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Resilient, engaged and connected (REC) study: protocol for a type 2 cluster-randomised trial of the Chicago Parent Program in prekindergarten in low-income urban and rural communities.

作者信息

Gross Deborah, Breitenstein Susan M, Jeon Lieny, Perrin Nancy, Shen Karen, Bettencourt Amie F

机构信息

Johns Hopkins University, Baltimore, Maryland, USA

College of Nursing, The Ohio State University, Columbus, Ohio, USA.

出版信息

BMJ Open. 2025 Apr 17;15(4):e099204. doi: 10.1136/bmjopen-2025-099204.


DOI:10.1136/bmjopen-2025-099204
PMID:40246571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12010285/
Abstract

BACKGROUND: Social, emotional and behavioural (SEB) problems are among the most common chronic disabilities affecting children growing up in poverty. They also have implications for children's school success as they affect essential social-emotional learning skills such as the ability to comply with rules, regulate emotions and get along with others. These skills are first learnt before kindergarten, in the context of a supportive, responsive and consistent parenting relationship. To date, school-based interventions to improve young children's SEB competence and learning have primarily targeted students and teachers. Yet, parents are central partners in promoting these skills. This study seeks to improve children's SEB competence and kindergarten readiness by strengthening parenting skills and parent engagement in early childhood education during prekindergarten (PreK). This hybrid type 2 effectiveness-implementation trial will rigorously evaluate the effects of an evidence-based parenting programme, the Chicago Parent Program (CPP), in PreK on children's SEB competence, kindergarten readiness, chronic school absenteeism and grade retention in urban and rural schools serving students from low-income families in Maryland. METHODS: Using a cluster randomised design (n=30 schools, 840 parents; >90% low-income), we will examine the effects of CPP offered universally to PreK parents on parenting skills and parent engagement in children's education; children's SEB competence and kindergarten readiness; and chronic absence and grade retention in kindergarten. Schools will be stratified by rural versus urban district, then randomised to CPP or usual practice conditions. Data will be analysed using mixed effects regression models. Using the reach, effectiveness-adoption, implementation, maintenance (RE-AIM) framework and a mixed methods approach, we will assess CPP reach, efficacy, acceptability, adoption, implementation, cost-effectiveness and sustainability when offered in different formats (virtual vs in-person CPP groups) and contexts (urban vs rural). Schools will participate for 2 years with experimental schools offering CPP twice, once in virtual group format and once in an in-person group format (format randomised and counterbalanced). Data will be collected using multiple informants (parents, teachers, district administrative data) and methods (quantitative and qualitative data). Knowledge gained will inform schools in under-resourced urban and rural communities on sustainable, cost-effective strategies for strengthening parent-school connections and improving young children's SEB competence and academic success. ETHICS AND DISSEMINATION: Ethics approval has been granted by Johns Hopkins University School of Medicine (protocol number 00428221) and the Baltimore City Public Schools (protocol number 2024-013). At the conclusion of the study, results will be summarised and shared with parents, teachers, school principals and district leaders for their perspectives on the outcomes. Final reports will be published in scientific journals and presented at professional meetings. TRIAL REGISTRATION NUMBER: NCT06197997.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5da9/12010285/d260571640af/bmjopen-15-4-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5da9/12010285/d260571640af/bmjopen-15-4-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5da9/12010285/d260571640af/bmjopen-15-4-g001.jpg

相似文献

[1]
Resilient, engaged and connected (REC) study: protocol for a type 2 cluster-randomised trial of the Chicago Parent Program in prekindergarten in low-income urban and rural communities.

BMJ Open. 2025-4-17

[2]
Evaluating Implementation Fidelity of a School-Based Parenting Program for Low-Income Families.

J Sch Nurs. 2019-10

[3]
Cost-Effectiveness a Parenting Skills Program Implemented in Public PreK Schools in Disadvantaged Urban Communities.

Adm Policy Ment Health. 2023-11

[4]
Effects of ParentCorps in Prekindergarten on Child Mental Health and Academic Performance: Follow-up of a Randomized Clinical Trial Through 8 Years of Age.

JAMA Pediatr. 2016-12-1

[5]
Understanding the role of parents' social connectedness in children's behavioral wellbeing in low-income communities: A study protocol.

Res Nurs Health. 2023-2

[6]
Embedding a Parenting Skills Program in Public PreK: Outcomes of a Quasi-experimental Mixed Methods Study.

Early Educ Dev. 2024

[7]
An intervention for parents with severe personality difficulties whose children have mental health problems: a feasibility RCT.

Health Technol Assess. 2020-3

[8]
Study protocol for a comparative effectiveness trial of two parent training programs in a fee-for-service mental health clinic: can we improve mental health services to low-income families?

Trials. 2014-3-1

[9]
Scaling-up an efficacious school-based physical activity intervention: Study protocol for the 'Internet-based Professional Learning to help teachers support Activity in Youth' (iPLAY) cluster randomized controlled trial and scale-up implementation evaluation.

BMC Public Health. 2016-8-24

[10]
Every Newborn-Reach Up Early Education Intervention for All Children (EN-REACH)- a parent group intervention for school readiness in Bangladesh, Nepal, and Tanzania: study protocol for a cluster randomized controlled trial.

Trials. 2024-8-23

本文引用的文献

[1]
Embedding a Parenting Skills Program in Public PreK: Outcomes of a Quasi-experimental Mixed Methods Study.

Early Educ Dev. 2024

[2]
Vital Signs for Pediatric Health: Chronic Absenteeism.

NAM Perspect. 2023-6-26

[3]
Vital Signs for Pediatric Health: School Readiness.

NAM Perspect. 2023-6-26

[4]
A mixed-methods study of parents' social connectedness in a group-based parenting program in low-income communities.

Am J Orthopsychiatry. 2024

[5]
Effects of COVID-19-Related School Closures on Student Achievement-A Systematic Review.

Front Psychol. 2021-9-16

[6]
An introduction to effectiveness-implementation hybrid designs.

Psychiatry Res. 2019-8-9

[7]
RE-AIM Planning and Evaluation Framework: Adapting to New Science and Practice With a 20-Year Review.

Front Public Health. 2019-3-29

[8]
A state-wide quasi-experimental effectiveness study of the scale-up of school-wide Positive Behavioral Interventions and Supports.

J Sch Psychol. 2019-3-14

[9]
Reducing Preschool Behavior Problems in an Urban Mental Health Clinic: A Pragmatic, Non-Inferiority Trial.

J Am Acad Child Adolesc Psychiatry. 2018-11-12

[10]
Social and Emotional Learning Associated With Universal Curriculum-Based Interventions in Early Childhood Education and Care Centers: A Systematic Review and Meta-analysis.

JAMA Netw Open. 2018-12-7

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