- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04626037
CLC Parent-Child Emotional Preparation Program
February 14, 2023 updated by: Columbia University
The purpose of this study is to investigate the feasibility of the Nurture Science Program's (NSP) Drop-In group via telemedicine as standard care at Children's Learning Centers (CLC) to prepare preschoolers emotionally for the preschool experience utilizing the Welch Emotional Connection Screen (WECS) Relational Health Toolkit.
The behavioral, neurobiological, and clinical insights gained from this project may lead to better treatment of emotional, behavioral and developmental disorders.
Study Overview
Status
Suspended
Intervention / Treatment
Detailed Description
The purpose of this study is to test the practicality of mothers and children utilizing the WECS Relational Health Toolkit.
The Cuddle and Calm Book, Well Baby Book, mother and child mutual narrative activity card, Bottle of Feelings, Mother's Socioemotional Support Circle, and the WECS for emotional connection make up the preschool WECS Relational Health toolkit.
The WECS Relational Health Toolkit provides family-based resources to help mothers and children emotionally connect.
The WECS Relational Health Toolkit is designed to create emotional connection and establish mother-child autonomic co-regulation, which helps shape autonomic state and behavior of the mother and child and therefore determines early child development and mother well-being.
The investigators will test whether this toolkit can be a positive part of a standard preschool education program.
Practicality will be measured through virtual participant attendance, a participant survey, and staff notes.
Effects of this program on the emotional connection of mother-child pair will be measured through the Welch Emotional Connection Screen (WECS).
Effects on child behaviors will be measured through the WECS-Parent Report (WECS-PR), SDQ, and Survey of Wellbeing of Young Children Baby Pediatric Symptom Checklist (BPSC) or the Preschool Pediatric Symptom Checklist (PPSC) subscales (age-dependent).
We will also measure symptoms of depression in the mothers using the Center for Epidemiological Studies-Depression (CES-D) before and after the introduction to the Toolkit.
We will also assess differences in developmental progress using the Milestones subscale of the SWYC.
Study Type
Interventional
Enrollment (Anticipated)
300
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Andréane Lavallée, PhD
- Phone Number: 2123424400
- Email: al4196@cumc.columbia.edu
Study Contact Backup
- Name: Mary Ann Austin, LCSW
- Phone Number: 2123424400
- Email: ma3596@cumc.columbia.edu
Study Locations
-
-
Connecticut
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Stamford, Connecticut, United States, 06902
- Childcare Learning Centers of Fairfield County
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
No older than 5 years (Child)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Preschool aged children from 0-5 years old and their mothers in CLC programs.
Exclusion Criteria:
- Families that choose not to participate in any data collection procedures but would like to listen in on the session(s).
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: All Participants in Group Zoom Sessions
During each session, the mother-child dyads will meet with Nurture Science program staff virtually.
The entire procedure will be done on Zoom or in person depending on school opening.
All mother-child pairs will then be asked to interact, with the child sitting on the mother's lap face-to-face.
The rest of the session may continue with: (1) Reading Cuddle and Calm Book (2) Mutual Mother and Child Emotional Exchange Prompts (3) Mothers Support Circle to identify and engage members of the mother's family in helping the dyad with emotional connection (4) Mommy Baby Book (5) Bottle of Emotions (6) Plans for continuing the work in the family.
Returning mothers will be asked how they have progressed using the Cuddle and Calm and mutual narrative over the week and what their experience with their child after the session has been.
|
The Cuddle and Calm Book, The Mommy Baby Book, mother and child mutual narrative, the Bottle of Emotions, and the WECS for emotional connection, make up the WECS Relational Health toolkit.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Proportion of eligible dyads who enroll
Time Frame: 6 weeks
|
This will be used to determine study uptake.
|
6 weeks
|
Proportion of participants who return for a second session
Time Frame: 6-12 weeks after first session
|
This will be used to determine retention rate.
|
6-12 weeks after first session
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in WECS screen scale score
Time Frame: 90 minutes (post-intervention); 6-12 weeks after first session; 6 months after first session
|
Emotional connection will be measured from pre- and post-intervention WECS screen scale scores will be compared using paired sample t-tests.
Change in WECS scores will be correlated with attendance using Spearman's rank correlation coefficient.
This is a clinical tool completed by study staff to assess the emotional connection of a mother-child dyad.
The WECS focuses on specific domains: attraction, vocal communication, facial communication, sensitivity/responsivity and one general: a dyad's interventional need.
The WECS is scored based on observed presence of these 4 domains.
The lowest score being a 1 and the highest being a 3.
The higher the score, the more emotionally connected the dyad is therefore indicating a better outcome.
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90 minutes (post-intervention); 6-12 weeks after first session; 6 months after first session
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Strengths and Difficulties Questionnaire (SDQ)
Time Frame: 6 weeks post-intervention; 6 months after first session
|
The Strengths and Difficulties Questionnaire (SDQ) is a brief behavioural screening questionnaire about 3-16 year olds.
It exists in several versions to meet the needs of researchers, clinicians and educationalists.
All versions of the SDQ ask about 25 attributes, some positive and others negative.
These 25 items are divided between 5 scales: (1) emotional symptoms (5 items); (2) conduct problems (5 items); (3) hyperactivity/inattention (5 items); (4) peer relationship problems (5 items); (5) prosocial behavior (5 items).
Sections (1) to (4) are added together to generate a total difficulties score (based on 20 items), ranging from 0 (better outcome) to 40 (worse outcome).
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6 weeks post-intervention; 6 months after first session
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Survey of Wellbeing of Young Children (SWYC) Preschool Pediatric Symptom Checklist (PPSC)
Time Frame: 6-10 weeks after intervention, and again 6 months after first session
|
The SWYC is a screening instrument for children up to 5 years of age.
The Preschool Pediatric Symptom Checklist (PPSC) is used for children 18 months or older.
Higher scores indicate higher risk.
|
6-10 weeks after intervention, and again 6 months after first session
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Survey of Wellbeing of Young Children (SWYC) Baby Pediatric Symptom Checklist (BPSC)
Time Frame: 6-10 weeks after intervention, and again 6 months after first session
|
The SWYC is a screening instrument for children up to 5 years of age.
The Baby Pediatric Symptom Checklist (BPSC) is used for children under 18 months.
Higher scores indicate higher risk.
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6-10 weeks after intervention, and again 6 months after first session
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Survey of Wellbeing of Young Children (SWYC) Milestones
Time Frame: 6-10 weeks after intervention, and again 6 months after first session
|
The SWYC is a screening instrument for children up to 5 years of age.
The Developmental Milestones (DM) of the SWYC will be used.
Lower scores indicate higher risk.
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6-10 weeks after intervention, and again 6 months after first session
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Center for Epidemiologic Studies Depression Scale (CES-D)
Time Frame: 6-10 weeks after intervention, and again 6 months after first session
|
The CES-D is a 20 item self-report inventory designed to assess current but nonspecific distress rather than clinically diagnosed depression.
|
6-10 weeks after intervention, and again 6 months after first session
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
April 9, 2021
Primary Completion (Actual)
April 22, 2022
Study Completion (Anticipated)
May 22, 2023
Study Registration Dates
First Submitted
November 10, 2020
First Submitted That Met QC Criteria
November 10, 2020
First Posted (Actual)
November 12, 2020
Study Record Updates
Last Update Posted (Estimate)
February 16, 2023
Last Update Submitted That Met QC Criteria
February 14, 2023
Last Verified
February 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- AAAT0109
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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