School Readiness Coaching in the Pediatric Clinic: Latinx Parent Perspectives

Jaime W. Peterson, Nicole Almanzar, Lisa J. Chamberlain, Lynne Huffman, Taylor Butze, Paloma Marin-Nevarez, Janine S. Bruce

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Children who enter school developmentally ready for kindergarten are more likely to succeed academically, be healthy and lead productive lives. However, low-income and minority children often enter kindergarten behind their more affluent peers. Pediatric clinics, as trusted family partners, are well positioned to provide school readiness (SR) support. Objective: To explore Latinx parent perceptions of a clinic-based SR coaching intervention using qualitative methods. Intervention was a 1-hour visit with an SR coach (bilingual community health worker trained to assess child SR, role model SR skills and provide educational tools and community resources). Methods: Qualitative theme analysis of Latinx parent semistructured interviews completed 6 to 9 months after SR coaching intervention (June 2016–February 2017). Parent-child pairs received the SR coaching intervention (N = 74), postintervention interviews (N = 50) were completed, audio recorded, and transcribed. Iterative team-based coding and inductive thematic analysis of interviews were conducted. Results: Three domains emerged and included the SR coaching model, community SR resources, and parent SR knowledge. Subthemes included 1) Parents valued the one-to-one SR coaching intervention, were receptive to coach recommendations and believed other parents would benefit from SR coaching; 2) Parents tried new early literacy activities with their child; 3) Despite positive intervention effects, parents lacked a comprehensive understanding of SR. Conclusion: A brief clinic-based SR coaching intervention with a bilingual SR coach was well received by low-income Latinx parents and increased parent SR behaviors. Expanded implementation and further quantitative evaluation using school entry child-specific data are needed to quantify effects.

Original languageEnglish (US)
JournalAcademic Pediatrics
DOIs
StateAccepted/In press - 2020
Externally publishedYes

Keywords

  • Latinx
  • parents
  • pediatrics
  • school readiness

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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