Evidence map›Paper›PMID 32620161›Full record

ArticleBMC pediatrics2020

Early intervention service intensity and young children's home participation.

M A Khetani, B M McManus, E C Albrecht, V C Kaelin, J K Dooling-Litfin, E A Scully, High Value Early Intervention Research Group

Registry-linked trialAbstract read
In one paragraph

Article in BMC pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03904797 (Colorado Early Intervention Outcomes Research Using Innovative Patient-Reported Outcome), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03904797 nacompletednot on this map

Colorado Early Intervention Outcomes Research Using Innovative Patient-Reported Outcome (PRO) Measures

TypeinterventionalSponsorUniversity of Illinois at ChicagoRan2016 to 2019Enrolled149ConditionsDevelopmental Disability, Development DelayArmsYoung Children's Participation and Environment Measure (YC-PEM) electronic patient-reported outcome (e-PRO)
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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  3. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

M A KhetaniRehabilitation Sciences, University of Illinois at Chicago, Chicago, USA. mkhetani@uic.edu.ORCID 0000-0003-2628-3371
B M McManusHealth Systems, Management, and Policy, Colorado School of Public Health, Aurora, USA.
E C AlbrechtInvest in Kids, Denver, USA.
V C KaelinRehabilitation Sciences, University of Illinois at Chicago, Chicago, USA.
J K Dooling-LitfinRocky Mountain Human Services, Denver, USA.
E A ScullyRocky Mountain Human Services, Denver, USA.
High Value Early Intervention Research Group

Funding

Strengthening Stakeholder Engagement in Human Research Protections.UL1TR002003 · NCATS · UNIVERSITY OF ILLINOIS AT CHICAGO · PI KARNIK, NIRANJAN SUBHASH, MERMELSTEIN, ROBIN J. · 2016 to 2024
$33.7M
Technique Development CoreP2CHD065702 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GRAHAM, JAMES E. · 2015 to 2019
$5.2M
Early Intervention Outcomes Research using Innovative Patient-Reported Outcome (PRO) MeasuresR03HD084909 · NICHD · UNIVERSITY OF ILLINOIS AT CHICAGO · PI KHETANI, MARY ALUNKAL, MCMANUS, BETH MARIE · 2016 to 2017
$173k
Eunice Kennedy Shriver National Institute of Child Health and Human Development 1R03HD084909-01A1Eunice Kennedy Shriver National Institute of Child Health and Human Development K12 HD05593NCATS NIH HHS UL1 TR002003NICHD NIH HHS L40 HD085277NICHD NIH HHS P2C HD065702NICHD NIH HHS R03 HD084909
6 · The paper itself

Abstract

backgroundYoung children with developmental disabilities and delays spend significant amounts of time at home, show decreased participation in home-based activities, and receive home-based early intervention services to improve participation in activities. Yet, knowledge about the relationship between EI service use and children's home participation in activities remains poorly understood but needed for program improvement. The purpose of this study was to understand the relationships between EI service use and children's home participation.

methodsIn a cross-sectional design, data were gathered from caregivers (N = 139) who enrolled in a pilot trial of the Young Children's Participation in Environment Measure (YC-PEM) electronic patient-reported outcome (e-PRO), as implemented within 1 month of their child's next EI progress evaluation. A series of path analytic models were used to estimate EI service intensity as a predictor of parent-reported young children's home participation 1) frequency, 2) level of involvement, and 3) desired change, adjusting for family and child social and functional characteristics. Models included caregiver perceptions of home environmental support to test its indirect (i.e., mediation) effects on the relationship between EI service intensity and each of the three home participation dimensions.

resultsAll three models fit the data well (comparative fit index = 1.00). EI service intensity was not a significant predictor of participation frequency. However, EI service intensity had a significant direct effect on a child's participation according to level of involvement and desired change, explaining between 13.3-33.5% of the variance in home participation. Caregiver perceptions of environmental support had a small yet significant indirect effect on the relationship between EI service intensity and level of involvement and desired change; these models explained between 18.5-38.1% of the variance in home participation.

conclusionsEI service intensity has important links with involvement in and desired change for home-based activities. Caregiver perceptions of environmental support appears to be a factor in the relationship between EI service intensity and home participation. Results warrant longitudinal replication with a control group, which would be possible with the implementation of the YC-PEM e-PRO in a routine EI clinical workflow. TRIAL RETROSPECTIVELY REGISTERED: NCT03904797 .

Indexed as

CaregiversEarly Intervention, EducationalChildChild, PreschoolCross-Sectional StudiesFamilyHealth FacilitiesHumansSocial ParticipationEnvironment, early interventionParticipationService intensityYoung children

Identifiers

PMID32620161
PMCPMC7333381

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.