Family-based training program improves brain function, cognition, and behavior in lower socioeconomic status preschoolers

Using information from research on the neuroplasticity of selective attention and on the central role of successful parenting in child development, we developed and rigorously assessed a family-based training program designed to improve brain systems for selective attention in preschool children. One hundred forty-one lower socioeconomic status preschoolers enrolled in a Head Start program were randomly assigned to the training program, Head Start alone, or an active control group. Electrophysiological measures of children’s brain functions supporting selective attention, standardized measures of cognition, and parent-reported child behaviors all favored children in the treatment program relative to both control groups. Positive changes were also observed in the parents themselves. Effect sizes ranged from one-quarter to half of a standard deviation. These results lend impetus to the further development and broader implementation of evidence-based education programs that target at-risk families.

[1]  M. Rothbart,et al.  Contributions of Attentional Control to Socioemotional and Academic Development , 2010 .

[2]  Michael Kalinowski,et al.  National Association for the Education of Young Children , 1991 .

[3]  Margaret Burchinal,et al.  Adult outcomes as a function of an early childhood educational program: an Abecedarian Project follow-up. , 2012, Developmental psychology.

[4]  G. Evans The environment of childhood poverty. , 2004, The American psychologist.

[5]  C. Ramey,et al.  Early Childhood Education: Young Adult Outcomes From the Abecedarian Project , 2002 .

[6]  Sheldon Cohen,et al.  How Low Socioeconomic Status Affects 2-Year Hormonal Trajectories in Children , 2010, Psychological science.

[7]  N. Adler,et al.  Biological sensitivity to context: the interactive effects of stress reactivity and family adversity on socioemotional behavior and school readiness. , 2010, Child development.

[8]  G. Duncan,et al.  School readiness and later achievement. , 2007, Developmental psychology.

[9]  S. Lipina,et al.  Performance on the A-not-B Task of Argentinean Infants from Unsatisfied and Satisfied Basic Needs Homes , 2005 .

[10]  J. Buckhalt Insufficient Sleep and the Socioeconomic Status Achievement Gap , 2011 .

[11]  Courtney Stevens,et al.  Differences in the neural mechanisms of selective attention in children from different socioeconomic backgrounds: an event-related brain potential study. , 2009, Developmental science.

[12]  G. Duncan,et al.  The effects of poverty on children. , 1997, The Future of children.

[13]  A. Diamond,et al.  Interventions Shown to Aid Executive Function Development in Children 4 to 12 Years Old , 2011, Science.

[14]  C. Tamis-LeMonda,et al.  Mother-child conversations at 36 months and at pre-kindergarten: Relations to children's school readiness , 2012 .

[15]  Martha J. Farah,et al.  Socioeconomic status and the brain: mechanistic insights from human and animal research , 2010, Nature Reviews Neuroscience.

[16]  Lisa D. Sanders,et al.  Neural mechanisms of selective auditory attention are enhanced by computerized training: Electrophysiological evidence from language-impaired and typically developing children , 2008, Brain Research.

[17]  J. Shonkoff Protecting Brains, Not Simply Stimulating Minds , 2011, Science.

[18]  V. Mcloyd,et al.  Socioeconomic disadvantage and child development. , 1998, The American psychologist.

[19]  A. Mackey,et al.  Differential effects of reasoning and speed training in children. , 2011, Developmental science.

[20]  R. Sternberg,et al.  Intelligence: Knowns and unknowns. , 1996 .

[21]  F. Seguin,et al.  Effects of stress throughout the lifespan on the brain, behaviour and cognition , 2009 .

[22]  J. Brooks-Gunn,et al.  Early warning signs of functional illiteracy: predictors in childhood and adolescence. , 1993, Child development.

[23]  M. Stoolmiller,et al.  Effects of a therapeutic intervention for foster preschoolers on diurnal cortisol activity , 2007, Psychoneuroendocrinology.

[24]  Brian B. Avants,et al.  Early parental care is important for hippocampal maturation: Evidence from brain morphology in humans , 2010, NeuroImage.

[25]  S. Hillyard,et al.  Improved auditory spatial tuning in blind humans , 1999, Nature.

[26]  Bruce D. McCandliss,et al.  Training, maturation, and genetic influences on the development of executive attention. , 2005, Proceedings of the National Academy of Sciences of the United States of America.

[27]  C. Liston,et al.  Psychosocial stress reversibly disrupts prefrontal processing and attentional control , 2009, Proceedings of the National Academy of Sciences.

[28]  J. Brooks-Gunn,et al.  The learning, physical, and emotional environment of the home in the context of poverty: The infant health and development program☆ , 1995 .

[29]  C. Peterson,et al.  The relationship of parenting stress and child temperament to language development among economically disadvantaged preschoolers* , 2008, Journal of Child Language.

[30]  D. Bavelier,et al.  The role of selective attention on academic foundations: A cognitive neuroscience perspective , 2012, Developmental Cognitive Neuroscience.

[31]  C. S. Green,et al.  Action video game modifies visual selective attention , 2003, Nature.

[32]  M. Stoolmiller,et al.  Description and Immediate Impacts of a Preventive Intervention for Conduct Problems , 1999, American journal of community psychology.

[33]  M. Gunnar,et al.  The neurobiology of stress and development. , 2007, Annual review of psychology.

[34]  J. Huttenlocher,et al.  Language input and child syntax , 2002, Cognitive Psychology.

[35]  K. Humphreys,et al.  Gains in fluid intelligence after training non-verbal reasoning in 4-year-old children: a controlled, randomized study. , 2011, Developmental science.

[36]  E. Hoff The specificity of environmental influence: socioeconomic status affects early vocabulary development via maternal speech. , 2003, Child development.

[37]  Daniel A. Hackman,et al.  Socioeconomic Status and the Developing Brain , 2022 .

[38]  Beth A. Harn,et al.  Examining the Role of Attention and Instruction in At-Risk Kindergarteners , 2013, Journal of learning disabilities.

[39]  R. Bradley,et al.  Socioeconomic status and child development. , 2002, Annual review of psychology.

[40]  B. Balas,et al.  Personal Familiarity Influences the Processing of Upright and Inverted Faces in Infants , 2009, Front. Hum. Neurosci..

[41]  C. Belfield,et al.  The High/Scope Perry Preschool Program , 2006, The Journal of Human Resources.

[42]  S. Bain,et al.  Predicting Early School Success with Developmental and Social Skills Screeners , 1997 .

[43]  K J Rothman,et al.  No Adjustments Are Needed for Multiple Comparisons , 1990, Epidemiology.

[44]  Anne Fernald,et al.  Does input influence uptake? Links between maternal talk, processing speed and vocabulary size in Spanish-learning children. , 2008, Developmental science.

[45]  Joann L. Robinson,et al.  Effects of Nurse Home-Visiting on Maternal Life Course and Child Development: Age 6 Follow-Up Results of a Randomized Trial , 2004, Pediatrics.

[46]  C. Belfield,et al.  Lifetime Effects: The High/Scope Perry Preschool Study Through Age 40 , 2005 .

[47]  S. Suter Meaningful differences in the everyday experience of young American children , 2005, European Journal of Pediatrics.

[48]  Kaspar Burger How does early childhood care and education affect cognitive development? An international review of the effects of early interventions for children from different social backgrounds , 2010 .

[49]  Michael Willoughby,et al.  Salivary cortisol mediates effects of poverty and parenting on executive functions in early childhood. , 2011, Child development.

[50]  H. Neville,et al.  Attention to central and peripheral visual space in a movement detection task. III. Separate effects of auditory deprivation and acquisition of a visual language , 1987, Brain Research.

[51]  C. Blair,et al.  Relating effortful control, executive function, and false belief understanding to emerging math and literacy ability in kindergarten. , 2007, Child development.

[52]  D. O'Neill,et al.  Preschool Children’s Narratives and Performance on the Peabody Individualized Achievement Test – Revised: Evidence of a Relation between Early Narrative and Later Mathematical Ability , 2004 .

[53]  Susanne M. Jaeggi,et al.  Short- and long-term benefits of cognitive training , 2011, Proceedings of the National Academy of Sciences.

[54]  B. Hart,et al.  Prediction of school outcomes based on early language production and socioeconomic factors. , 1994, Child development.

[55]  M. Farah,et al.  Neurocognitive correlates of socioeconomic status in kindergarten children. , 2005, Developmental science.

[56]  C. Hertzman,et al.  Children's event-related potentials of auditory selective attention vary with their socioeconomic status. , 2008, Neuropsychology.

[57]  Rebecca J. Panagos Meaningful Differences in the Everyday Experience of Young American Children , 1998 .

[58]  B. McEwen,et al.  Child’s stress hormone levels correlate with mother’s socioeconomic status and depressive state , 2000, Biological Psychiatry.

[59]  E. Mezzacappa Alerting, orienting, and executive attention: developmental properties and sociodemographic correlates in an epidemiological sample of young, urban children. , 2004, Child development.

[60]  Rajeev D. S. Raizada,et al.  Effects of Socioeconomic Status on Brain Development, and How Cognitive Neuroscience May Contribute to Levelling the Playing Field , 2009, Front. Hum. Neurosci..

[61]  R. Feise Do multiple outcome measures require p-value adjustment? , 2002, BMC medical research methodology.

[62]  Helen J. Neville,et al.  Selective auditory attention in 3- to 5-year-old children: An event-related potential study , 2006, Neuropsychologia.