Journal article
Predictors of Poor School Readiness in Children Without Developmental Delay at Age 2
Pediatrics (Evanston), Vol.138(2), p.1
08/01/2016
DOI: 10.1542/peds.2015-4477
PMCID: PMC4960729
PMID: 27432845
Abstract
BACKGROUND AND OBJECTIVES: Current recommendations emphasize developmental screening and surveillance to identify developmental delays (DDs) for referral to early intervention (EI) services. Many young children without DDs, however, are at high risk for poor developmental and behavioral outcomes by school entry but are ineligible for EI. We developed models for 2-year-olds without DD that predict, at kindergarten entry, poor academic performance and high problem behaviors.
METHODS: Data from the Early Childhood Longitudinal Study, Birth Cohort (ECLS-B), were used for this study. The analytic sample excluded children likely eligible for EI because of DDs or very low birth weight. Dependent variables included low academic scores and high problem behaviors at the kindergarten wave. Regression models were developed by using candidate predictors feasibly obtainable during typical 2-year well-child visits. Models were cross-validated internally on randomly selected subsamples.
RESULTS: Approximately 24% of all 2-year-old children were ineligible for EI at 2 years of age but still had poor academic or behavioral outcomes at school entry. Prediction models each contain 9 variables, almost entirely parental, social, or economic. Four variables were associated with both academic and behavioral risk: parental education below bachelor's degree, little/no shared reading at home, food insecurity, and fair/poor parental health. Areas under the receiver-operating characteristic curve were 0.76 for academic risk and 0.71 for behavioral risk. Adding the mental scale score from the Bayley Short Form-Research Edition did not improve areas under the receiver-operating characteristic curve for either model.
CONCLUSIONS: Among children ineligible for EI services, a small set of clinically available variables at age 2 years predicted academic and behavioral outcomes at school entry.
Details
- Title: Subtitle
- Predictors of Poor School Readiness in Children Without Developmental Delay at Age 2
- Creators
- Bergen B. Nelson - Mattel Children's HospitalRebecca N. Dudovitz - Mattel Children's HospitalTumaini R. Coker - University of California, Los AngelesElizabeth S. Barnert - Mattel Children's HospitalChristopher Biely - Mattel Children's HospitalNing Li - University of California, Los AngelesPeter G. Szilagyi - Mattel Children's HospitalKandyce Larson - American Academy of PediatricsNeal Halfon - Mattel Children's HospitalFrederick J. Zimmerman - University of California, Los AngelesPaul J. Chung - University of California, Los Angeles
- Resource Type
- Journal article
- Publication Details
- Pediatrics (Evanston), Vol.138(2), p.1
- DOI
- 10.1542/peds.2015-4477
- PMID
- 27432845
- PMCID
- PMC4960729
- NLM abbreviation
- Pediatrics
- ISSN
- 0031-4005
- eISSN
- 1098-4275
- Publisher
- American Academy of Pediatrics
- Number of pages
- 12
- Grant note
- KL2TR000122 / NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS) National Institutes of Health (NIH); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA UL1TR000124; KL2TR000122 / National Institutes of Health/National Center for Advancing Translational Science, through the UCLA Clinical and Translational Sciences Institute K23-HD06267 / Eunice Kennedy Shriver National Institute of Child Health and Human Development; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
- Language
- English
- Date published
- 08/01/2016
- Academic Unit
- Public Policy Center (Archive)
- Record Identifier
- 9984283562402771
Metrics
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