Literacy, Parent-Child Relations, Parenting
Conditions
Brief summary
The purpose of this study is to incorporate behavioral economics (BE) approaches to determine whether 3 novel interventions of varying intensity improve the frequency of parent-child reading behaviors among low-income families. In the first phase, 10 parents will be recruited to participate in rapid cycle interviews to determine the appropriateness of text messages. In the second phase, 45 participants will be randomized to comparative groups to test the effects of automated hovering and other BE approaches on frequency of parent-child shared reading. Investigators long-term goal is to test the effects of these approaches to promote child language and socio-emotional development.
Detailed description
Early childhood is a sensitive period in which young children develop language and socio-emotional skills foundational for school readiness. Unfortunately, poor vulnerable children experience disparities in these critical areas of development. Parent-child shared reading can help ameliorate these disparities, yet low-income parents do not consistently engage in this activity. Behavioral economics approaches utilizing automated hovering (AH) have the potential to increase parent-child shared reading through text messages and financial inducements. The study design is a two-phase study consisting of a qualitative component followed by a prospective, randomized comparative group trial to test the effects of AH approaches to increase parent-child shared reading. A total of 55 eligible children and their parents will be recruited from participating practices to achieve a diverse sample of children. In the first phase, 10 parents will be recruited to participate in brief rapid cycle interviews to assess the appropriateness of text message reminders. In the second phase, forty-five participants will be randomized 1:1:1 to receive one of the 3 AH interventions: 1) daily text message reminders (texting), 2) daily text message reminders with social comparisons (regret) or 3) daily text message reminders with social comparisons and weekly lottery entries (lottery). All interventions are related to principles of behavioral economics in order to provide external motivation. There will be 15 participants per group to adequately assess feasibility and acceptability, the primary outcome. Descriptive statistics for demographic, home reading environment, and parenting stress measured at baseline will be examined across the three groups to assess the success of the randomization. To assess feasibility and acceptability, Investigators will assess the proportion of participants who receive and report a daily reading behavior each week across all groups, the proportion of participants who access coaching content in group 2 & 3, and the proportion of participants who participate in the weekly lottery in group 3, and satisfaction scores in all groups. Secondary outcomes including differences between groups in weekly reading frequency, home reading environment, and child socio-emotional scores between groups will be assessed using standard inferential statistics and intention-to-treat analysis. The results of this study may assist health care providers and researchers in testing the feasibility of AH approaches to improve parent-child shared reading and prepare for a larger efficacy trial.
Interventions
Text Messages will be sent to participants using Penn's Way to Health Platform. Participants will be asked to reply to daily text messages on daily shared reading activities including the titles of books and time spent reading.
Personalized coaching content will be made available to participants through links in the text messages and will provide comparisons of their reading frequency with that of other participants.
Participants who reply to a text message that they read on a particular day will be entered into daily and weekly drawings to receive cash payments.
Sponsors
Study design
Masking description
Participants will not be blinded to their treatment assignment. However, research staff will be blinded to treatment assignment when collecting study data.
Intervention model description
The intervention consists of 3 intervention groups. Participants will be stratified by site and randomized 1:1:1 to receive one of the 3 AH interventions for an 8-week duration.
Eligibility
Inclusion criteria
* Parents who: * Have an infant aged 6-24 months * Have access to a smart phone with text messaging capabilities * Have completed an informed consent * Children who: * Are aged 6-24 months old
Exclusion criteria
* Parents who: \- Non-English speaking * Children who: * Were born premature (estimated gestational age \< 35 weeks) * Have been diagnosed with congenital malformations or genetic syndromes which place them at risk for developmental delays
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acceptability Survey | 2 months | To determine acceptability, participants will be assessed on their overall satisfaction (5-point Likert scale 1=strong disagree, 2=disagree, 3=not sure, 4=agree and 5= strongly agree) with the study delivery intervention and answered survey questions regarding likes and dislikes concerning the intervention group they received following the intervention period. |
| Feasibility of Study | 2 months | Percentage of study participants who completed the 2-month follow-up |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Weekly Parent-Child Shared Reading Frequency | 2 months | Investigators will measure reading frequency as the average number of days per week of reported parent-child shared reading. This is a measure of parent's self-reported reading frequency using question 2 from Cognitive Stimulation Provided in the Home Measure Reading Subscales, Parents are asked How many days each week do you read children's books to your child?. Scores will be collected at baseline and at the 2-month follow-up. Change in reading frequency will be computed by subtracting the days reading at baseline from the days reading at follow-up. |
| Change in Score of Cognitive Stimulation Provided in the Home Measure - (StimQ-Read) | 2 months | To determine change in home reading environment, Investigators will examine differences in the Read subscale of the measure of Cognitive Stimulation provided in the home (StimQ) from baseline to 2 months. The Read subscale of the StimQ is a validated 14-item parent self-report questionnaire designed to measure of the home reading environment for children ages 5 to 72 months of age with a maximum score of 18 and a minimum score of 0. The higher score indicates a better home reading environment. The change in score from baseline to follow-up (2-months) will be used. |
| Measure of Child Language Development Using MacArthur Communicative Development Inventory (CDI) - Percentiles | 2 months | Investigators measured child language development at 2 months using the MacArthur Communicative Development Inventory (CDI), a validated parent report scale of early child language development for children 8-30 months of age. Parents are asked to indicate the words their child understands but does not yet say in the first column (understands). For words that their child understands, Parents are asked to indicate which words their child says in the second column (understand and says). The raw total scores are inputted into a norming table for the CDI where a production (understand and says) and comprehension (understands) scores are generated based on the child's age and gender. Total scores can range from (0-178) with higher scores on the norming chart correlating to a higher percentile in comprehension or production. Total score is calculated by using summed scores where: blank = 0, understands = 1 and understands and speaks=2. Total scores were converted to percentile scores. |
| Measure of Child Socio-Emotional Development Using Devereux Early Childhood Assessment (DECA) | 2 months | Investigators will measure child socio-emotional development at 2 months using the Devereax Early Childhood Assessment (DECA), a validated 33-item parent report of social emotional problems for children 9-36 months of age. All 33 items are used to calculate the raw total protective factor (TPF). 18/33 items are used to calculate raw Initiative sub scale (infant's ability to use independent thought and action to meet his/her needs). 15/33 items are used to calculate raw Attachment/Relationships sub scale (mutual, strong, long-lasting relationship between the infant and significant adults such as family members, and teachers). Higher scores indicate greater social emotional development. For all 33 items parents can report (Never 0, Rarely 1, Occasionally 2, Frequently 3, Very Frequently 4). Raw total scores can range from 0-132, with higher scores indicating a better outcome. |
| Change in Score for The Parenting Stress Index - Short Form (PSI-SF) | 2 months | To determine change in parenting stress, Investigators will examine differences in the Parenting Stress Index- Short Form (PSI-SF) from baseline to follow-up (2 months). The PSI-SF is a validated 36-item scale that measures parenting stress, and it has been shown to have excellent internal consistency and to be positively associated with maternal psychological distress. The scores can range from 36 to 180 with an higher scores overall indicating higher levels of parenting stress. The change in score from baseline to follow-up (2-months) will be used. |
Countries
United States
Participant flow
Recruitment details
Study participants in phase 1were parents only and were enrolled between November 17, 2020-June 30,2022 at the two participating practices. Study participants in phase 2 were parent-child dyads and were enrolled from July 20, 2021-October 28, 2021 at the two participating practices.
Pre-assignment details
10 mothers of eligible children were enrolled in phase 1 and completed brief rapid cycle interviews. Demographic characteristics of these 10 participants were not collected.
Participants by arm
| Arm | Count |
|---|---|
| Phase 2 Texting Arm: Text Messaging Consist of daily text messages on shared reading
Text Messaging: Text Messages will be sent to participants using Penn's Way to Health Platform. Participants will be asked to reply to daily text messages on daily shared reading activities including the titles of books and time spent reading. | 15 |
| Phase 2 Regret Arm: Text Messaging + Coaching Will consist of Group 1 plus personalized coaching.
Text Messaging: Text Messages will be sent to participants using Penn's Way to Health Platform. Participants will be asked to reply to daily text messages on daily shared reading activities including the titles of books and time spent reading.
Coaching: Personalized coaching content will be made available to participants through links in the text messages and will provide comparisons of their reading frequency with that of other participants. | 15 |
| Phase 2 Lottery Arm: Text Messaging + Coaching + Lottery Will consist of Group 2 plus availability of a weekly lottery.
Text Messaging: Text Messages will be sent to participants using Penn's Way to Health Platform. Participants will be asked to reply to daily text messages on daily shared reading activities including the titles of books and time spent reading.
Coaching: Personalized coaching content will be made available to participants through links in the text messages and will provide comparisons of their reading frequency with that of other participants.
Lottery: Participants who reply to a text message that they read on a particular day will be entered into daily and weekly drawings to receive cash payments. | 15 |
| Total | 45 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 |
|---|---|---|---|---|---|
| Randomized Controlled Trial (Phase 2) | Lost to Follow-up | 0 | 1 | 3 | 1 |
Baseline characteristics
| Characteristic | Phase 2 Texting Arm: Text Messaging | Phase 2 Lottery Arm: Text Messaging + Coaching + Lottery | Phase 2 Regret Arm: Text Messaging + Coaching | Total |
|---|---|---|---|---|
| Age, Continuous | 29.5 Years STANDARD_DEVIATION 6.7 | 28.2 Years STANDARD_DEVIATION 3.9 | 11.9 Months STANDARD_DEVIATION 3.3 | 11.8 Months STANDARD_DEVIATION 4 |
| Children per caregiver | 2.3 avg. number children per caregiver STANDARD_DEVIATION 1.8 | 2.2 avg. number children per caregiver STANDARD_DEVIATION 1.1 | 1.8 avg. number children per caregiver STANDARD_DEVIATION 1.2 | 2.1 avg. number children per caregiver STANDARD_DEVIATION 1.4 |
| Education Grades 9-11 | 0 Participants | 1 Participants | 2 Participants | 3 Participants |
| Education High School/GED | 6 Participants | 10 Participants | 5 Participants | 21 Participants |
| Education Post-college | 0 Participants | 1 Participants | 1 Participants | 2 Participants |
| Education Some college/ college graduate | 9 Participants | 3 Participants | 5 Participants | 17 Participants |
| Ethnicity (NIH/OMB) Ethnicity of Caregiver Enrolled Hispanic or Latino | 1 Participants | 1 Participants | 0 Participants | 2 Participants |
| Ethnicity (NIH/OMB) Ethnicity of Caregiver Enrolled Not Hispanic or Latino | 14 Participants | 14 Participants | 13 Participants | 41 Participants |
| Ethnicity (NIH/OMB) Ethnicity of Caregiver Enrolled Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Ethnicity of Children Enrolled Hispanic or Latino | 1 Participants | 1 Participants | 0 Participants | 2 Participants |
| Ethnicity (NIH/OMB) Ethnicity of Children Enrolled Not Hispanic or Latino | 14 Participants | 14 Participants | 13 Participants | 41 Participants |
| Ethnicity (NIH/OMB) Ethnicity of Children Enrolled Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Income <$25,000 | 4 Participants | 8 Participants | 7 Participants | 19 Participants |
| Income $25,000 - $54,999 | 7 Participants | 3 Participants | 3 Participants | 13 Participants |
| Income >$55,000 | 2 Participants | 1 Participants | 2 Participants | 5 Participants |
| Marital Status Married/Living together | 6 Participants | 4 Participants | 5 Participants | 15 Participants |
| Marital Status Single, never married | 9 Participants | 11 Participants | 8 Participants | 28 Participants |
| Measure of Cognitive Stimulation Provided in the Home (Reading Subscale) | 12.9 units on a scale STANDARD_DEVIATION 3.2 | 15 units on a scale STANDARD_DEVIATION 3.6 | 12.8 units on a scale STANDARD_DEVIATION 4.5 | 13.6 units on a scale STANDARD_DEVIATION 3.8 |
| Parenting Stress Index-Short Form (PSI-SF) | 56.3 units on a scale STANDARD_DEVIATION 18.6 | 53.6 units on a scale STANDARD_DEVIATION 13.3 | 62.6 units on a scale STANDARD_DEVIATION 22.5 | 57.5 units on a scale STANDARD_DEVIATION 18.5 |
| Race (NIH/OMB) Caregiver American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Caregiver Asian | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Caregiver Black or African American | 13 Participants | 14 Participants | 8 Participants | 35 Participants |
| Race (NIH/OMB) Caregiver More than one race | 1 Participants | 1 Participants | 5 Participants | 7 Participants |
| Race (NIH/OMB) Caregiver Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Caregiver Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Caregiver White | 1 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) Child American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Child Asian | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Child Black or African American | 14 Participants | 13 Participants | 8 Participants | 35 Participants |
| Race (NIH/OMB) Child More than one race | 0 Participants | 0 Participants | 5 Participants | 5 Participants |
| Race (NIH/OMB) Child Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Child Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Child White | 1 Participants | 2 Participants | 0 Participants | 3 Participants |
| Recruitment Site Cobbs Creek | 3 Participants | 1 Participants | 2 Participants | 6 Participants |
| Recruitment Site Karabots | 12 Participants | 14 Participants | 13 Participants | 39 Participants |
| Sex: Female, Male Sex of caregiver enrolled Female | 14 Participants | 15 Participants | 13 Participants | 42 Participants |
| Sex: Female, Male Sex of caregiver enrolled Male | 1 Participants | 0 Participants | 2 Participants | 3 Participants |
| Sex: Female, Male Sex of child enrolled Female | 8 Participants | 4 Participants | 8 Participants | 20 Participants |
| Sex: Female, Male Sex of child enrolled Male | 7 Participants | 11 Participants | 7 Participants | 25 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 10 | 0 / 15 | 0 / 15 | 0 / 15 |
| other Total, other adverse events | 0 / 10 | 0 / 15 | 0 / 15 | 0 / 15 |
| serious Total, serious adverse events | 0 / 10 | 0 / 15 | 0 / 15 | 0 / 15 |
Outcome results
Acceptability Survey
To determine acceptability, participants will be assessed on their overall satisfaction (5-point Likert scale 1=strong disagree, 2=disagree, 3=not sure, 4=agree and 5= strongly agree) with the study delivery intervention and answered survey questions regarding likes and dislikes concerning the intervention group they received following the intervention period.
Time frame: 2 months
Population: A total of 42 participant completed the measure. 3 participants were lost to follow-up
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Phase 2 Texting Arm: Text Messaging | Acceptability Survey | 4 score on a scale | Standard Deviation 1.1 |
| Phase 2 Regret Arm: Text Messaging + Coaching | Acceptability Survey | 3.3 score on a scale | Standard Deviation 1.3 |
| Phase 2 Lottery Arm: Text Messaging + Coaching + Lottery | Acceptability Survey | 3.8 score on a scale | Standard Deviation 1.2 |
Feasibility of Study
Percentage of study participants who completed the 2-month follow-up
Time frame: 2 months
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Phase 2 Texting Arm: Text Messaging | Feasibility of Study | 14 Participants |
| Phase 2 Regret Arm: Text Messaging + Coaching | Feasibility of Study | 13 Participants |
| Phase 2 Lottery Arm: Text Messaging + Coaching + Lottery | Feasibility of Study | 15 Participants |
| Phase 1 | Feasibility of Study | 10 Participants |
Change in Score for The Parenting Stress Index - Short Form (PSI-SF)
To determine change in parenting stress, Investigators will examine differences in the Parenting Stress Index- Short Form (PSI-SF) from baseline to follow-up (2 months). The PSI-SF is a validated 36-item scale that measures parenting stress, and it has been shown to have excellent internal consistency and to be positively associated with maternal psychological distress. The scores can range from 36 to 180 with an higher scores overall indicating higher levels of parenting stress. The change in score from baseline to follow-up (2-months) will be used.
Time frame: 2 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Phase 2 Texting Arm: Text Messaging | Change in Score for The Parenting Stress Index - Short Form (PSI-SF) | 2.2 score on a scale | Standard Deviation 18.2 |
| Phase 2 Regret Arm: Text Messaging + Coaching | Change in Score for The Parenting Stress Index - Short Form (PSI-SF) | 5.3 score on a scale | Standard Deviation 16.4 |
| Phase 2 Lottery Arm: Text Messaging + Coaching + Lottery | Change in Score for The Parenting Stress Index - Short Form (PSI-SF) | 9 score on a scale | Standard Deviation 34.5 |
Change in Score of Cognitive Stimulation Provided in the Home Measure - (StimQ-Read)
To determine change in home reading environment, Investigators will examine differences in the Read subscale of the measure of Cognitive Stimulation provided in the home (StimQ) from baseline to 2 months. The Read subscale of the StimQ is a validated 14-item parent self-report questionnaire designed to measure of the home reading environment for children ages 5 to 72 months of age with a maximum score of 18 and a minimum score of 0. The higher score indicates a better home reading environment. The change in score from baseline to follow-up (2-months) will be used.
Time frame: 2 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Phase 2 Texting Arm: Text Messaging | Change in Score of Cognitive Stimulation Provided in the Home Measure - (StimQ-Read) | 1.8 score on a scale | Standard Deviation 2.8 |
| Phase 2 Regret Arm: Text Messaging + Coaching | Change in Score of Cognitive Stimulation Provided in the Home Measure - (StimQ-Read) | 3.2 score on a scale | Standard Deviation 4 |
| Phase 2 Lottery Arm: Text Messaging + Coaching + Lottery | Change in Score of Cognitive Stimulation Provided in the Home Measure - (StimQ-Read) | 1.3 score on a scale | Standard Deviation 2.7 |
Change in Weekly Parent-Child Shared Reading Frequency
Investigators will measure reading frequency as the average number of days per week of reported parent-child shared reading. This is a measure of parent's self-reported reading frequency using question 2 from Cognitive Stimulation Provided in the Home Measure Reading Subscales, Parents are asked How many days each week do you read children's books to your child?. Scores will be collected at baseline and at the 2-month follow-up. Change in reading frequency will be computed by subtracting the days reading at baseline from the days reading at follow-up.
Time frame: 2 months
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 2 Texting Arm: Text Messaging | Change in Weekly Parent-Child Shared Reading Frequency | Days per week reading at 2-month follow-up | 3.9 days per week reading | Standard Deviation 2 |
| Phase 2 Texting Arm: Text Messaging | Change in Weekly Parent-Child Shared Reading Frequency | Days per week reading at baseline | 4.1 days per week reading | Standard Deviation 1.8 |
| Phase 2 Texting Arm: Text Messaging | Change in Weekly Parent-Child Shared Reading Frequency | Change in reading frequency (days per week | -0.3 days per week reading | Standard Deviation 2.2 |
| Phase 2 Regret Arm: Text Messaging + Coaching | Change in Weekly Parent-Child Shared Reading Frequency | Days per week reading at 2-month follow-up | 4.2 days per week reading | Standard Deviation 1.7 |
| Phase 2 Regret Arm: Text Messaging + Coaching | Change in Weekly Parent-Child Shared Reading Frequency | Days per week reading at baseline | 4.0 days per week reading | Standard Deviation 1.8 |
| Phase 2 Regret Arm: Text Messaging + Coaching | Change in Weekly Parent-Child Shared Reading Frequency | Change in reading frequency (days per week | 0.2 days per week reading | Standard Deviation 2.6 |
| Phase 2 Lottery Arm: Text Messaging + Coaching + Lottery | Change in Weekly Parent-Child Shared Reading Frequency | Days per week reading at baseline | 4.8 days per week reading | Standard Deviation 1.5 |
| Phase 2 Lottery Arm: Text Messaging + Coaching + Lottery | Change in Weekly Parent-Child Shared Reading Frequency | Change in reading frequency (days per week | 0.1 days per week reading | Standard Deviation 1.7 |
| Phase 2 Lottery Arm: Text Messaging + Coaching + Lottery | Change in Weekly Parent-Child Shared Reading Frequency | Days per week reading at 2-month follow-up | 4.9 days per week reading | Standard Deviation 1.5 |
Measure of Child Language Development Using MacArthur Communicative Development Inventory (CDI) - Percentiles
Investigators measured child language development at 2 months using the MacArthur Communicative Development Inventory (CDI), a validated parent report scale of early child language development for children 8-30 months of age. Parents are asked to indicate the words their child understands but does not yet say in the first column (understands). For words that their child understands, Parents are asked to indicate which words their child says in the second column (understand and says). The raw total scores are inputted into a norming table for the CDI where a production (understand and says) and comprehension (understands) scores are generated based on the child's age and gender. Total scores can range from (0-178) with higher scores on the norming chart correlating to a higher percentile in comprehension or production. Total score is calculated by using summed scores where: blank = 0, understands = 1 and understands and speaks=2. Total scores were converted to percentile scores.
Time frame: 2 months
Population: A total of 7 participants were unable to be used in CDI calculations. 3 participants were lost to follow-up and an additional 4 participant scores were dropped due to aging out of measure's age range (\>18 mo at time survey was completed).
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Phase 2 Texting Arm: Text Messaging | Measure of Child Language Development Using MacArthur Communicative Development Inventory (CDI) - Percentiles | 84.6 Score Percentiles (%) | Standard Deviation 29.7 |
| Phase 2 Regret Arm: Text Messaging + Coaching | Measure of Child Language Development Using MacArthur Communicative Development Inventory (CDI) - Percentiles | 78.5 Score Percentiles (%) | Standard Deviation 33.2 |
| Phase 2 Lottery Arm: Text Messaging + Coaching + Lottery | Measure of Child Language Development Using MacArthur Communicative Development Inventory (CDI) - Percentiles | 63.1 Score Percentiles (%) | Standard Deviation 42.6 |
Measure of Child Socio-Emotional Development Using Devereux Early Childhood Assessment (DECA)
Investigators will measure child socio-emotional development at 2 months using the Devereax Early Childhood Assessment (DECA), a validated 33-item parent report of social emotional problems for children 9-36 months of age. All 33 items are used to calculate the raw total protective factor (TPF). 18/33 items are used to calculate raw Initiative sub scale (infant's ability to use independent thought and action to meet his/her needs). 15/33 items are used to calculate raw Attachment/Relationships sub scale (mutual, strong, long-lasting relationship between the infant and significant adults such as family members, and teachers). Higher scores indicate greater social emotional development. For all 33 items parents can report (Never 0, Rarely 1, Occasionally 2, Frequently 3, Very Frequently 4). Raw total scores can range from 0-132, with higher scores indicating a better outcome.
Time frame: 2 months
Population: A total of 7 participants did not complete DECA. 3 participants were lost to follow-up and 4 participant scores were dropped (\>18 mo at time of measure completion).
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 2 Texting Arm: Text Messaging | Measure of Child Socio-Emotional Development Using Devereux Early Childhood Assessment (DECA) | Initiative Score | 77.6 score on a scale | Standard Deviation 18.7 |
| Phase 2 Texting Arm: Text Messaging | Measure of Child Socio-Emotional Development Using Devereux Early Childhood Assessment (DECA) | Attachment/Relationship Score | 79.4 score on a scale | Standard Deviation 19.4 |
| Phase 2 Regret Arm: Text Messaging + Coaching | Measure of Child Socio-Emotional Development Using Devereux Early Childhood Assessment (DECA) | Initiative Score | 64.3 score on a scale | Standard Deviation 27.3 |
| Phase 2 Regret Arm: Text Messaging + Coaching | Measure of Child Socio-Emotional Development Using Devereux Early Childhood Assessment (DECA) | Attachment/Relationship Score | 66.6 score on a scale | Standard Deviation 31.2 |
| Phase 2 Lottery Arm: Text Messaging + Coaching + Lottery | Measure of Child Socio-Emotional Development Using Devereux Early Childhood Assessment (DECA) | Initiative Score | 72.1 score on a scale | Standard Deviation 28.6 |
| Phase 2 Lottery Arm: Text Messaging + Coaching + Lottery | Measure of Child Socio-Emotional Development Using Devereux Early Childhood Assessment (DECA) | Attachment/Relationship Score | 75.6 score on a scale | Standard Deviation 27.8 |