Lee Sun Yeop, Rodgers Justin, Kim Rockli, Subramanian S V
Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Harvard Center for Population & Development Studies, Cambridge, MA, USA.
SSM Popul Health. 2022 Apr 27;18:101108. doi: 10.1016/j.ssmph.2022.101108. eCollection 2022 Jun.
Heterogeneity in treatment effects of the Head Start, a federally funded early childhood development program in the United States, has previously been found in the Head Start Impact Study (HSIS), a nationally representative randomized controlled trial. While individual characteristics have been extensively examined as sources of effect heterogeneity, treatment effects may vary as a function of outcome distribution (i.e., distributional effect). Using quantile regressions, we investigated distributional effects of the Head Start on eight child developmental outcomes for first year, second year, third year, and the 3rd grade year follow-up in the HSIS data. For PPVT and Applied Problems, the effects varied substantially across quantiles in the first follow-up, but they were positive overall. The effects at the lower quantiles were larger and were sustained beyond the first follow-up (PPVT [95% CI] at 10th and 90th quantiles: 8.74 [6.22, 11.27], 3.32 [0.82, 5.81]) in the first follow-up and 5.72 [2.66, 8.77], -1.66 [-3.69, 0.37] in the second follow-up). For Behavior Problems, the effects were only positive for the lower quantiles in the first follow-up, but they became null in the latter follow-ups. For Letter-Word Identification, Spelling, and Pre-Academic, the effects were positive in the first follow-up with moderate variation across quantiles. In the second follow-up, only the effects at the lower quantiles were statistically significant, although they faded in the latter follow-ups. For Oral Comprehension and Social Skills, effects were null for all follow-ups. The Head Start had meaningful distributional effects for a range of child developmental outcomes, and distributional effects should be routinely assessed for better understanding of child developmental programs.
“启智计划”是美国一项由联邦政府资助的幼儿发展项目。此前在具有全国代表性的随机对照试验“启智计划影响研究”(HSIS)中发现了该计划治疗效果的异质性。虽然个体特征已被广泛研究作为效果异质性的来源,但治疗效果可能会因结果分布(即分布效应)而有所不同。我们使用分位数回归,在HSIS数据中研究了启智计划对八个儿童发展结果在第一年、第二年、第三年以及三年级随访时的分布效应。对于皮博迪图片词汇测验(PPVT)和应用问题,在第一次随访中,各分位数的效应差异很大,但总体上是积极的。较低分位数的效应更大,并且在第一次随访之后仍然持续存在(PPVT在第10和第90分位数的[95%置信区间]:第一次随访时为8.74[6.22, 11.27],3.32[0.82, 5.81];第二次随访时为5.72[2.66, 8.77],-1.66[-3.69, 0.37])。对于行为问题,效应仅在第一次随访的较低分位数时为正,但在后续随访中变为零。对于字母-单词识别、拼写和学前能力,效应在第一次随访时为正,各分位数之间有适度差异。在第二次随访中,只有较低分位数的效应具有统计学意义,尽管在后续随访中这些效应逐渐消失。对于口语理解和社交技能,所有随访的效应均为零。启智计划对一系列儿童发展结果具有显著的分布效应,为了更好地理解儿童发展项目,应常规评估分布效应。