Ignite Creation Date:
2024-05-06 @ 3:31 PM
Last Modification Date:
2024-10-26 @ 1:51 PM
Study NCT ID:
NCT04654533
Status:
UNKNOWN
Last Update Posted:
2022-01-28
First Post:
2020-11-26
Brief Title:
Promoting Sensitivity in Center-based Childcare
Sponsor:
University of Copenhagen
Organization:
University of Copenhagen
Study Overview
Official Title:
SEnsitive Care Understanding and REsponding - Promoting Sensitivity in Center-based Childcare of 0-2 Year Old Children the SECURE Project
Status:
UNKNOWN
Status Verified Date:
2022-01
Last Known Status:
RECRUITING
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
SECURE
Brief Summary:
The purpose of this study is to test the efficacy of an attachment research-informed intervention adapted to the Danish childcare context in terms of improving process quality in center-based childcare for 0-2 years old children Specifically the aim is to improve caregiver interactive skills and mind-mindedness The intervention is delivered in groups during eight weekly sessions and is based on the manualized Circle of Security Parenting model but adapted to the childcare context The Circle of Security Classroom model Intake is planned to be completed in January 2023 and 110 childcare providers are estimated to be enrolled in the trial
Detailed Description:
Background
It is well-established that childrens early attachment relationship experiences with their primary caregivers play an important role in psycho-social development However it has been shown that also the childs relationship with other important caregivers such as early professional caregivers in childcare is important for socioemotional and academic development In particular if a child grows up in an at-risk context the quality of early childcare is pivotal for long-term development
Children with an insecure attachment to their parents are at heightened risk for developing insecure attachments to professional caregivers However caregiver interactive skills are found to be associated with childrens attachment security to professional caregivers irrespective of the childs attachment relationship to the primary caregiver Therefore professional caregivers ability to establish optimal interactions with the children in their care provides an important target of intervention in terms of promoting healthy child development
In a randomized waitlist control trial this study aims to
1 investigate the efficacy of COS-C in enhancing caregivers interactive skills when interacting with groups of children in a natural busy real-life setting their mind-mindedness MM and their work-specific resources to cope with stress
2 investigate if changes in the caregivers mind-mindedness is related to changes in their interactive skills
3 explore if effects of the COS-C are moderated by personal and structural factors here operationalized as the caregivers own attachment style and staff stability
4 evaluate the implementation of the COS-C by examining childcare providers experience of the interventions acceptability and feasibility and we will examine the degree to acceptability and feasibility are related to the interventions effectiveness Investigating feasibility and acceptability of the COS-C intervention is essential in terms of evaluating the potential for up-scaling and further implementation of the intervention in Denmark
5 employing a qualitative approach we investigate a how the caregivers and their managers make sense of changes caused by the intervention and b how the caregivers experience the intervention in terms of its feasibility and acceptability when implemented in their daily practice
Methods
Childcare centers are recruited from a Danish municipality with a high proportion of at-risk families Teams of 2-5 caregivers working in Danish childcare centers with children aged 0-2 years are allocated to either COS-C eight weekly two-hour sessions or a waitlist A total of 110 caregivers are estimated to be enrolled and the intervention will be delivered in groups of 6-10 caregivers To facilitate implementation the managers of the participating childcare providers are invited to participate in the intervention
Effects of COS-C are measured using observations of video-recorded caregiver-child interaction coded for six key interactive skills Sensitive responsiveness Respect for autonomy structuring and limit setting Verbal communication Developmental stimulation and Fostering positive peer interactions and Mind-Mindedness representational and interactional Mind-Mindedness is measured via coding of transcribed interviews and video-recorded caregiver-child interactions Structural and caregiver attachment style are measured using observation and questionnaires answered by caregivers and managers Feasibility and acceptability of the intervention are evaluated using questionnaires and via qualitative interviews
Perspectives
The project will provide new knowledge on whether a relatively cost-effective intervention can improve the quality of care in Danish childcare centers for young children Also findings on how structural factors influence the quality of care will directly inform practice
It is well-established that childrens early attachment relationship experiences with their primary caregivers play an important role in psycho-social development However it has been shown that also the childs relationship with other important caregivers such as early professional caregivers in childcare is important for socioemotional and academic development In particular if a child grows up in an at-risk context the quality of early childcare is pivotal for long-term development
Children with an insecure attachment to their parents are at heightened risk for developing insecure attachments to professional caregivers However caregiver interactive skills are found to be associated with childrens attachment security to professional caregivers irrespective of the childs attachment relationship to the primary caregiver Therefore professional caregivers ability to establish optimal interactions with the children in their care provides an important target of intervention in terms of promoting healthy child development
In a randomized waitlist control trial this study aims to
1 investigate the efficacy of COS-C in enhancing caregivers interactive skills when interacting with groups of children in a natural busy real-life setting their mind-mindedness MM and their work-specific resources to cope with stress
2 investigate if changes in the caregivers mind-mindedness is related to changes in their interactive skills
3 explore if effects of the COS-C are moderated by personal and structural factors here operationalized as the caregivers own attachment style and staff stability
4 evaluate the implementation of the COS-C by examining childcare providers experience of the interventions acceptability and feasibility and we will examine the degree to acceptability and feasibility are related to the interventions effectiveness Investigating feasibility and acceptability of the COS-C intervention is essential in terms of evaluating the potential for up-scaling and further implementation of the intervention in Denmark
5 employing a qualitative approach we investigate a how the caregivers and their managers make sense of changes caused by the intervention and b how the caregivers experience the intervention in terms of its feasibility and acceptability when implemented in their daily practice
Methods
Childcare centers are recruited from a Danish municipality with a high proportion of at-risk families Teams of 2-5 caregivers working in Danish childcare centers with children aged 0-2 years are allocated to either COS-C eight weekly two-hour sessions or a waitlist A total of 110 caregivers are estimated to be enrolled and the intervention will be delivered in groups of 6-10 caregivers To facilitate implementation the managers of the participating childcare providers are invited to participate in the intervention
Effects of COS-C are measured using observations of video-recorded caregiver-child interaction coded for six key interactive skills Sensitive responsiveness Respect for autonomy structuring and limit setting Verbal communication Developmental stimulation and Fostering positive peer interactions and Mind-Mindedness representational and interactional Mind-Mindedness is measured via coding of transcribed interviews and video-recorded caregiver-child interactions Structural and caregiver attachment style are measured using observation and questionnaires answered by caregivers and managers Feasibility and acceptability of the intervention are evaluated using questionnaires and via qualitative interviews
Perspectives
The project will provide new knowledge on whether a relatively cost-effective intervention can improve the quality of care in Danish childcare centers for young children Also findings on how structural factors influence the quality of care will directly inform practice
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None