School Readiness among U.S. Children: Development of a Pilot Measure
No single U.S. data source supports a multidimensional, population-based assessment of young children’s readiness to start school. This changed with the 2016 National Survey of Children’s Health (NSCH). This study provides an overview of the process by which content related to multiple domains of school readiness was identified, refined and selected for inclusion in the NSCH; describes the analytic processes and resultant outcomes associated with the development of domain-specific and summary measures of school readiness; and discusses opportunities to refine and validate these pilot measures to provide a national portrait of young children’s progress towards timely mastery of skills and competencies needed to be “Healthy and Ready to Learn.” The NSCH, an annual, address-based, self-administered survey, produces national- and state-level data on the physical and emotional health of children ages 0–17 years. In 2016, 22 items were added to assess school readiness among 3–5 year-olds and pilot summary measures of “Healthy and Ready to Learn” were developed. Four distinct domains were identified: Early Learning Skills, Self-Regulation, Social-Emotional Development, and Physical Health/Motor Development. Over four in ten children were “On Track” across all four domains while another three in ten were on track in three of the four domains. One in ten are reported to be “On Track” in ≤ 1 domain. New NSCH content and related summary measures of “Healthy and Ready to Learn” present a unique opportunity to extend what is known about young children’s school-readiness at both the national and state levels. Continued measure development and validation is required.
KeywordsSchool readiness Early childhood development Early childhood education Indicators National Survey of Children’s health
Drs. Ghandour, Moore and Murphy conceptualized and designed the study, drafted the initial manuscript, and reviewed and revised the manuscript. Drs. Bethell, Harwood, Kogan and Lu and Mses. Jones and Buerlein reviewed and revised the manuscript. All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.
Portions of the work described in this manuscript, including item analysis and confirmatory factor analyses, were conducted under contract #GS10F0030R between the Health Resources and Services Administration’s Maternal and Child Health Bureau and Child Trends. Contributions to the manuscript content from the Child and Adolescent Health Measurement Initiative were in part conducted under the Health Resources and Services Administration’s Maternal and Child Health Measurement Research Network grant (Number UA6MC30375) to the Child and Adolescent Health Measurement Initiative (CAHMI) at the Johns Hopkins Bloomberg School of Public Health.
Compliance with Ethical Standards
The views expressed in this article are those of the authors and do not necessarily reflect the official policies of the U.S. Department of Health and Human Services or the Health Resources and Services Administration, nor does mention of the department or agency names imply endorsement by the U.S. government.
Conflict of Interest
The authors have indicated they have no potential conflicts of interest to disclose.
- American Psychological Association (2018). Effects of Poverty, Hunger and Homelessness on Children and Youth. http://www.apa.org/pi/families/poverty.aspx. Accessed 17 May 2018.
- Bethell, C. (2008). Patient centered improvement of well-child care: Developing and evaluating the impact of patient-centered interventions to improve quality and equity of recommended services. .Google Scholar
- Byrne, B. M. (2013). Structural equation modeling with Mplus: Basic concepts, applications, and programming. New York: Routledge.Google Scholar
- Child Trends. (2001). School Readiness: Helping Communities Get Children Ready for School and Schools Ready for Children. https://www.childtrends.org/wp-content/uploads/2001/10/schoolreadiness.pdf. Accessed 5/31/18.
- Child Trends. (2013). 5 things to know about school readiness. https://www.childtrends.org/child-trends-5/5-things-to-know-about-school-readiness/. Accessed 9/22/17.
- Child Trends. (2015). Child Trends Databank: Early school readiness. https://www.childtrends.org/indicators/early-school-readiness/. Accessed 9/22/17.
- Cohen, J., McCabe, E. M., Michelli, N. M., & Pickeral, T. (2009). School climate: Research, policy, practice, and teacher education. Teach Coll Rec, 111(1), 180–213.Google Scholar
- Commonwealth of Australia. (2012). Australian Early Development Census. http://www.aedc.gov.au/. Accessed 22 Nov 2017.
- Council on Early Childhood, & Council on School Health. (2016). The pediatrician's role in optimizing school readiness. Pediatrics, 138(3). https://doi.org/10.1542/peds.2016-2293.
- Folger, A. T., Eismann, E. A., Stephenson, N. B., Shapiro, R. A., Macaluso, M., Brownrigg, M. E., et al. (2018). Parental adverse childhood experiences and offspring development at 2 years of age. Pediatrics, 141(4), https://doi.org/10.1542/peds.2017-2826, e20172826.
- Ghandour, R., Jones, J., Lebrun-Harris, L., Minnaert, J., Blumberg, S., Fields, J., et al. (2018). The design and implementation of the 2016 National Survey of Children’s Health. Maternal and Child Health Journal. https://doi.org/10.1007/s10995-018-2526-x.
- Health Resources and Services Administration, & Maternal and Child Health Bureau. (2017). Federally Available Data (FAD) Resource Document. https://mchb.hrsa.gov/sites/default/files/mchb/MaternalChildHealthInitiatives/TitleV/FADResourceDocumentApril2017.pdf. Accessed 24 Nov 17.
- Health Resources and Services Administration, Maternal and Child Health Bureau, U.S. Department of Education, & National Center for Education Statistics. (2014). School readiness survey measures expert meeting. Washington, DC.Google Scholar
- Heckman, J. J., & Mosso, S. (2014). The economics of human development and social mobility. Annu Rev Econom, 6, 689–733. https://doi.org/10.1146/annurev-economics-080213-040753.CrossRefGoogle Scholar
- High, P.C. and The Committee on Early Childhood, Adoption, and Dependent Care and Council on School Health, American Academy of Pediatrics (2008). School Readiness. Pediatrics, 121(4):e1008-e1015. https://doi.org/10.1542/peds.2008-0079.
- Hoyniak, C. P., Bates, J. E., Staples, A. D., Rudasill, K. M., Molfese, D. L., & Molfese, V. J. (2018). Child sleep and socioeconomic context in the development of cognitive abilities in early childhood. Child Development. https://doi.org/10.1111/cdev.13042.
- Issacs J, & Magnuson K. (2011). Income and education as predictors of Children’s school readiness. Washington, DC: Center on Children and Families at Brookings.Google Scholar
- Kagan S.L., Moore E., & Bredekamp S. (1995). Reconsidering Children's Early Development and Learning: Toward Common Views and Vocabulary. Washington, DC: national Educational Goals Panel.Google Scholar
- Kogan, M. D., Dykton, C., Hirai, A. H., Strickland, B. B., Bethell, C. D., Naqvi, I., et al. (2015). A new performance measurement system for maternal and child health in the United States. Maternal and Child Health Journal. https://doi.org/10.1007/s10995-015-1739-5.
- McClelland, M. M., Tominey, S. L., Schmitt, S. A., & Duncan, R. (2017). SEL iterventions in early childhood. The Future of Children, 27(1).Google Scholar
- Mindell, J. A., & Williamson, A. A. (2017). Benefits of a bedtime routine in young children: Sleep, development, and beyond. Sleep Medicine Reviews. https://doi.org/10.1016/j.smrv.2017.10.007.
- Moore KA, Mbwana K, Theokas C, Lippman L, Bloch M, Vandivere S, et al (2011). Child Well-Being: An Index Based on Data of Individual Children. In Child Trends (Ed.). Washington DC.Google Scholar
- Muthén, L. K., & Muthén, B. O. (1998-2012). Mplus User's Guide. Seventh Edition. Los Angeles: Muthén & Muthén.Google Scholar
- National Association for the Education of Young Children. (2009). Position statement: Developmentally appropriate practice in early childhood programs serving children birth through age 8. Washington, DC.Google Scholar
- National Center for Education Statistics. (2007). National Household Education Survey on School Readiness. https://nces.ed.gov/nhes/pdf/sr/07_sr.pdf. Accessed 22 Nov 2017.
- National Center for Education Statistics. (2010-2011). Early Childhood Longitudinal Study. https://nces.ed.gov/ecls/. Accessed 22 Nov 2017.
- Offord Centre for Child Studies. (2012–2013). Early Development Instrument. https://edi.offordcentre.com/. Accessed 22 Nov 2017.
- Rhode Island KIDS COUNT. (2005). Getting Ready: Findings from the National School Readiness Indicators Initiative -- A 17 State Partnership. http://www.aecf.org/m/resourcedoc/RIKC-GettingReady-2005.pdf. Accessed 9/22/17.
- Shonkoff, J. P., & Phillips, D. A. (2000). From neurons to Neighbohoods: The science of early childhood development. Washington DC: National Academy Press.Google Scholar
- U.S. Census Bureau, & U.S. Department of Health and Human Services. (2017). Frequently Asked Questions: 2016 National Survey of Children’s Health. https://mchb.hrsa.gov/sites/default/files/mchb/Data/NSCH_2016_FAQs_FINAL.pdf. Accessed 9/22/17.
- U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, & National Center for Health Statistics. (2015). State and Local Area Integrated Telephone Survey (SLAITS). https://www.cdc.gov/nchs/slaits/index.htm. Accessed 8/16/2017.
- U.S. Department of Health and Human Services, Health Resources and Services Administration, & Maternal and Child Health Bureau (n.d.) Title V Maternal and Child Health Services Block Grant Program. https://mchb.hrsa.gov/maternal-child-health-initiatives/title-v-maternal-and-child-health-services-block-grant-program. Accessed 5 Nov 2017.