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Maternal and Child Health Journal

, Volume 23, Issue 1, pp 120–130 | Cite as

Evaluation of Community Programs for Early Childhood Development: Parental Perspectives and Recommendations

  • Paige I. PartainEmail author
  • Ashok Kumbamu
  • Gladys B. Asiedu
  • Valeria Cristiani
  • Marilyn Deling
  • Christine Weis
  • Brian Lynch
Article

Abstract

Objectives Optimal early childhood development is crucial for promoting positive child health outcomes. Community programs supporting child development are available throughout the United States but general parental perceptions of such programs are not well understood. This study aimed to examine parental perceptions of community programs for early childhood development in a semi-urban city of the US. Methods Data were collected from focus groups (n = 4) composed of English-fluent parents from the local community with at least one child aged 0–5 years. After generation of verbatim transcripts, data were analyzed by two independent coders in order to identify themes. Results Parental perceptions were categorized into four areas: (1) Utilization of community services, (2) Helpful aspects of community services, (3) Negative aspects of community services and (4) Parental recommendations for improved resource utilization. Helpful aspects identified included social and economic support, provision of parental education, and developmental screening and medical support. Negative aspects included utilization of standardized assessment tools, awareness of agencies and resources, and access to services. In order to improve resource utilization, parents suggested improved communication with parents and the child’s medical home, transparency, and translation of program information into other languages. Conclusions For Practice Overall, participants felt that community programs that support early childhood development and parenting were helpful. However, community agencies can improve on communication with parents and medical providers as well as translation of program information.

Keywords

Child development Community Focus groups Early intervention Parenting 

Notes

Acknowledgements

We would like to thank Rochester Community Baptist Church and The Place for their support in providing meeting places for our focus groups. We would also like to acknowledge Olmsted County Public Health and Early Head Start of Olmsted County for their partnership and collaboration on this project.

References

  1. Beasley, L. O., Ridings, L. E., Smith, T. J., Shields, J. D., Silovsky, J. F., Beasley, W., et al. (2018). A qualitative evaluation of engagement and attrition in a nurse home visiting program: From the participant and provider perspective. Prevention Science, 19(4), 528–537.  https://doi.org/10.1007/s11121-017-0846-5.CrossRefGoogle Scholar
  2. Carter, N., Bryant-Lukosius, D., DiCenso, A., Blythe, J., & Neville, A. J. (2014). The use of triangulation in qualitative research. Oncology Nursing Forum, 41(5), 545–547.  https://doi.org/10.1188/14.ONF.545-547.CrossRefGoogle Scholar
  3. Council on Children With, D., Section on Developmental Behavioral, P., Bright Futures Steering, C., & Medical Home Initiatives for Children With Special Needs Project Advisory, C. (2006). Identifying infants and young children with developmental disorders in the medical home: an algorithm for developmental surveillance and screening. Pediatrics, 118(1), 405–420.  https://doi.org/10.1542/peds.2006-1231.
  4. Folger, A. T., Brentley, A. L., Goyal, N. K., Hall, E. S., Sa, T., Peugh, J. L., et al. (2016). Evaluation of a community-based approach to strengthen retention in early childhood home visiting. Prevention Science, 17(1), 52–61.CrossRefGoogle Scholar
  5. Garner, A. S., Shonkoff, J. P.,, Family, C., H., Committee on Early Childhood, A., Dependent, Behavioral, C., P (2012). Committee on psychosocial aspects of early childhood adversity, toxic stress, and the role of the pediatrician: Translating developmental science into lifelong health. Pediatrics, 129(1), e224–e231.  https://doi.org/10.1542/peds.2011-2662.CrossRefGoogle Scholar
  6. Holland, M. L., Christensen, J. J., Shone, L. P., Kearney, M. H., & Kitzman, H. J. (2014). Women’s reasons for attrition from a nurse home visiting program. JOGNN - Journal of Obstetric, Gynecologic, & Neonatal Nursing, 43(1), 61–70.  https://doi.org/10.1111/1552-6909.12263.CrossRefGoogle Scholar
  7. Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277–1288.  https://doi.org/10.1177/1049732305276687.CrossRefGoogle Scholar
  8. Kondracki, N. L., Wellman, N. S., & Amundson, D. R. (2002). Content analysis: review of methods and their applications in nutrition education. Journal of Nutrition Education and Behavior, 34(4), 224–230.CrossRefGoogle Scholar
  9. Korfmacher, J., Green, B., Staerkel, F., Peterson, C., Cook, G., Roggman, L., et al. (2008). Parental Involvement in early childhood home visiting. Child & Youth Care Forum, 37(4), 171–196.  https://doi.org/10.1007/s10566-008-9057-3.CrossRefGoogle Scholar
  10. Ling, J., Robbins, L. B., & Hines-Martin, V. (2016). Perceived Parental barriers to and strategies for supporting physical activity and healthy eating among head start children. Journal of Community Health, 41(3), 593–602.  https://doi.org/10.1007/s10900-015-0134-x.CrossRefGoogle Scholar
  11. Little, A. A., Kamholz, K., Corwin, B. K., Barrero-Castillero, A., & Wang, C. J. (2015). Understanding barriers to early intervention services for preterm infants: Lessons from two states. Academic pediatrics, 15(4), 430–438.  https://doi.org/10.1016/j.acap.2014.12.006.CrossRefGoogle Scholar
  12. Marshall, J. L., Green, J. M., & Spiby, H. (2014). Parents’ views on how health professionals should work with them now to get the best for their child in the future. Health Expectations, 17(4), 477–487.  https://doi.org/10.1111/j.1369-7625.2012.00774.x.CrossRefGoogle Scholar
  13. Marshall, J., Tanner, J. P., Kozyr, Y. A., & Kirby, R. S. (2015). Services and supports for young children with Down syndrome: parent and provider perspectives. Child: Care, Health & Development, 41(3), 365–373.  https://doi.org/10.1111/cch.12162.Google Scholar
  14. McCurdy, K., & Daro, D. (2001). Parent involvement in family support programs: An integrated theory. Family Relations, 50(2), 113–121.CrossRefGoogle Scholar
  15. McGowan, B. S., Wasko, M., Vartabedian, B. S., Miller, R. S., Freiherr, D. D., & Abdolrasulnia, M. (2012). Understanding the factors that influence the adoption and meaningful use of social media by physicians to share medical information. Journal of Medical Internet Research, 14(5), e117.  https://doi.org/10.2196/jmir.2138.CrossRefGoogle Scholar
  16. Minkovitz, C. S., O’Neill, K. M., & Duggan, A. K. (2016). Home visiting: A service strategy to reduce poverty and mitigate its consequences. Academic Pediatrics, 16(3 Suppl), 105–111.  https://doi.org/10.1016/j.acap.2016.01.005.CrossRefGoogle Scholar
  17. Muzik, M., Kirk, R., Alfafara, E., Jonika, J., & Waddell, R. (2016). Teenage mothers of black and minority ethnic origin want access to a range of mental and physical health support: A participatory research approach. Health Expectations, 19(2), 403–415.  https://doi.org/10.1111/hex.12364.CrossRefGoogle Scholar
  18. Patton, M. (2002). Qualitative Research and Evaluation Methods 3rd edn. Thousand Oaks: Sage Publications.Google Scholar
  19. Shanti, C. (2017). Engaging parents in early head start home-based programs: How do home visitors do this? Journal of Evidence Informed Social Work, 14(5), 311–328.  https://doi.org/10.1080/23761407.2017.1302858.CrossRefGoogle Scholar
  20. Shonkoff, J. P. (2016). Capitalizing on advances in science to reduce the health consequences of early childhood adversity. JAMA Pediatrics, 170(10), 1003–1007.  https://doi.org/10.1001/jamapediatrics.2016.1559.CrossRefGoogle Scholar
  21. Shonkoff, J. P., Boyce, W. T., & McEwen, B. S. (2009). Neuroscience, molecular biology, and the childhood roots of health disparities: building a new framework for health promotion and disease prevention. JAMA, 301(21), 2252–2259.  https://doi.org/10.1001/jama.2009.754.CrossRefGoogle Scholar
  22. Silverstein, M., Lamberto, J., DePeau, K., & Grossman, D. C. (2008). “You get what you get”: unexpected findings about low-income parents’ negative experiences with community resources. Pediatrics, 122(6), e1141–e1148.  https://doi.org/10.1542/peds.2007-3587.CrossRefGoogle Scholar
  23. United States Census Bureau. (2012–2016). American Community Survey 5-Year Estimates: Olmsted County, MN. Retrieved from https://factfinder.census.gov/faces/nav/jsf/pages/index.xhtml. Accessed 26 Apr 2018. Accessed 26 Apr 2018.
  24. Wagner, M., Spiker, D., Linn, M. I., Gerlach-Downie, S., & Hernandez, F. (2003). Dimensions of parental engagement in home visiting programs. Topics in Early Childhood Special Education, 23(4), 171–187.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Paige I. Partain
    • 1
    • 3
    Email author
  • Ashok Kumbamu
    • 2
  • Gladys B. Asiedu
    • 2
  • Valeria Cristiani
    • 3
  • Marilyn Deling
    • 4
  • Christine Weis
    • 5
  • Brian Lynch
    • 3
  1. 1.Department of Child and Adolescent PsychiatryBoston Children’s HospitalBostonUSA
  2. 2.Department of Health Services Research, Robert D. and Patricia E. Kern Center for the Science of Healthcare DeliveryMayo ClinicRochesterUSA
  3. 3.Department of Pediatric and Adolescent MedicineMayo ClinicRochesterUSA
  4. 4.Olmsted County Public Health ServicesRochesterUSA
  5. 5.Child Care Resource and ReferralRochesterUSA

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