ZEPPELIN (Zurich Equity Prevention Project with Parents Participation and Integration) is a longitudinal, randomized controlled intervention study. The main objective is to examine the effectiveness of the early intervention program "Parents As Teachers" (PAT) in psychosocially disadvantaged families. This includes four aims: 1. Identification of children at risk at an early age, using an interdisciplinary network; 2. Investigation of the acceptability of the program by the parents; 3. Evaluation of the intervention process and efficacy during and immediately after program implementation; 4. Evaluation of the efficacy in terms of child academic performance.
The preschool years represent a critical time period, with major developmental milestones in cognitive, linguistic, motoric, and emotional areas. Families tend to manage this sensitive phase in different ways, which results in an uneven distribution of educational opportunities at school entry. However, prior evidence shows that these disparities can be reduced by means of evidence-based programs in early childhood care and education (ECCE). The main focus is on the prevention of learning and behavioral disorders; for small children, this occurs by means of strengthening parenting skills. ZEPPELIN (Zurich Equity Prevention Project with Parents Participation and Integration) is a longitudinal, randomized controlled intervention study. The main objective is to examine the of the early intervention program "Parents As Teachers" (PAT) in psychosocially disadvantaged families. This includes four aims: 1. Identification of children at risk at an early age, using an interdisciplinary network; 2. Investigation of the acceptability of the program in parents; 3. Evaluation of the intervention process and efficacy during and immediately after program implementation; 4. Evaluation of the efficacy in terms of child academic performance. Families were recruited in the suburbs of Zurich, Switzerland, shortly before or after giving birth. Baseline measurements were conducted at 3 months postnatal (t0), before participants were assigned to either the intervention group (IG, receiving the early intervention program PAT) or control group (CG) condition, using a stratified block randomization. Follow-up data was collected at three measurement time points around the first, second and third birthday of the children (t1, t2, t3). Further follow-up measurements will be conducted in 2017 (t4; in the 1st year of kindergarten), 2018 (t5; in the 2nd year of kindergarten), 2019 (t6; after school transition), and in 2021 (t7; in the 3rd year of primary school). This will allow us to investigate medium-term and long-term effects of early developmental conditions. ZEPPELIN 0-3 is the first ECCE program in Switzerland that specifically targets and recruits at risk families from birth on. Families then participate in an experimental field study including a longitudinal control group comparison. As such, ZEPPELIN fills an important gap in the current literature.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
213
A trained PAT parent educator (pediatric nurses in this study) visits families at their homes, approximately two times a month (individual frequencies may vary depending on specific risk factors) until the children are three years old. PAT is an educational home visitation program that aims to a) help parents to understand child developmental aspects and improve their parenting skills, b) detect developmental shortcomings, c) prevent child abuse and neglect, and d) enhance school preparedness. Additionally, the project offers monthly group meetings.
University of Applied Sciences of Special Needs Education
Zurich, Switzerland
Child development assessed with the Bayley Scale of Infant and Toddler Development (BSID III)
Bayley Scale of Infant and Toddler Development (BSID III)
Time frame: up to 3 years
Child development assessed with the Snijders-Oomen nonverbal intelligence test (SON-R)
Snijders-Oomen nonverbal intelligence test (SON-R)
Time frame: up to 7 years
Child development assessed with the Developmental Observation Scales (EBD 48-72)
German Developmental Observation Scales for child care centers (EBD 48-72)
Time frame: up to 1 year
Language skills assessed with the Language Evaluation Short form SBE-2-KT; SBE-3-KT)
Language evaluation short form (SBE-2-KT; SBE-3-KT)
Time frame: up to 3 years
Mathematical skills assessed with the TEDI-MATH test
Mathematical skills (TEDI-MATH)
Time frame: up to 5 years
Language skills assessed with the German test "Linguistically Competent"
"Linguistically Competent"
Time frame: up to 5 years
Child Health assessed with the Health questionnaire
Health questionnaire
Time frame: up to 9 years
Child Behavior assessed with the Child Behaviour Checklist (CBCL)
Child Behaviour Checklist (CBCL)
Time frame: up to 6 years
Child Behavior assessed with the Strengths and Difficulties Questionnaire (SDQ)
Strengths and Difficulties Questionnaire (SDQ)
Time frame: up to 5 years
Parent-child interaction assessed with the Child-Adult-Relationship-Experimental Index (CARE-Index)
Child-Adult-Relationship-Experimental Index (CARE-Index)
Time frame: up to 4 years
Parent-child interaction assessed with the Emotional Availability (EA) Scales
Emotional Availability (EA) Scales
Time frame: up to 3 years
Home environment assessed with the Home Observation Measurement of the Environment (HOME)
Home Observation Measurement of the Environment (HOME)
Time frame: up to 7 years
Risk and protective factors assessed with the Heidelberg Stress Scale (HBS)
Heidelberg Stress Scale (HBS)
Time frame: up to 8 years
Risk and protective factors assessed with the German version of the Parenting-Stress-Index (EBI)
German version of the Parenting-Stress-Index (EBI)
Time frame: up to 3 years
Social network assessed with the Social Network Scales
Social Network Scales
Time frame: up to 10 years
Parental self-efficacy assessed with the Self-Efficacy in Infant Care Scale (SICS)
Self-Efficacy in Infant Care Scale (SICS)
Time frame: up to 4 years
Parental self-efficacy assessed with the Parenting Sense of Competence Scale (PSOC)
Parenting Sense of Competence Scale (PSOC)
Time frame: up to 3 years
Parental depressivity assessed with the subscale of the Brief Symptom Inventory (BSI)
Depressive symptoms (subscale BSI)
Time frame: up to 6 years
Educational attitudes assessed with the German test Educational Attitudes Scale (EMKK)
German "Educational Attitudes Scale" (EMKK)
Time frame: up to 4 years
Parenting assessed with the Alabama Parenting Questionnaire (APQ)
Alabama Parenting Questionnaire (APQ)
Time frame: up to 3 years
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.