Adolescent Behavior, Development, Child, Language Delay, Language Development
Conditions
Keywords
language, LENA, adolescent
Brief summary
This is a randomized control trial to evaluate a simple language intervention curriculum that utilizes LENA recordings, linguistic feedback and text-message review of content to improve language environments and outcomes for infants with adolescent mothers.
Detailed description
Mother-infant pairs are enrolled while in the hospital after birth. Enrolled participants are randomized into a language (intervention) or motor (control) group. All participants have a baseline LENA (device that captures 16 hour recording and associated computer analysis generates a report of numbers of adult words spoken, infant vocalization and conversational turns). Interventions after the baseline recording by group are as follows: Intervention: 1. Review language curriculum and motor curriculum with study personnel 2. Direct linguistic feedback of baseline LENA recording 3. 2nd LENA recording completed and analyzed 4. Direct or mailed linguistic feedback of 2nd LENA recording 5. 16- Weekly text messages 6. 4 month LENA recording with mailed linguistic feedback 7. 12 month LENA recording with mailed linguistic feedback Control: 1. Review motor curriculum with study personnel 2. 2nd LENA recording completed and analyzed 3. 4- monthly text messages 4. 4 month LENA recording 5. 12 month LENA recording with mailed linguistic feedback of all recordings Both groups undergo the following assessments: 1. Ages and Stages Questionnaire at 4 and 12 months 2. Maternal Peabody Picture Vocabulary test at 4 months 3. Edinburgh Post-partum Depression Scale at 4 months 4. MacArthur Bates Communicative Developmental Inventory: Words and Gestures at 12
Interventions
BEHAVIORALTeaching Talking
Written packet including 8 lessons: What's My Corrected Age, Watch Me Learn (language milestones in the 1st year of life), Reading Aloud, Sing-a-long: Sleepy Songs, Sing-a-long: Alert Songs, Copying First Sounds, Playing Games, Talk to Your Baby.
BEHAVIORALLENA recordings-language
LENA a special recording device. It records for 16 hours inside a specially designed infant vest. The recording is analyzed by a computer that generates an output of total number of adult words, infant vocalizations and conversational turns during the recording period. 4 LENA recordings are obtained: baseline, after reviewing Teaching Talking and linguistic feedback of first recording, 4 and 12 months of age. Participants are mailed feedback of their 2nd, 4 and 12 month recordings.
BEHAVIORALLENA recordings-motor
LENA a special recording device. It records for 16 hours inside a specially designed infant vest. The recording is analyzed by a computer that generates an output of total number of adult words, infant vocalizations and conversational turns during the recording period. 4 LENA recordings are obtained: baseline, 2nd, 4 and 12 months of age. Participants are mailed feedback on recordings after completing study.
BEHAVIORALMastering Movement
A written curriculum containing 5 lessons adopted from Beautiful Beginnings: What's My Corrected Age, Watch Me Move! (review of motor milestones in 1st year), Gentle Stretching and Exercise, Tummy Time, Help Me Learn to...
BEHAVIORALLanguage text messages
12 weekly text messages. Each is 1-2 sentences to review concepts of Teaching Talking
BEHAVIORALMotor text messages
4 text messages sent every 4 weeks. Each is 1-2 sentences reviewing concepts of Mastering Movement
Sponsors
Women and Infants Hospital of Rhode Island
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
Random assignment to language (intervention) or motor (control) focused curriculums
Eligibility
Sex/Gender
ALL
Inclusion criteria
* Infants ≥30 weeks born to 15-20 year old mothers
Exclusion criteria
* Congenital anomalies associated with adverse developmental outcomes * Non-English speaking mothers * No cell phone * Mother not available for follow-up * State custody of mother or infant.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| MacArthur CDI | 12 months | MacArthur Bates Communicative Developmental Inventory: Words and Gestures scores |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| LENA Counts | birth, 4 months, 12 months | Adult word counts, conversational turns and infant vocalization of each LENA recording |
| Ages & Stages Questionnaire | 4 months, 12 months | Parent report of development at 4 and 12 months of age |
Outcome results
None listed