Children at play: the role of peers in understanding the effects of child care

Although the studies of the National Institute of Child Health and Human Development (NICHD) Early Child Care Research Network (this issue) and of Watamura, Donzella, Alwin, and Gunnar (this issue) identify the potential of child care to affect children's adjustment, how these effects are produced remains unclear. In this commentary, it is argued that there is a need to expand child care research by considering one of the most important, but unrecognized, contributors to child care effects-peers. Research is reviewed that suggests that children's interactions in same-sex peer groups at child care affect their short- and long-term adjustment. We consider how research on early peer influences can inform the findings of the NICHD Early Child Care Research Network and Watamura et al. studies, aswell as contribute to the next generation of child care research.     

Child care quality matters: how conclusions may vary with context

Three studies examined associations between early child care and child outcomes among families different from those in the National Institute of Child Health and Human Development (NICHD) Early Child Care Research Network study. Results suggest that quality is an important influence on children's development and may be an important moderator of the amount of time in care. Thus, the generalizability of the NICHD findings may hinge on the context in which those results were obtained. These studies, conducted in three national contexts, with different regulatory climates, ranges of child care quality, and a diversity of family characteristics, suggest a need for more complete estimates of how both quality and quantity of child care may influence a range of young children's developmental outcomes.     

Special stresses of infant caregiving

Because the characteristics of children vary greatly from age to age, the knowledge and techniques that their caregivers need to have likewise vary a great deal. Similarly, the pleasures and the stresses of caring for different age groups also vary. Not surprisingly, most caregivers have preferences in terms of the age of children they prefer to work with.Gerri Ginsburg and Marcy Whitebook are Directors of the Child Care Employee Project, a national clearinghouse for information on child care staff working conditions. Derk Richardson teaches at the University of California Child Care Center in Berkeley.     

The Effects of Infant Child Care on Infant-Mother Attachment Security: Results of the NICHD Study of Early Child Care NICHD Early Child Care Research Network

The aims of this investigation were to determine whether Strange Situation attachment classifications were equally valid for infants with and without extensive child-care experience in the first year of life and whether early Child Care experience, alone or in combination with mother/child factors, was associated with attachment security, and specifically with insecure-avoidant attachment. Participants were 1,153 infants and their mothers at the 10 sites of the NICHD Study of Early Child Care. Mother were interviewed, given questionnairies, and observed in play and in the home when their infants were from 1 to 15 months of age; infants were observed in child care at 6 and 15 months and in the Strange Situation at 15 months. Infants with extensive Child Care experience did not differ from infants without child-care in the distress they exhibited during separations from mother in the Strange situation or in the confidence with which trained coders assigned them attachment classifications. There were no significant main effects of Child Care experience (quality, amount, age of entry, stability, or type of care) on attachment security or avoidance. There were, however, significant man effects of maternal sensitivity and responsiveness. Significant interaction effects revealed that infants were less likely to be secure when low maternal sensitivity/responsiveness was combined with poor quality child care, more than minimal amounts of child care, or more than one care arrangement. In addition, boys experiencing many hours in care and girls in minimal amounts of care were somewhat less likely to be securely attachment.     

Physical Activity for Young Children: A Quantitative Study of Child Care Providers’ Knowledge, Attitudes, and Health Promotion Practices

Many preschool children fail to achieve the National Association for Sport and Physical Education physical activity recommendations placing themselves at increased risk of overweight and its associated health consequences. The early learning and care system is well positioned to intervene. Yet few child obesity prevention efforts have focused on systematically integrating physical activity into early learning and care. A pre/post design examined the association between changes in physical activity practices and providers’ beliefs regarding their role in supporting children’s physical activity. Survey and observational data from 43 sites participating in the Encouraging Healthy Activity and Nutrition in Child Care Environments pilot project were analyzed. Statistically significant increases were found in providers’ perceptions of role salience and the need for adult leadership to increase children’s physical activity. Significant improvements in indoor child care physical activity practices, physical education, and family communication occurred. A binary logistic regression indicated that changes in adult leadership and role salience were significantly associated with changes in physical activity practices. Understanding and modifying child care providers’ beliefs regarding their role in children’s physical activity is a critical component for the successful implementation of obesity prevention initiatives designed to increase child activity levels.     

VII. IDEAL COMPONENTS AND CURRENT CHARACTERISTICS OF ALTERNATIVE CARE OPTIONS FOR CHILDREN OUTSIDE OF PARENTAL CARE IN LOW‐RESOURCE COUNTRIES

Utilizing the United Nations Convention on the Rights of the Child and the Guidelines for the Alternative Care of Children, this paper examines critical components and current characteristics of alternative care for children in low‐resource countries. It begins by exploring the role of values within policy and practice related to child welfare. Then a brief examination comparing alternative care in high‐ versus low‐resource countries is presented. Alternative care includes a continuum approach beginning with family support and reunification, kinship care, foster care, domestic adoption, and ending with intercountry adoption. Specific examples are provided from Eastern Europe, Latin America, and Africa. The paper concludes with the need for more research related to alternative care outcomes that could inform policy and practice.     

Family child care in four Midwestern states: Multiple measures of quality and relations to outcomes by licensed status and subsidy program participation

Quality of family child care in four Midwestern states was examined using four measures designed to assess structural and/or process quality to determine if dimensions converge or vary across types of family child care (licensed and license-exempt/registered) and subsidy receipt (programs serving children whose care is paid by subsidies and programs not serving subsidized children). Two instruments designed specifically for use with family child care that measure both structural and process quality were used (Family Day Care Rating Scale and Quality Instrument for Informal Child Care), as well as one instrument measuring process quality (Caregiver Interaction Scale) and one instrument measuring structural quality (Midwest Child Care Assets Index). The two instruments designed to measure both structural and process quality in family child care were highly correlated with each other, while both of these were moderately correlated with the measure of process quality. The measure of structural quality was not significantly correlated with the measure of process quality. Licensed family child care homes scored higher than license-exempt/registered family child care homes on three of the four measures (all but the Caregiver Interaction Scale), and family child care homes receiving child care subsidies scored lower than those not receiving subsidies on three of the four measures (all but the Assets Index).     

Personnel interviewing for quality child care

Child care directors' interest in hiring well-qualified staff has increased as issues related to insurance and liability, media-hyped occurrences of child abuse in day care, and quality of child care in general have become of greater concern. Thus, many directors are seeking and developing thorough and innovative methods for interviewing prospective employees (Leak, 1982; Neugebauer, 1982; Sciarra and Dorsey, 1990).Jan Allen is Associate Professor, and Carol Catron Director, Campus Child Care Programs, Department of Child and Family Studies, College of Human Ecology, The University of Tennessee, Knoxville, TN.     

Exploring children’s perspectives of engagement with their carers using factor analysis

Positive engagement between a child and carer in out-of-home care is understood to have long-term benefits for children who have experienced abuse or neglect. This study analysed data from the ‘Views of Children and Young People in Foster Care 2009′ survey of 937 children in out-of-home care in Queensland, Australia, to identify factors that supported or hindered engagement between a child and carer. Exploratory and confirmatory factor analysis and structural regression were used. Findings suggest that children’s engagement with their carer is influenced by a range of internal and external factors including child characteristics, the care experience, contact with biological parents, and placement trajectory. Child engagement is important because it is central to positive outcomes such as placement stability in out-of-home care. Implications for policy and practice include the need for a structural response that supports building and maintaining positive child-carer relationships.     

The Impact of Child Care Subsidy Use on Child Care Quality

In 2008, the federal government allotted $7 billion in child care subsidies to low-income families through the state-administered Child Care and Development Fund (CCDF), now the government's largest child care program (US DHHS, 2008). Although subsidies reduce costs for families and facilitate parental employment, it is unclear how they impact the quality of care families purchase. This study investigates the impact of government subsidization on parents’ selection of child care quality using multivariate regression and propensity score matching approaches to account for differential selection into subsidy receipt and care arrangements. Data were drawn from the Child Care Supplement to the Fragile Families and Child Wellbeing Study (CCS-FFCWS), conducted in 2002 and 2003 in 14 of the 20 FFCWS cities when focal children were 3 years old (N = 456). Our results indicate that families who used subsidies chose higher quality care than comparable mothers who did not use subsidies, but only because subsidy recipients were more likely to use center-based care. Subgroup analyses revealed that families using subsidies purchased higher-quality home-based care but lower-quality center-based care than comparable non-recipients. Findings suggest that child care subsidies may serve as more than a work support for low-income families by enhancing the quality of nonmaternal care children experience but that this effect is largely attributable to recipients’ using formal child care arrangements (versus kith and kin care) more often than non-recipients.     

Child care licensing regulations and child care quality in four states

This study analyzed the child care rules and regulations from the four states that had previously been reviewed under the Child Care, Cost & Quality study. Child day care regulations for each of the states were analyzed through rubrics designed by the investigators in the domains of structure, operations, personnel, and context. A separate analysis was done comparing regulations for protecting the child versus regulations for enhancing child development. The four states were in general agreement in setting higher standards for child protection than for the enhancement of development. Such regulations support the image of child care programs being a “safe haven” rather than a “development enhancer.” The limited requirements for child care personnel and for community interaction also encourage that image. These minimum standards departed substantially from professional judgments about what is needed in child care settings. The authors proposed higher personnel standards, greater explicit emphasis on developmental enhancement, and more required interaction with parents and community contact.     

Social functioning in first grade: associations with earlier home and child care predictors and with current classroom experiences

Family and child care factors from birth to 54 months, achievement and social outcomes at entry to school, and qualities of first-grade classrooms were used to predict first-grade social functioning for 864 children from the NICHD Study of Early Child Care. Child gender, mothers' partner status, maternal education and depressive symptoms, sensitivity of mothering, and amount of time spent in nonmaternal child care were significant predictors. Home and child care variables predicted social functioning through associations with prior social functioning rather than directly. More teacher-led structured activities in first-grade classrooms predicted mother's reports of more internalizing behavior. Classrooms rated as more emotionally supportive predicted lower levels of mother-reported internalizing behavior and concurrently observed indicators of competence.     

The ups and downs of child care: Variations in child care quality and exposure across the early years

There is considerable policy interest in understanding the role of child care in children’s development. Yet little research has examined whether individual children experience changes in child care quality across their early years, and less has included children’s varying levels of exposure to care in analyses of child care trajectories. Using data from the NICHD Study of Early Child Care, this study seeks to fill these gaps by studying the non-maternal care experiences of children whose mothers work at some point during their early years. We find that few of these children experience continuously high-quality care or continuously low-quality care. Instead, many children experience changes in child care quality. Children from low socioeconomic status families are more likely to experience low-quality care than children who are never poor, but children who are never poor are more likely to have child care histories that include both low- and high-quality care arrangements. We discuss the implications of our findings for studies of selection into low-quality child care arrangements and the effects of child care quality on children’s development.     

Are child developmental outcomes related to before- and after-school care arrangements? Results from the NICHD study of early child care

Data from the National Institute of Child Health and Human Development (NICHD) Study of Early Child Care, a prospective, longitudinal study involving 933 children, were used to examine relations between cumulative participation in 5 types of out-of-school care (before- and after-school programs, extracurricular activities, sitters, fathers, and nonadult care) and child developmental outcomes in the latter part of first grade (approximately age 7 years). Children who consistently participated in extracurricular activities during kindergarten and first grade obtained higher standardized test scores than children who did not consistently participate in these activities, controlling for child and family factors and children's prior functioning. Participation in other types of out-of-school care was not associated with child functioning in first grade when background factors were controlled.     

Some controls control too much

Investigators of complex phenomena often seek to isolate variables of interest by statistical control. However, they run the risk of studying situations that do not exist in the real world, missing mediational links, and drawing incorrect policy conclusions. In the National Institute of Child Health and Human Development (NICHD) Early Child Care Research Network article in this issue, amount of time in child care was studied controlling for family income and maternal depression. However, use of child care is closely linked with maternal employment, which increases family income and decreases maternal depression, which in turn are linked to children's socioemotional adjustment. Hence, the negative effects of amount of time in child care reported in the article are likely overestimated relative to causal pathways in the lives of real families.     

Modeling the impacts of child care quality on children's preschool cognitive development

The National Institute of Child Health and Human Development (NICHD) Study of Early Child Care compared 3 statistical methods that adjust for family selection bias to test whether child care type and quality relate to cognitive and academic skills. The methods included: multiple regression models of 54-month outcomes, change models of differences in 24- and 54-month outcomes, and residualized change models of 54-month outcomes adjusting for the 24-month outcome. The study was unable to establish empirically which model best adjusted for selection and omitted-variable bias. Nevertheless, results suggested that child care quality predicted cognitive outcomes at 54 months, with effect sizes of .04 to .08 for both infant and preschool ages. Center care during preschool years also predicted outcomes across all models.     

A randomized controlled trial of Child FIRST: a comprehensive home-based intervention translating research into early childhood practice

This randomized, controlled trial was designed to document the effectiveness of Child FIRST (Child and Family Interagency, Resource, Support, and Training), a home-based, psychotherapeutic, parent-child intervention embedded in a system of care. Multirisk urban mothers and children, ages 6-36 months (N = 157) participated. At the 12-month follow-up, Child FIRST children had improved language (odds ratio [OR] = 4.4) and externalizing symptoms (OR= 4.7) compared to Usual Care children. Child FIRST mothers had less parenting stress at the 6-month follow-up (OR = 3.0), lower psychopathology symptoms at 12-month follow-up (OR = 4.0), and less protective service involvement at 3 years postbaseline (OR = 2.1) relative to Usual Care mothers. Intervention families accessed 91% of wanted services relative to 33% among Usual Care. Thus, Child FIRST is effective with multirisk families raising young children across multiple child and parent outcomes.     

The Child Care HOME Inventories: assessing the quality of family child care homes

Versions of the HOME Inventory for use in family child care homes are described. The Infant/Toddler version is designed for use when children are less than 3 years old; the Early Childhood version for children ages 3–6. Psychometric characteristics of the child care versions of HOME are similar to the psychometric characteristics found for the original HOME used to measure the family environment. Child Care HOME scores were strongly related to intensive observational measures of behavior among child care providers and to measures of physical and organizational aspects of the environment. Because the inventories take less time and training to administer than most current measures of family child care, they may provide a way for licensing workers and others responsible for maintaining quality in child care to obtain useful information about this widely used but minimally monitored form of non-parental care.     

How and why to plan salary schedules

At an early age many of us are taught not to talk about money with others in order to avoid conflict. But if you work in child care, where there are too many demands and too few resources, such evasion isn't helpful or even possible.Child Care Employee Project (CCEP) is a national resource clearinghouse providing resources. It gives assitance to those seeking to upgrade child care working conditions, status and salaries.