TMP-Visitas al Hogar

Study Overview
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Brief Summary
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Treinta Millones de Palabras- Visitas al Hogar (TMP) is designed to intervene upon mothers' knowledge, beliefs, and behavior, which in turn influences their interaction with their children, impacting children's development. The investigators will measure change in mothers' knowledge, beliefs, and behavior during and after intervention, and measure impacts on children's development across major developmental domains. Specifically, the investigators will measure mothers' Knowledge of child language development and the role of parents in that development Beliefs about the malleability of intelligence and their role in shaping their children's intelligence Interaction with their child, specifically their linguistic input and responsiveness to their child's communication Concurrently, the investigators will measure children's Emergent oral language development, in both Spanish and English Social-emotional development Math and spatial reasoning skill development

Official Title
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Treinta Millones de Palabras-Visitas al Hogar Pilot Randomized Controlled Trial

Conditions
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Language Development

Intervention / Treatment
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* Behavioral: Treinta Millones de Palabras - Visitas al Hogar


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: participants (i.e. parents and their children) who live at or below 200% of the federal poverty line, female caregivers with a child between the ages of 24-30 months old, participants whose preferred home language is Spanish, education level is less than or equal to a bachelor's degree. Exclusion Criteria: participants (i.e. parents and their children) who live over 200% of the federal poverty line, parents under the age of 18, non-female primary care giver children younger than 24 months old or older than 30 months old (at start of study), parents who do not have legal custody of their child, parents whose child does not live with them, parents who are not with their child at least two full days per week, parents who are unable to commit to the intervention requirements, foster parents, children with significant cognitive or physical impairments, (specifically Autism Spectrum Disorder, Epilepsy, Cerebral Palsy, hearing impairment, Down Syndrome and blindness), parents who have earned or are currently working toward a graduate or professional degree (e.g. M.A., M.S., M.B.A), and parents whose preferred home language is not Spanish.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: The investigators will deliver the TMP Curriculum to 45 Treatment families. The TMP Curriculum is comprised of 1) 12 educational modules, 2) animations and videos of real parent-child interactions to teach parents about the science behind child brain development, and model strategies for improving parents' child-directed speech, 3) video modeling and collaborative goal setting, and 4) quantitative linguistic feedback from Language ENvironment Analysis (LENA) recordings.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Treatment Group<br>The investigators will deliver the TMP Curriculum to 45 Treatment families. The TMP Curriculum is comprised of 1) 12 educational modules, 2) animations and videos of real parent-child interactions to teach parents about the science behind child brain development, and model strategies for improving parents' child-directed speech, 3) video modeling and collaborative goal setting, and 4) quantitative linguistic feedback from Language ENvironment Analysis (LENA) recordings. This curriculum is delivered in Spanish. | Behavioral: Treinta Millones de Palabras - Visitas al Hogar<br>* TMP-Visitas al Hogar is a cultural and linguistic adaptation of the TMW-Home Visiting curriculum into Spanish. The 12-module curriculum has been translated into Spanish and adapted to address concerns that are vital to mono- and bilingual Spanish-speaking families, including the broadening research base for when to introduce a second language to a child and the benefits of bilingualism.<br>|
| No Intervention: Control Group<br>The investigators will deliver a Nutrition Curriculum to 45Control families. The Nutrition Curriculum provides information about the importance of healthy nutrition for child development, strategies for healthy eating, and meal preparation.This curriculum is delivered in Spanish. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline LENA scores in Adult Word Count, Conversational Turn Count, and Child Vocalizations in month 12, data aggregated by treatment group. |  | Baseline, 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline in parent knowledge about child development using the SPEAK survey in month 12, data aggregated by treatment group. |  | Baseline, 12 months |