Skip to main content
Log in

“Watch Me!” Training Increases Knowledge and Impacts Attitudes Related to Developmental Monitoring and Referral Among Childcare Providers

  • Published:
Maternal and Child Health Journal Aims and scope Submit manuscript

Abstract

Objectives

To evaluate the impact of “Watch Me!” developmental monitoring training on childcare providers’ knowledge and attitudes related to monitoring developmental milestones and making recommended referrals when there is a concern about a child’s development.

Methods

A pretest–posttest design using web-based surveys was used to assess the impact of “Watch Me!” training on knowledge and attitudes related to conducting five key components of developmental monitoring (tracking development, recognizing delays, talking to parents about development, talking to parents about concerns, and making referrals). Variables included belief that developmental monitoring is important and is part of childcare provider role; perceived knowledge of, access to tools for, and prioritization of developmental monitoring; and ability to list recommended referrals when there is a concern.

Results

Childcare providers demonstrated a significant pre-post increase in perceived knowledge and access to the tools to engage in five core components of developmental monitoring after completing “Watch Me!” training. There was also a significant pre-post increase in childcare providers’ ability to list the child’s doctor as an appropriate referral (39 pre–63% post), but not in the ability to list Part C/Part B programs as an appropriate referral (56 pre–58% post).

Conclusions for Practice

“Watch Me!” training may be effective at impacting targeted areas of knowledge and attitude about developmental monitoring among childcare providers in the short term.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

Notes

  1. In the cited study, developmental disability is defined as including “attention deficit hyperactivity disorder; intellectual disability; cerebral palsy; autism; seizures; stuttering or stammering; moderate to profound hearing loss; blindness; learning disorders; and/or other developmental delays” (p. 1034).

  2. GLM Poisson analysis was used.

  3. GLM analysis was used.

  4. GLM logistic regression analyses were used.

References

  • About Bright Futures. (n.d.). Retrieved from https://brightfutures.aap.org/about/Pages/About.aspx.

  • Bartlett, M., & Mickelson, A. (2019). The changing landscape of education for young children receiving early intervention and early childhood special education. In C. P. Brown, M. B. McMullen, & N. File (Eds.), The Wiley handbook of early childhood care and education (pp. 239–258). Hoboken, NJ: Wiley.

    Chapter  Google Scholar 

  • Boh, A., & Johnson, L. D. (2018). Universal screening to promote early identification of developmental delays: Exploring childcare providers beliefs and practices. Early Child Development and Care, 188(12), 1694–1708.

    Article  Google Scholar 

  • Boyle, C. A., Boulet, S., Schieve, L. A., Cohen, R. A., Blumberg, S. J., Yeargin-Allsopp, M., & Kogan, M. D. (2011). Trends ***in the prevalence of developmental disabilities in US children, 1997–2008. Pediatrics, 127(6), 1034–1042.

    Article  Google Scholar 

  • Bradshaw, J., Steiner, A. M., Gengoux, G., & Koegel, L. K. (2015). Feasibility and effectiveness of very early intervention for infants at-risk for autism spectrum disorder: A systematic review. Journal of Autism and Developmental Disorders, 45(3), 778–794.

    Article  Google Scholar 

  • Branson, D., & Bingham, A. (2017). Child care providers’ competence and confidence in referring children at risk for developmental delays. Infants & Young Children, 30, 41–57.

    Article  Google Scholar 

  • Branson, D., Vigil, D. C., & Bingham, A. (2008). Community childcare providers’ role in the early detection of autism spectrum disorders. Early Childhood Education Journal, 35(6), 523–530.

    Article  Google Scholar 

  • Bricker, D., Macy, M., Squires, J., & Marks, K. (2013). Developmental screening in your community. Baltimore, MD: Paul H. Brookes.

    Google Scholar 

  • Burt, J. D. (2013). An evaluation of the milestone moments booklet and interactive milestone checklist with child care providers. Omaha, NE: Munroe Meyer Institute at the University of Nebraska Medical Center.

    Google Scholar 

  • Centers for Disease Control and Prevention. (1999). Framework for program evaluation in public health. MMWR, 48 (No. RR-11).

  • Chödrön, G., Ershler, J., Pizur-Barnekow, K., Viehweg, S., Barger, B., & Puk-Ament, A. (2017). Evaluation of developmental monitoring using ‘learn the Signs. Act early.’ in childcare settings. Madison, WI: Waisman Center University Center for Excellence in Developmental Disabilities.

    Google Scholar 

  • Chödrön, G., Pizur-Barnekow, K., Viehweg, S., Puk-Ament, A., & Barger, B. (2019). Childcare providers’ attitudes, knowledge, and practice related to developmental monitoring to promote early identification and referral. Early Child Development and Care. https://doi.org/10.1080/03004430.2019.1626373.

    Article  Google Scholar 

  • Cook, B. G., & Odom, S. L. (2013). Evidence-based practices and implementation science in special education. Exceptional Children, 79(2), 135–144.

    Article  Google Scholar 

  • Council on Children with Disabilities. (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.

    Article  Google Scholar 

  • Developmental Monitoring and Screening. (2019). Retrieved February 6, 2020 from https://www.cdc.gov/ncbddd/childdevelopment/screening.html.

  • Graybill, E., Self-Brown, S., Lai, B., Vinoski, E., McGill, T., & Crimmins, D. (2016). Addressing disparities in parent education: Examining the effects of Learn the Signs/Act Early parent education materials on parent outcomes. Early Childhood Education Journal, 44(1), 31–38.

    Article  Google Scholar 

  • Guevara, J. P., Gerdes, M., Localio, R., Huang, Y. V., Pinto-Martin, J., Minkovitz, C. S., et al. (2013). Effectiveness of developmental screening in an urban setting. Pediatrics, 131(1), 30–37.

    Article  Google Scholar 

  • Hagan, J. F., Shaw, J. S., & Duncan, P. M. (2017). Bright futures: Guidelines for health supervision of infants, children, and adolescents (4th ed.). Elk Grove Village, IL: American Academy of Pediatrics.

    Google Scholar 

  • Hirai, A. H., Kogan, M. D., Kandasamy, V., Reuland, C., & Bethell, C. (2018). Prevalence and variation of developmental screening and surveillance in early childhood. JAMA: Journal of the American Medical Association, 172(9), 857–866.

    Google Scholar 

  • Interagency Autism Coordinating Committee. (October 2017). 2016–2017 Interagency Autism Coordinating Committee Strategies Plan for Autism Spectrum Disorder. Retrieved from the U.S. Department of Health and Human Services Interagency Autism Coordinating Committee website: https://iacc.hhs.gov/publications/strategic-plan/2017/.

  • Landa, R. J., & Kalb, L. G. (2012). Long-term outcomes of toddlers with autism spectrum disorders exposed to short-term intervention. Pediatrics, 130(Supplement 2), S186–S190.

    Article  Google Scholar 

  • La Paro, K., & King, E. (2019). Professional development in early childhood education. In C. P. Brown, M. B. McMullen, & N. File (Eds.), The Wiley handbook of early childhood care and education (pp. 427–448). Hoboken, NJ: Wiley.

    Chapter  Google Scholar 

  • Macy, M., Marks, K., & Towle, A. (2014). Missed, misused, or mismanaged: Improving early detection systems to optimize child outcomes. Topics in Early Childhood Special Education, 34(2), 94–105.

    Article  Google Scholar 

  • National Association for the Education of Young Children. (2018). NAEYC early learning program accreditation standards and assessment items. Washington, DC: NAEYC. Retrieved from https://www.naeyc.org/sites/default/files/globally-shared/downloads/PDFs/accreditation/early-learning/standards_and_assessment_web_0.pdf.

  • National Association for the Education of Young Children. (2009). NAEYC standards for early childhood professional preparation: A position statement of the National Association for the Education of Young Children. Washington, DC: National Association for the Education of Young Children. Retrieved from https://www.naeyc.org/resources/position-statements/standards-professional-preparation.

  • Pinheiro, J., Bates, D., DebRoy, S., Sarkar, D., Heisterkamp, S., Van Willigen, B., & Maintainer, R. (2018). Package ‘nlme’. Retrieved from: http://ftp5.gwdg.de/pub/misc/cran/web/packages/nlme/nlme.pdf

  • Pizur-Barnekow, K., Erickson, S., Johnston, M., Bass, T., Lucinski, L., & Bleuel, D. (2010). Early identification of developmental delays through surveillance, screening, and diagnostic evaluation. Infants & Young Children, 23(4), 323–330.

    Article  Google Scholar 

  • Raspa, M., Levis, D. M., Kish-Doto, J., Wallace, I., Rice, C., Barger, B., & Wolf, R. B. (2015). Examining ***parents’ experiences and information needs regarding early identification of developmental delays: Qualitative research to inform a public health campaign. Journal of Developmental & Behavioral Pediatrics, 36(8), 575–585.

    Article  Google Scholar 

  • Revelle, W., & Revelle, M. W. (2015). Package ‘psych’. The Comprehensive R Archive Network. Retrieved from: http://www.test.personality-project.org/r/psych/psych-manual.pdf

  • Ripley, B., Venables, B., Bates, D. M., Hornik, K., Gebhardt, A., Firth, D., & Ripley, M. B. (2013). Package ‘mass’. Cran R. Retrieved from: https://cran.revolutionanalytics.com/web/packages/MASS/MASS.pdf

  • Rogers, S. J., Estes, A., Lord, C., Vismara, L., Winter, J., Fitzpatrick, A., & Dawson, G. (2012). Effects of ***a brief Early Start Denver Model (ESDM)–based parent intervention on toddlers at risk for autism spectrum disorders: A randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 51(10), 1052–1065.

    Article  Google Scholar 

  • Rogers, S. J., Estes, A., Lord, C., Munson, J., Rocha, M., Winter, J., & Talbott, M. (2019). A multisite ***randomized controlled two-phase trial of the Early Start Denver Model compared to treatment as usual. Journal of the American Academy of Child & Adolescent Psychiatry. https://doi.org/10.1016/j.jaac.2019.01.004.

    Article  Google Scholar 

Download references

Acknowledgements

We would like to thank the participating childcare providers and programs for their contributions to the study. This evaluation study was supported by funding from the Disability Research and Dissemination Center (DRDC) through its cooperative agreement number 5U01DD001007 from the Centers for Disease Control (CDC) and Prevention and by the Clinical and Translational Science Award (CTSA) program. Data analysis was supported in part through the NIH National Center for Advancing Translational Sciences (NCATS), Grant UL1TR000427. The contents of this report are solely the responsibility of the authors and do not necessarily represent the official views of the DRDC, the CDC, or the NIH.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gail Chödrön.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

Below is the link to the electronic supplementary material.

(DOCX 39 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chödrön, G., Barger, B., Pizur-Barnekow, K. et al. “Watch Me!” Training Increases Knowledge and Impacts Attitudes Related to Developmental Monitoring and Referral Among Childcare Providers. Matern Child Health J 25, 980–990 (2021). https://doi.org/10.1007/s10995-020-03097-w

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10995-020-03097-w

Keywords

Navigation