Cultural Pride Reinforcement for Childhood Behavior

(CPR4ESR Trial)

Overseen By Michele D Kipke, PhD

Age: Any Age

Sex: Any

Trial Phase: Academic

Sponsor: Children's Hospital Los Angeles

Disqualifiers: Severe cognitive impairment, CHLA employee, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 15

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores a new approach to help young African American children by boosting cultural pride, which may improve their behavior and school readiness. The treatment, called Cultural Pride Reinforcement for Early School Readiness, involves sharing culturally themed books and advice with caregivers during health visits to enhance literacy and behavioral health. Participants will receive either this new cultural pride intervention or the standard book-sharing guidance. Ideal participants are caregivers of African American children aged 2-4 who speak English and live near Los Angeles. As an unphased trial, this study offers caregivers a unique opportunity to contribute to innovative research that could positively impact their children's development.

Will I have to stop taking my current medications?

The trial information does not specify whether participants need to stop taking their current medications.

What prior data suggests that this intervention is safe for young African American children?

Research shows that programs like the Cultural Pride Reinforcement for Early School Readiness (CPR4ESR) are likely safe for young African American children. Although specific safety data for CPR4ESR is not available, similar programs have been well-received. Studies indicate that encouraging cultural pride helps children develop a healthy sense of racial identity and emotional well-being. Additionally, reviews of literacy programs, which are part of CPR4ESR, suggest they support children's development without causing harm. Programs that boost cultural pride have also been linked to reduced anxiety in children, indicating a positive effect on their emotional health. Overall, these findings suggest that CPR4ESR is likely safe and well-tolerated for young children. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the Cultural Pride Reinforcement for Early School Readiness (CPR4ESR) intervention because it emphasizes cultural pride, which is not a focus in traditional early childhood behavior strategies. Unlike standard interventions, such as the typical Reach Out and Read programs, CPR4ESR actively engages caregiver-child pairs in activities that enhance cultural identity and pride as part of school readiness. This unique approach could foster a more inclusive sense of self and community connection in children, potentially leading to improved behavioral and educational outcomes.

What evidence suggests that the Cultural Pride Reinforcement for Early School Readiness intervention could be effective for improving behavioral health and literacy in young African American children?

Research shows that boosting cultural pride positively affects children's behavior and mental health. Studies have found that children who hear messages about cultural pride often feel less anxious. In this trial, participants in the Experimental Group will receive the Cultural Pride Reinforcement for Early School Readiness (CPR4ESR) intervention. This method builds on the successful Reach Out and Read program by adding a focus on cultural pride. It aims to increase cultural pride and encourage caregivers to share books with their children. As a result, it is expected to improve children's behavior and reading skills. By fostering cultural pride, children may gain more self-confidence and understanding, which can enhance their learning and overall health. Meanwhile, the Treatment-As-Usual Control Group will receive the standard Reach Out and Read intervention without additional emphasis on cultural pride. ^{1 3 6 7 8}

Who Is on the Research Team?

Ashaunta T Anderson, MD, MPH, MSHS

Principal Investigator

Children's Hospital Los Angeles

Are You a Good Fit for This Trial?

This trial is for legal guardians of African American children aged 2-4 years who speak English. It aims to help these young kids by reinforcing cultural pride and improving behavioral health, potentially reducing the negative impacts of racism on their early development.

Inclusion Criteria

I am the legal guardian of a 2-4 year old African American child.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2 weeks

1 visit (in-person)

Phase 1: Feasibility and Acceptability Evaluation

Evaluation of the feasibility and acceptability of CPR4ESR implementation from the perspectives of caregivers and providers

3 months

Interviews conducted post well child visits

Phase 2: Pilot Randomized Controlled Trial

Pilot RCT of CPR4ESR+ROR versus ROR alone to assess impact on parenting behaviors, child behavioral health, and literacy

15 months

5 intervention visits at 0, 3, 6, 9, and 12 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

3 months

Assessments at 9 and 15 months post-enrollment

What Are the Treatments Tested in This Trial?

Interventions

• Cultural Pride Reinforcement for Early School Readiness
• Reach Out and Read

Trial Overview The study tests a program called Cultural Pride Reinforcement for Early School Readiness (CPR4ESR), which provides culturally themed books and advice during health visits. It's compared with Reach Out and Read, an established program promoting literacy through book-sharing.

How Is the Trial Designed?

Group I: Experimental Group Experimental Treatment 2 Interventions

Caregiver-child dyads that receive the Cultural Pride Reinforcement for Early School Readiness (CPR4ESR) intervention

Group II: Treatment-As-Usual Control Group Active Control 1 Intervention

Caregiver-child dyads that receive standard Reach Out and Read intervention without additional emphasis on cultural pride

Who Is Running the Clinical Trial?

Children's Hospital Los Angeles

Lead Sponsor

Trials

257

Recruited

5,075,000+

National Institute on Minority Health and Health Disparities (NIMHD)

Collaborator

Trials

473

Recruited

1,374,000+

Published Research Related to This Trial

The Little Holy One intervention was successfully adapted for Head Start teachers on the Fort Peck Native American Reservation to address their high stress levels and support needs, using a participatory approach that involved community input from 27 teachers and parents.

This adaptation process, guided by the ADAPT-ITT methodology, emphasizes the importance of cultural relevance in mental health interventions, potentially improving psychological health outcomes for Native Americans who may not typically access traditional psychological services.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The Pre-implementation Process of Adapting a Culturally Informed Stress Reduction Intervention for Native American Head Start Teachers. Wilson, DH., Nelson, KE., Gresh, A., et al.[2023]

Citations

1. ctv.veeva.com ctv.veeva.com/study/cultural-pride-reinforcement-for-early-school-readiness-study

Cultural Pride Reinforcement for Early School Readiness Study This will test the working hypotheses that: 1) children who receive CPR4ESR will exhibit better behavioral health and literacy than those who do not, and 2) the ...

2. withpower.com withpower.com/trial/phase-mental-disorders-7-2024-bd3f7

Cultural Pride Reinforcement for Childhood Behavior (CPR4ESR ... The project will test a cultural pride intervention (Cultural Pride Reinforcement for Early School Readiness (CPR4ESR)) in young African American children.

3. sciencedirect.com sciencedirect.com/science/article/abs/pii/S1876285914003969

Minority Parents' Perspectives on Racial Socialization and ... This is the first study to describe minority parents' perspectives regarding the influence of racial socialization on the school readiness of young children.

4. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC2749692/

Cultural Pride Reinforcement as a Dimension of Racial ... Results indicated stronger parental endorsement of cultural pride reinforcement messages predicted less child anxiety.

5. kidsfirstservices.com kidsfirstservices.com/first-insights/the-role-of-cultural-awareness-in-early-childhood-education

The Role of Cultural Awareness in Early Childhood ... Cultural awareness is vital in early childhood education as it nurtures empathy, cultural understanding, and self-confidence among children.

6. academicpedsjnl.net academicpedsjnl.net/article/S1876-2859(23)00365-0/fulltext

Building Collective Resilience Against Racism From Early ... Pediatricians can support positive racial identity and cultural pride in 3 key ways: 1) acting as direct agents of healthy racial socialization, 2) supporting ...

7. publications.aap.org publications.aap.org/pediatrics/article/154/6/e2024069091/199468/Literacy-Promotion-An-Essential-Component-of

Literacy Promotion: An Essential Component of Primary ... This technical report reviews the evidence that reading with young children supports language, cognitive, and social-emotional development.

8. nature.com nature.com/articles/s41390-020-01345-x

Combating racism: the role of the pediatrician ... cultural pride reinforcement messages was predictive of significantly lower anxiety scores in African American children. We can also work ...