Journal
JOURNAL OF EARLY INTERVENTION
Volume 42, Issue 1, Pages 69-82Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/1053815119880597
Keywords
child development; cognitive development; behavior problems and disorders; disabilities and development delays
Funding
- National Institutes of Health/National Institute of Child Health and Human Development (Promoting Early School Readiness in Primary Health Care) [R01 HD047740 01-09, 3 R01 HD047740-03S1, 3R01HD047740-08S1]
- Tiger Foundation
- Marks Family Foundation
- Rhodebeck Charitable Trust
- New York Community Trust
- New York State Empire Clinical Research Investigator Program
- Academic Pediatric Association Young Investigator Award Program
- Society for Developmental and Behavioral Pediatrics Research Grant
- Children of Bellevue, Inc
- KiDS of NYU Foundation, Inc.
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We sought to determine whether pediatric primary care interventions targeting positive parenting among low socioeconomic status mothers resulted in reduced referrals to the New York City Early Intervention Program (NYC-EIP). Participants in Building Blocks (BB) and the Video Interaction Project (VIP) were linked with the NYC-EIP administrative dataset to determine referrals. In all, 139 of 422 study participants (31.4%) meeting inclusion criteria were referred to the NYC-EIP. Although referrals did not differ overall by group (VIP 29.8%; BB 33.8%; control 35.3%), differences were found for mothers with education/literacy of seventh grade or higher (interaction p = .02). In that subgroup, VIP was associated with reduced referrals by age 3 years (22.4%; adjusted odds ratio 0.53; 95% confidence interval [0.29, 0.97]), compared with BB (35.0%) and controls (34.3%), with survival analysis showing reduced cumulative risk (p = .04). We conclude that VIP resulted in reduced referrals for early intervention evaluation among children of mothers with seventh-grade education or higher.
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