Document Detail

Infant communication and subsequent language development in children from low-income families: the role of early cognitive stimulation.
MedLine Citation:
PMID:  22947884     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To explore the relationship between early cognitive stimulation in the home, 6-month infant communication, and 24-month toddler language in a low-socioeconomic status sample.
METHODS: Longitudinal analyses of mother-child dyads participating in larger study of early child development were performed. Dyads enrolled postpartum in an urban public hospital. Cognitive stimulation in the home at 6 months was assessed using StimQ-lnfant, including provision of toys, shared reading, teaching, and verbal responsivity. Early infant communication was assessed at 6 months including the following: (1) Emotion and eye gaze (Communication and Symbolic Behavior Scale DP-CSBS DP), (2) Communicative bids (CSBS DP), and (3) Expression of emotion (Short Temperament Scale for Infants). Toddler language was assessed at 24 months using the Preschool Language Scale-4, including the following: (1) expressive language and (2) auditory comprehension.
RESULTS: Three hundred twenty families were assessed. In structural equation models, cognitive stimulation in the home was strongly associated with early infant communication (β = 0.63, p <.0001) and was predictive of 24-month language (β = 0.20, p <.05). The effect of early cognitive stimulation on 24-month language was mediated through early impacts on infant communication (Indirect β = 0.28, p =.001). Reading, teaching, availability of learning materials, and other reciprocal verbal interactions were all related directly to infant communication and indirectly to language outcomes.
CONCLUSIONS: The impact of early cognitive stimulation on toddler language is manifested through early associations with infant communication. Pediatric primary care providers should promote cognitive stimulation beginning in early infancy and support the expansion and dissemination of intervention programs such as Reach Out and Read and the Video Interaction Project.
Carolyn Brockmeyer Cates; Benard P Dreyer; Samantha B Berkule; Lisa J White; Jenny A Arevalo; Alan L Mendelsohn
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of developmental and behavioral pediatrics : JDBP     Volume:  33     ISSN:  1536-7312     ISO Abbreviation:  J Dev Behav Pediatr     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-09-05     Completed Date:  2013-02-14     Revised Date:  2013-09-03    
Medline Journal Info:
Nlm Unique ID:  8006933     Medline TA:  J Dev Behav Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  577-85     Citation Subset:  IM    
Department of Pediatrics, Division of Developmental-Behavioral Pediatrics, New York University School of Medicine and Bellevue Hospital Center, New York, NY 10016, USA.
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MeSH Terms
Child Rearing / psychology*
Child, Preschool
Language Development*
Longitudinal Studies
Mother-Child Relations
Neuropsychological Tests
Poverty / economics,  psychology*
Urban Population
Grant Support
R01 HD047740/HD/NICHD NIH HHS; R01HD047740 01- 06/HD/NICHD NIH HHS

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