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Legacy for Children, an Early Intervention Study to Promote Optimal Child Development in Low-income Families

Legacy for Children, The CDC Parenting Research Projects

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00164697
Acronym
Legacy
Enrollment
547
Registered
2005-09-14
Start date
1999-10-31
Completion date
2013-02-28
Last updated
2016-02-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Child Development

Keywords

Child Development, Parenting, Child Rearing, Parent-Child Relations

Brief summary

The purpose of this study is to determine if an intervention focused on promoting parent-child interaction, parental responsibility, parental commitment of time and energy, and sense of community results in better developmental outcomes for low-income children.

Detailed description

The early years of life (birth to age 5 years) are crucial in a child's development. Parents play a critical role in their children's development and are responsible for the environment in which they grow up. Past research shows that the personal characteristics of successful children consistently correlate to parental influences and behavior. Thus, the theoretical foundation in the Legacy study is that parents can positively influence their child's development. Also, parents are more likely to maintain positive parenting behaviors if they are part of a community greater than themselves. Legacy intervention activities are designed to enhance sensitive and responsive parenting, parent/child interaction, and promote a sense of community. Other activities include verbal and cognitive stimulation through parent and parent/child group meetings, visits to the home, and participation in community events. Legacy has both a pilot phase and a main study phase. There are 180 intervention and 120 comparison families in the main study phase and 60 of each in the pilot phase at each study site, Miami and Los Angeles. The 720 participating families are those whose children, on average, would be expected to fall below national norms on a range of developmental outcomes. Process, cost, and short- and long-term outcome data are being collected. Comparison group: In addition to the current standard of care, the comparison families receive regular comprehensive child development and maternal assessments at 6 months, 1 yr, 2 yr, 3 yr, 4 yr, and 5 yr.

Interventions

BEHAVIORALParenting group

Weekly and periodic (10 weeks blocks with 6 week break) parenting group meetings (2.5-3 hr), periodic one-on-one meetings (2 hr), visits to community resources (2-3 hr per event). Legacy intervention activities are designed to enhance sensitive and responsive parenting, parent/child interaction, and promote a sense of community. Other activities include verbal and cognitive stimulation through parent and parent/child group meetings, visits to the home, and participation in community events.

Sponsors

RTI International
CollaboratorOTHER
University of California, Los Angeles
CollaboratorOTHER
University of Miami
CollaboratorOTHER
Centers for Disease Control and Prevention
Lead SponsorFED

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* English speaking * Live within 10 miles of UCLA * 18 years of age or older * Receive their prenatal and well-baby care from MediCal * Live within 50 minutes of the three community intervention sites * Reside within zip codes corresponding to the lowest performing schools in the broad Miami area * Give birth to the target child at participating hospitals

Exclusion criteria

* Multiple birth greater than twins * Existing Substance abuse * Existing Mental Health issues

Design outcomes

Primary

MeasureTime frame
child behavior1yr, 2 yr, 3 yr, 4 yr, 5 yr
child social skills1yr, 2 yr, 3 yr, 4 yr, 5 yr
child cognition1 yr, 3 yr, 5 yr
child language/communication2 yr, 4 yr, 5 yr
child attachment2 yr
child peer relationships5 yr
child academics4 yr, 5 yr
parent-child interaction6 months, 5 yr

Secondary

MeasureTime frame
child physical growthbaseline, 6 month, 1 yr, 2 yr
HOME environment1 yr
child violence exposure2 yr, 4 yr, 5 yr
parentingbaseline, 6 mos, 2 yr, 3 yr 5 yr
maternal healthbaseline, 1 yr 3 yr, 5 yr
maternal mental healthbaseline, 1yr, 2yr, 3yr, 4 yr, 5 yr
sense of communitybaseline, 1yr, 2yr, 3yr, 4 yr, 5 yr
community involvementbaseline, 6 mos, 2yr, 3yr, 5 yr
coping6mos, 2yr, 3 yr, 5 yr

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 25, 2026