Clinical trial NCT04046965: American Indian and Alaska Native Head Start Family and Child Experiences Survey (AIAN FACES 2019)
Official title: American Indian and Alaska Native Head Start Family and Child Experiences Survey (AIAN FACES 2019)
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Head Start Participation
Keywords: Alaska natives
child care
child development
child health
child rearing
children
curriculum
early childhood education
families
Head Start
Native Americans
parenting skills
parents
programs
school readiness
teachers
Lead sponsor: Mathematica Policy Research, Inc.
Sponsor class: OTHER
Collaborators: name: Office of Planning, Research & Evaluation
name: Department of Health and Human Services
First posted: 2019-08-06
Enrollment: 1587
Sex: ALL
Minimum age (years): 2
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: CROSS_SECTIONAL
Sampling method: PROBABILITY_SAMPLE
Study population: Region XI Head Start children (and their families), Region XI Head Start programs, Region XI Head Start centers, Region XI Head Start classrooms/teachers

Brief summary: The American Indian and Alaska Native Head Start Family and Child Experiences Survey (AIAN FACES) 2019 builds on AIAN FACES 2015 (NCT03842111), which was the first national study children and families participating in Region XI Head Start. In consultation with the AIAN FACES Workgroup, Mathematica developed instruments and data collection procedures to assess the school readiness skills of 720 children and survey their parents and Region XI Head Start teachers in fall 2019 and spring 2020; conduct observations in those children's Region XI Head Start classrooms; and survey Region XI Head Start staff in spring 2020. Due to the COVID-19 pandemic, spring 2020 child assessments and classroom observations were canceled after two weeks, while surveys of parents and staff continued.

Detailed description: The design and execution of AIAN FACES has been informed by close collaboration with members of the AIAN FACES Workgroup which includes Region XI Head Start program directors, researchers with experience working with AIAN communities, Mathematica study staff, and federal officials from the Office of Head Start and the Office of Planning, Research and Evaluation.

Building on AIAN FACES 2015 as the foundation, members of the AIAN FACES Workgroup have shared insights and information on the kinds of information needed about children and families served by Region XI AIAN Head Start programs. Members also provided input on recruitment practices and study methods that are responsive to the unique cultural and self-governing contexts of tribal Head Start programs. They also consulted on priorities for dissemination and drafts of dissemination products.

AIAN FACES 2019 provides the mechanism for collecting data on a nationally representative probability sample in Region XI to provide valid and reliable information to federal, local, and tribal community stakeholders. AIAN FACES 2019 focuses on children and families to describe the school readiness skills, family characteristics, and Head Start experiences of these children, with a focus on Native culture and language. The investigators collected information on programs and classrooms to provide context for children's experiences. Data collection with Region XI children, families, classrooms, and programs took place in the Fall of 2019 and the Spring of 2020. Originally, AIAN FACES 2019 also sought to describe classroom quality for children in Region XI, but was unable to do so, with classroom observations cancelled after two weeks due to the COVID-19 pandemic.

Eligibility criteria: Inclusion Criteria: the Region XI Head Start programs participating in AIAN FACES 2019 were a probability sample selected from among 146 study-eligible programs on the 2017-2018 Head Start Program Information Report (PIR). To be eligible for the study, a program had to be:

* Providing services directly to children ages 3 to 5
* The Head Start Program Performance Standards require that children turn 3 by date used to determine eligibility for public school in the community in which the Head Start program is located. Therefore, some study children were 2 years old at the time of sampling if sampling occurred before the date used for public school eligibility.
* Not be in imminent danger of losing its grantee status. Probability samples of centers were selected within each program, classrooms within each center (within those classrooms, eligible classrooms needed to have at least one Head Start child enrolled) and children within each classroom. Teachers associated with selected classrooms were included in the study with certainty, as were parents associated with selected children.

Exclusion Criteria: Head Start programs in Regions I through X and Migrant and Seasonal Head Start (Region XII) were not eligible for AIAN FACES. Other ACF studies (FACES-NCT03971435 and MSHS-NCT03116243) focus on those programs.

Primary outcomes:
measure: English proficiency
timeFrame: October to December 2019, March 2020
measure: Language-English receptive vocabulary
timeFrame: October to December 2019, March 2020
measure: Language-Expressive vocabulary
timeFrame: October to December 2019, March 2020
measure: Literacy-Letter word knowledge
timeFrame: October to December 2019, March 2020
measure: Literacy-early writing
timeFrame: October to December 2019, March 2020
measure: Literacy-Letter sounds knowledge
timeFrame: October to December 2019, March 2020
measure: Mathematics
timeFrame: October to December 2019, March 2020
measure: Mathematics
timeFrame: October to December 2019, March 2020
measure: Children's physical health
timeFrame: October to December 2019, March 2020
measure: General health status
timeFrame: October to December 2019, March 2020
measure: Executive function
timeFrame: October to December 2019, March 2020
measure: Social-emotional development
timeFrame: October-December 2019, March-July 2020
measure: Social-emotional development-cognitive/social behaviors
timeFrame: October-December 2019, March-July 2020
measure: Social-emotional development - Approaches to learning
timeFrame: October-December 2019, March-July 2020
measure: Classroom quality-teacher child interactions
timeFrame: One-day observation in March 2020
measure: Classroom quality-global classroom environment
timeFrame: One-day observation in March 2020
measure: Classroom quality-Native cultural and language classroom observation
timeFrame: One-day observation in March 2020
measure: Parents' depressive symptoms
timeFrame: October-December 2019, March-July 2020
measure: Teachers' depressive symptoms
timeFrame: October-December 2019, March-July 2020
Secondary outcomes:
Other outcomes:
Locations:
city: Washington
country: United States
facility: Mathematica Policy Research
state: District of Columbia
Study officials:
affiliation: Mathematica Policy Research
name: Sara Bernstein, Ph.D.
role: STUDY_DIRECTOR
affiliation: Mathematica Policy Research
name: Nikki Aikens, Ph.D.
role: PRINCIPAL_INVESTIGATOR
affiliation: Mathematica Policy Research
name: Louisa Tarullo, Ed.D.
role: PRINCIPAL_INVESTIGATOR
References:
citation: Bernstein, S., A. Kopack Klein, B. Lepidus Carlson, A. Li., N. Aikens, M. Dang, M. Scott, S. Skidmore, M. Cavanaugh, J. Cannon, and contributing authors. "American Indian and Alaska Native Head Start Family and Child Experiences Survey 2019: User's Manual." Report submitted to the Office of Planning, Research, and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services, Washington, DC: Mathematica, 2021.
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