervention that uses pediatric well-child visits to enhance parenting practices/relationships and child development by promoting positive parenting practices such as pretend play, shared reading, and daily routines.

Treatment:

Behavioral: Video Interaction Project