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Enhancing Infant Care Quality Through Multi-Dimensional Mentoring: A Clinical Trial Approach

This study explores the impact of a mentoring program on infant caregiver practices and child development. Results show that extended mentoring sessions significantly improve caregiving quality and child outcomes compared to shorter interventions and workshops. The use of multi-interventions, including mentoring caregivers, directors, and parents, yield the most favorable results. The study emphasizes the importance of investing in comprehensive mentoring programs for optimal child development.

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Enhancing Infant Care Quality Through Multi-Dimensional Mentoring: A Clinical Trial Approach

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  1. The Effectiveness of An Infant Caregiver Mentoring Program:Multi-Dimensional Interventions Utilizing Random Clinical Trials* Richard Fiene, Ph.D. Penn State University * Paper presented at the Society for Research in Child Development (SRCD) Biennial Meeting, April 7-10, 2005, Atlanta, Georgia.

  2. Research Literature • Mentoring research in the past 20 years • Random clinical trials (RCT) • Infancy research • Statewide Professional Development Systems • Emphasis on workshop delivery

  3. Research Methodology • Random Clinical Trials • Staggered Waiting List • Mentoring Only & Certificate + Mentoring • Comparison/Control Groups • Single versus Multiple Interventions Mentoring • Caregivers, Directors, Parents • Children

  4. Research Tools • Infant Toddler Environment Rating Scale (ITERS) • Knowledge of Infant Development Scale (KIDI) • Arnett Caregiver Interaction Scale (CIS) • Bloom Classroom Organizational Climate Scale (Bloom) • Home Based Observation System (HOME) • Developmental Observation Checklist System Scale (DOCS)(Outcome Variable)

  5. Research Design Pre-TestPost-Test ITERS ITERS KIDI KIDI CIS CIS Bloom Bloom HOME HOME DOCS DOCS Random Assignment Control Group (Workshops) Control Group (Workshops) Mentoring Interventions Mentoring Interventions DOCS = ITERS/HOME + KIDI + CIS + Bloom

  6. Research Results: ITERS/HOME Post-Test Scores • 3.76 = Workshops (6 hours)(Control Group) • 4.01 = Certificate + Mentoring (18 +6 hours) • 4.21 = Mentoring Caregiver (70 hours) • 4.03 = Mentoring Director (50 hours) • 4.23 = Mentoring Parent (45 hours) • 4.55 = Mentoring Caregiver + Parent (135 hrs) • 5.04 = Mentoring Caregiver + Parent + Director (225 hours)

  7. Intervention: Number of Hours

  8. ITERS/HOME Post-Test Scores

  9. ITERS/HOME Pre-Post-Test Change* = statistically significant change • .05 = Workshops • .21 = Certificate + Mentoring • .41* = Mentoring Caregiver • .33* = Mentoring Director • .29 = Mentoring Parent • .75* = Mentoring Caregiver + Parent • 1.24* = Mentoring Caregiver + Parent + Director

  10. KIDI Post-Test Scores • 72% = Workshops • 75% = Certificate + Mentoring • 80% = Mentoring Caregiver • 81% = Mentoring Director • 78% = Mentoring Parent • 85% = Mentoring Caregiver + Parent • 87% = Mentoring Caregiver + Parent + Director

  11. KIDI Post-Test Scores

  12. KIDI Pre-Post Test Change • 1% = Workshops • 5% = Certificate + Mentoring • 10%* = Mentoring Caregiver • 11%* = Mentoring Director • 8% = Mentoring Parent • 15%* = Mentoring Caregiver + Parent • 17%* = Mentoring Caregiver + Parent + Director

  13. CIS Post-Test Scores • 3.25 = Workshops • 3.40 = Certificate + Mentoring • 3.51 = Mentoring Caregiver • 3.67 = Mentoring Director • 3.56 = Mentoring Parent • 3.75 = Mentoring Caregiver + Parent • 3.88 = Mentoring Caregiver + Parent + Director

  14. CIS Post-Test Scores

  15. CIS Pre-Post-Test Change • .05 = Workshops • .20 = Certificate + Mentoring • .35* = Mentoring Caregiver • .40* = Mentoring Director • .26 = Mentoring Parent • .45* = Mentoring Caregiver + Parent • .58* = Mentoring Caregiver + Parent + Director

  16. Bloom Post-Test Scores • 3.56 = Workshops • 3.55 = Certificate + Mentoring • 3.59 = Mentoring Caregiver • 3.71 = Mentoring Director • 3.47 = Mentoring Caregiver + Parent • 3.83 = Mentoring Caregiver + Parent + Director

  17. Bloom Post-Test Scores

  18. Bloom Pre- Post-Test Changes • .06 = Workshops • .15 = Certificate + Mentoring • .49* = Mentoring Caregiver • .51* = Mentoring Director • .17 = Mentoring Caregiver + Parent • .83* = Mentoring Caregiver + Parent + Director

  19. DOCS Post-Test Scores • 102 = Workshops • 111 = Certificate + Mentoring • 115 = Mentoring Caregiver • 113 = Mentoring Director • 119 = Mentoring Parent • 127 = Mentoring Caregiver + Parent • 135 = Mentoring Caregiver + Parent + Director

  20. DOCS Post-Test Scores

  21. DOCS Pre- Post-Test Changes • 1 = Workshops • 11 = Certificate + Mentoring • 19* = Mentoring Caregiver • 13 = Mentoring Director • 19* = Mentoring Parent • 27* = Mentoring Caregiver + Parent • 37* = Mentoring Caregiver + Parent + Director

  22. Conclusions • The more mentoring, with the multi-interventions had the greatest impact on quality and children’s development. • Workshops (6 hours) had very little impact on quality and children’s development. • The multi-interventions were more costly than the more minimal interventions.

  23. For additional Information Richard Fiene, Ph.D. Director and Associate Professor Health and Human Development Institute The Pennsylvania State University 2001 North Front Street Harrisburg, Pennsylvania 17102 717-233-5276 Rjf8@psu.edu http://www.hhdev.psu.edu

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