Supporting the activity choices of two-year-olds

The participation of children under the age of three in center-based child care programs is a growing phenomenon. This increase has raised questions about which type of program is best for these children. The curriculum for infants and toddlers has received considerable attention over the last decade. As a result, the activities and experiences planned for infants and toddlers have been clearly defined (Honig, 1974; Honig and Lally, 1981; Lally and Gordon, 1982). However, the differences between young toddlers, preschoolers, and two-year-olds are less discernible, which has made it difficult for child care workers to plan environments which are developmentally appropriate for two-year-olds. Consequently, two-year-olds may spend time in programs where the curriculum may be more appropriate for younger toddlers and preschoolers.Margaret King is Associate Professor, School of Home Economics, Ohio University, Athens, Ohio. Anne Oberlin is Master Teacher, Ohio University Child Development Center, Athens, Ohio. Terry Swank is Assistant Teacher, Ohio University Child Development Center, Athens, Ohio.     

Parent Involvement in End-of-Life Care and Decision Making in the Newborn Intensive Care Unit: An Integrative Review

Survival rates for very preterm and critically ill infants are increasing, raising complex ethical issues for health-care providers and parents who face the challenge of making end-of-life decisions for newborns. The purpose of this integrative literature review was to evaluate parental involvement in end-of-life care and decision making for their infant in the newborn intensive care unit. Findings revealed that establishing good relationships and clear communication between health-care providers and parents builds trust and eases stress placed on parents making decisions about the care of their infant. Palliative care programs provide support for parents and facilitate their decision making. Parents can be educated about how to communicate with health-care providers. Educating nurses on how to provide end-of-life care may also help improve support for parents during this difficult time. Additional research is recommended to examine parents' needs during and after end-of-life care decisions for their newborn.     

Primary Caregiving as a Framework for Preparing Early Childhood Preservice Students to Understand and Work with Infants

Research Findings: This qualitative study explored the process through which a small group of preservice early childhood teachers engaged in primary caregiving as a framework for learning about early care and education with infants during an infant practicum course at a university-affiliated early childhood center in the United States. Based on multiple data sources, findings revealed that the participants found the primary care system to be beneficial to both infants and teachers. The student teachers gained a better understanding of the uniqueness of the infancy period, experienced the emotional rewards of a special relationship with an infant, and learned to provide individualized and relationship-based infant care and education, while the infants received the benefits of this care. The integration of hands-on practice enacting a primary care system in a responsive infant room, ongoing supervision, and a theory-to-practice seminar created an effective professional learning process for the student teachers, which helped them to grow as both infant teachers and early childhood professionals. Practice or Policy: These findings are a 1st step toward looking more deeply at 1 strategy as a promising practice for the future, offering implications for early childhood teacher education and new insight to the field.     

Fathers' involvement in the care of their infants and their attributions of cognitive competence to infants

The relation between fathers' involvement in the care of their infants and their attributions of cognitive-social skills to infants was investigated in this study. 160 pairs of parents of 9-month-old infants were interviewed. On the average, fathers were available to their infants 2.75 hours per weekday and spent 45-50 min interacting with them. They performed 1 caretaking activity per day, and took sole responsibility for the infant only about once in 10 days. Results indicate that fathers who are less involved in child care attribute lesser competence to infants than relatively more involved fathers, that fathers in general attribute lesser competence to infants than mothers, and that the more involved a father is in infant care, the less difference there is between his attributions and those of his wife's. These results raise the possibility that involvement in care and perception of infants as cognitively competent are mutually reinforcing.     

Caring for our infants: parents’ antenatal childcare intentions and nine-month reality

Infants are increasingly cared for by adults other than their parents. Here we describe non-parental infant care within a diverse cohort; and investigate the relationship between parents’ antenatal intentions and actual infant care. 6822 New Zealand women were recruited during pregnancy and asked about their intentions for childcare. Non-parental care was assessed when infants were nine months old: 1717 (25%) of the 6853 cohort children were receiving more than 8 h per week of regular non-parental care. In comparison with infants of European mothers, infants of Asian or Pacific mothers were more likely to be cared for by extended family; and infants of Māori mothers were more likely to receive centre-based care. Infants from families with lower household incomes, living in more deprived areas were more likely to be cared for by family. When their infants were nine months old, mothers from low- to medium-income households were less likely to be using the type of non-parental care they had intended antenatally, and the same was true when their children were aged 2 years.     

Understanding infants: characteristics of early childhood practitioners' interpretations of infants and their behaviours

This research explored the nature of early childhood practitioners' interpretations of infants in their programs on the basis that such interpretations guide practitioner–infant interactions and curriculum decision‐making processes. Twenty‐four infant practitioners were asked to describe a nominated infant in their program and to interpret video extracts of that infant's behaviour in the contexts of toy play and a nappy‐change routine. Constant comparison techniques were employed to develop a model representing the theoretical properties of the ideas and explanations contained within their interpretive statements, and to identify main areas of individual or contextual variation. The findings extend current understandings of the psychological context of early childhood infant programs and provide a foundation for future investigations of the implications of infant practitioner interpretations for their professional teaching and caregiving practices.     

Intervention with premature human infants.

Stimulation has been given to young infants to prevent the development disabilities often associated with prematurity. A review of these experimental programs reveals a lack of knowledge as to the ecology of the premature infant. This is indicated in the assumption that premature infants are sensorily deprived and by the arbitrary differences in the nature of stimulation techniques. Despite various problems in methodological and outcome assessment, stimulated infants tend to perform at higher levels than control-group infants on measures of sensorimotor and development. It is suggested that future research should be directed toward specifying the environment and processing capacities of the premature infant, and that intervention studies should make use of the 4-group design proposed by Solomon and Lessac (1968).     

Scaffolding Infants’ Play Through Empowering and Individualizing Teaching Practices

Research Findings: Using a qualitative research approach, this article explores teachers’ roles as scaffolders of infants’ play and the changing nature of their individualized support for infants’ learning and development through play in an infant group care setting. Three infant teachers in a child care center were followed over 3 months. Observations, interviews, ongoing conversations, e-mails, and reflective notes were used as data sources. Findings revealed that the teachers thought deeply about their roles as supporters of infants’ play, and they made intentional choices in scaffolding infants’ play. Each teacher's ways of empowering infants in play were grounded in her views of infants as learners and were individualized to accommodate children's unique learning styles and personalities. Practice or Policy: This study provides a window into the ways in which teachers working with the youngest children can set the stage for later learning.     

A Study of Infant Developmental Outcome with a Sample of Korean Working Mothers of Infants in Poverty: Implications for Early Intervention Program

Using a sample of 42 Korean mothers whose infants are cared for by someone at non-maternal child care facilities, this study first examined both main effects and interaction effects between maternal knowledge of infant development and maternal self-efficacy on parenting behavior. Second, the combined effects of variables of interest in this study including maternal knowledge of infant development, maternal self-efficacy, and parenting behavior on the child developmental outcome were investigated. Significant relationships between maternal knowledge of infant development and parenting behavior and child development outcome were detected. Only main effects of maternal knowledge of infant development were detected. Furthermore, maternal knowledge of infant development was the only significant predictor of infant developmental outcome. Research implications were discussed both on the continuum of findings from previous studies with Western samples and in terms of provision of effective early intervention programs for this targeted population.     

Infants as Others: uncertainties,difficulties and (im)possibilities in researching infants’ lives

Increasingly, researchers are trying to understand what daily life is like for infants in non-parental care from the perspectives of the infants themselves. In this article, we argue that it is profoundly difficult, if not impossible, to know how infants experience their worlds with any certainty and, indeed, whether they do or do not possess well-worked out ‘perspectives’ on their experiences. Three key difficulties are discussed: firstly, the difficulty of interpreting non-verbal expressions and behaviour; secondly, the difficulty of knowing whether researchers’ constructions of the ‘infant’s perspective’ align with the infant’s experiences of their world; and, thirdly, the difficulty of providing opportunities for infants to disrupt researchers’ predetermined categories of understanding, meanings and expectations. Because of these difficulties, we argue that research endeavours to understand infants’ experiences in non-parental care should be seen as sites of ethical rather than epistemological practice.     

Defining and Assessing Quality in Early Intervention Programs for Infants and Toddlers with Disabilities and their Families: Challenges and Unresolved Issues

Historically, child care quality research has focused primarily on typically developing children cared for in center-based programs. Findings from this research suggests that variations in quality of care have an effect on children's well-being and developmental outcomes. In this paper, we draw on child care quality research to inform our understanding of quality in early intervention services for infants and toddlers with disabilities and their families. Conceptual issues in defining quality and methodological challenges for assessing quality of early intervention services are presented. In the final sections of this paper, we discuss our efforts to design a measure of quality for early intervention programs and present some of the unresolved issues related to the assessment of quality in early intervention programs.     

Continuity of caregiver for infants and toddlers in center-based child care: Report on a survey of center practices

The purposes of this mail survey were to describe the extent to which child care programs use continuity of caregivers with infants and toddlers, the factors influencing decisions to move infants and toddlers to new classes, the practices used to prepare them for such moves, and the extent to which respondents agreed with the concept of providing continuity of caregivers. Child care programs accredited by the National Association for the Education of Young Children and those that were not accredited were selected randomly from existing data bases. Results indicate that (a) relatively few programs use continuity of caregivers for infants and even fewer use it for toddlers; (b) the majority of programs consider children’s attainment of developmental milestones, their age, and the space available in the next class when deciding when to transition infants and toddlers to new classes; (c) most centers used a number of practices to prepare infants and toddlers to move to new classes; and (d) more respondents report agreement with using continuity of caregivers than practice it. Relatively few differences were noted across accredited and nonaccredited centers on these issues.     

Shedding further light on the effects of various types and quality of early child care on infant-mother attachment relationship: the Haifa Study of Early Child Care

The Haifa Study of Early Child Care recruited a large-scale sample (N = 758) that represented the full SES spectrum in Israel, to examine the unique contribution of various child-care-related correlates to infant attachment. After controlling for other potential contributing variables--including mother characteristics, mother-child interaction, mother-father relationship, infant characteristics and development, and the environment--this study found that center-care, in and of itself, adversely increased the likelihood of infants developing insecure attachment to their mothers as compared with infants who were either in maternal care, individual nonparental care with a relative, individual nonparental care with a paid caregiver, or family day-care. The results suggest that it is the poor quality of center-care and the high infant-caregiver ratio that accounted for this increased level of attachment insecurity among center-care infants.     

Are Insecure-Avoidant Infants with Extensive Day-Care Experience Less Stressed by and More Independent in the Strange Situation?

In order to test the hypothesis that elevated ratings of avoidance and classifications of insecure-avoidant attachments of infants with extensive infant day-care histories may be the result of the fact that children with routine experiences of separation are less stressed by, and more independent in, the Strange Situation than more traditionally reared infants, 2 groups of 12-month-old infants with insecure-avoidant attachments were compared on 2 behavioral indices in each reunion-with-mother episode of the Strange Situation. 9 infants experienced less than 20 hours per week of nonparental care in their first year, and 11 infants experienced 20 or more hours of care. Contrary to propositions advanced by Clarke-Stewart, Thompson, and others, insecure-avoidant infants with extensive nonparental care experience whimpered, fussed, and cried more and engaged in object play less in each reunion episode than their insecure-avoidant counterparts with less nonparental care experience. These results are discussed in terms of the recent controversy surrounding infant day-care in the United States.     

Infant removals: The need to address the over-representation of Aboriginal infants and community concerns of another ‘stolen generation’

ObjectivesThe removal of a child from their parents is traumatising, particularly in Aboriginal communities where a history of child removals has led to intergenerational trauma. This study will determine where disparities in child protection involvement exist among Aboriginal and non-Aboriginal children and characteristics associated with infant removals. Challenges faced by child protection and other agencies, and opportunities for overcoming these, are discussed.MethodsData from both the Australian Institute of Health and Welfare and linked Western Australian government data was used to examine disparities between Aboriginal and non-Aboriginal children in the child protection and out-of-home care system.ResultsNationally, Aboriginal children are ten times more likely to be placed in out-of-home care than non-Aboriginal children and this disparity starts in infancy. Infants were removed from parents with high levels of risk. Aboriginal infants were at increased risk of being removed from women with substance-use problems and had greater proportions removed from remote, disadvantaged communities than were non-Aboriginal infants.ConclusionsAboriginal infants have a high rate of removal. Although there are many complexities to be understood and challenges to overcome, there are also potential strategies. The disparity between Aboriginal and non-Aboriginal infant removals needs to be seen as a priority requiring urgent action to prevent further intergenerational trauma.     

Educator Talk in Long Day Care Nurseries: How Context Shapes Meaning

Little is known about the quality and characteristics of the language used by childcare staff when interacting with infants in non-parental group care settings. This qualitative study analysed the manner in which staff used language when interacting with ten children aged between 9 and 20 months in four different long day care centres in Sydney, Australia. Each infant was audiorecorded for one whole day using a small recording device attached to her/his clothing, which captured all the language spoken directly to, or in their presence of, the infant. The infants and staff were simultaneously videorecorded as they went about their everyday activities, to provide additional contextual information. Using systemic functional linguistics as the theoretical underpinning, the study found that staff members tended to talk to more than one child at a time, limiting their potential to engage in the types of sustained conversations with individual children that have been shown to promote language development. Staff also tended to use language primarily to manage children’s behaviour and provide physical care, rather than using language to encourage children to use their own developing language to represent their experiences in a variety of contexts. The findings have implications for group size, early childhood teacher education and inservice professional development.     

Non-organic failure to thrive: Implications of placement through analysis of videotaped interactions

This paper presents 6-month follow-up on a group of 16 infants hospitalized during the first months of life for non-organic failure to thrive (N-O FTT) and their mothers. Eight of these infants were placed in foster care and eight were returned home with their parents following hospitalization. The effects of placement on infant outcomes were examined through comparison of developmental scores and weight percentile changes, and the implications of foster care placements for mother-infant interactions were examined through analysis of patterns of interaction in videotaped sessions of feeding and play six months after hospital discharge. This analysis snowed that (1) mothers in both groups failed to make significant progress in resolving their own emotional or psychological conficts through treatment available; (2) weight and developmental status of the infants did not improve as expected in either group, and finally that (3) the patterns of interaction between mother and infant showed little change over time, and, regardless of placement at home or in foster care, remained concerning.