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Edwards RC, Planalp EM, Bosquet Enlow M, Akshoomoff N, Bodison SC, Brennan MB, Ciciolla L, Eiden RD, Fillipi CA, Gustafsson HC, McKelvey LM, Morris AS, Peralta-Carcelén M, Poehlmann J, Wakschlag LS, Wilson S, HBCD Child Behavior and Caregiver-Child Interactions Workgroup. Capturing the complexity of child behavior and caregiver-child interactions in the HEALthy Brain and Child Development (HBCD) Study using a rigorous and equitable approach. Dev Cogn Neurosci 2024; 69:101422. [PMID: 39126821 PMCID: PMC11363994 DOI: 10.1016/j.dcn.2024.101422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2024] [Revised: 07/19/2024] [Accepted: 07/22/2024] [Indexed: 08/12/2024] Open
Abstract
The HEALthy Brain and Child Development (HBCD) Study, a multi-site prospective longitudinal cohort study, will examine human brain, cognitive, behavioral, social, and emotional development beginning prenatally and planned through early childhood. This article outlines methodological considerations and the decision-making process for measurement selection for child behavior, parenting/caregiver-child interactions, and the family/home environment for HBCD. The decision-making process is detailed, including formation of a national workgroup (WG-BEH) that focused on developmentally appropriate measures that take a rigorous and equitable approach and aligned with HBCD objectives. Multi-level-observational and caregiver-report measures were deemed necessary for capturing the desired constructs across multiple contexts while balancing the nuance of observational data with pragmatic considerations. WG-BEH prioritized developmentally sensitive, validated assessments with psychometrics supporting use in diverse populations and focused on mechanistic linkages and prediction of desired constructs. Other considerations included participant burden and retention, staff training needs, and cultural sensitivity. Innovation was permitted when it was grounded in evidence and filled key gaps. Finally, this article describes the rationale for the selected constructs (e.g., temperament, social-emotional development, parenting behaviors, family organization) and corresponding measures chosen for HBCD visits from early infancy through 17 months of age.
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Affiliation(s)
- Renee C Edwards
- Northwestern University, Feinberg School of Medicine, 625 N. Michigan Ave, Suite 2400, Chicago, IL 60611, USA.
| | - Elizabeth M Planalp
- Northwestern University, Feinberg School of Medicine, 625 N. Michigan Ave, Suite 2400, Chicago, IL 60611, USA
| | - Michelle Bosquet Enlow
- Northwestern University, Feinberg School of Medicine, 625 N. Michigan Ave, Suite 2400, Chicago, IL 60611, USA
| | - Natacha Akshoomoff
- Northwestern University, Feinberg School of Medicine, 625 N. Michigan Ave, Suite 2400, Chicago, IL 60611, USA
| | - Stefanie C Bodison
- Northwestern University, Feinberg School of Medicine, 625 N. Michigan Ave, Suite 2400, Chicago, IL 60611, USA
| | - Marianne B Brennan
- Northwestern University, Feinberg School of Medicine, 625 N. Michigan Ave, Suite 2400, Chicago, IL 60611, USA
| | - Lucia Ciciolla
- Northwestern University, Feinberg School of Medicine, 625 N. Michigan Ave, Suite 2400, Chicago, IL 60611, USA
| | - Rina D Eiden
- Northwestern University, Feinberg School of Medicine, 625 N. Michigan Ave, Suite 2400, Chicago, IL 60611, USA
| | - Courtney A Fillipi
- Northwestern University, Feinberg School of Medicine, 625 N. Michigan Ave, Suite 2400, Chicago, IL 60611, USA
| | - Hanna C Gustafsson
- Northwestern University, Feinberg School of Medicine, 625 N. Michigan Ave, Suite 2400, Chicago, IL 60611, USA
| | - Lorraine M McKelvey
- Northwestern University, Feinberg School of Medicine, 625 N. Michigan Ave, Suite 2400, Chicago, IL 60611, USA
| | - Amanda S Morris
- Northwestern University, Feinberg School of Medicine, 625 N. Michigan Ave, Suite 2400, Chicago, IL 60611, USA
| | - Myriam Peralta-Carcelén
- Northwestern University, Feinberg School of Medicine, 625 N. Michigan Ave, Suite 2400, Chicago, IL 60611, USA
| | - Julie Poehlmann
- Northwestern University, Feinberg School of Medicine, 625 N. Michigan Ave, Suite 2400, Chicago, IL 60611, USA
| | - Lauren S Wakschlag
- Northwestern University, Feinberg School of Medicine, 625 N. Michigan Ave, Suite 2400, Chicago, IL 60611, USA
| | - Sylia Wilson
- Northwestern University, Feinberg School of Medicine, 625 N. Michigan Ave, Suite 2400, Chicago, IL 60611, USA
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Parker AJ, Brock P, Kryza‐Lacombe M, Briggs‐Gowan M, Dougherty LR, Wakschlag LS, Wiggins JL. What I see, what you say: How cross-method variation sharpens characterization of irritability in early childhood. Int J Methods Psychiatr Res 2024; 33:e2019. [PMID: 38481064 PMCID: PMC10937815 DOI: 10.1002/mpr.2019] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 12/13/2023] [Accepted: 02/28/2024] [Indexed: 03/17/2024] Open
Abstract
OBJECTIVES Identification of clinically significant irritability in preschool age is important to implement effective interventions. However, varying informant and measurement methods display distinct patterns. These patterns are associated with concurrent and future mental health concerns. Patterns across multi-informant methods in early-childhood irritability may have clinical utility, identifying risk for impaired psychosocial functioning. METHODS Using data from the Multidimensional Assessment of Preschoolers Study (N = 425), latent profile analysis identified irritability patterns through the parent-reported Multidimensional Assessment Profile Scales-Temper Loss (MAPS-TL), parent-reported interviewer-rated Preschool Age Psychiatric Assessment (PAPA), and observer-rated Disruptive Behavior Diagnostic Observation Schedule (DB-DOS). These profiles were characterized on protective factors, global functioning, and mental health syndromes, concurrently and at early school age and preadolescent follow-up. RESULTS Fit indices favored a five-class model: Low All, High Observation with Examiner (high DB-DOS Examiner Context), High All, High Parent Report (high MAPS-TL/PAPA), and Very High Parent Report (very high MAPS-TL/PAPA). Whereas Low All and High Observation with Examiner exhibited strong psychosocial functioning, remaining profiles showed impaired psychosocial functioning, with the Very High Parent Report group showing higher impairment at follow-ups, ds = 0.37-1.25. CONCLUSIONS Multi-informant measurements of irritability may have utility for clinical prediction, and future studies should test utility for diagnostic precision.
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Affiliation(s)
| | - Peyton Brock
- Department of PsychologySan Diego State UniversitySan DiegoCaliforniaUSA
| | - Maria Kryza‐Lacombe
- San Diego State University/University of CaliforniaSan Diego Joint Doctoral Program in Clinical PsychologySan DiegoCaliforniaUSA
| | - Margaret Briggs‐Gowan
- Child and Adolescent PsychiatryUniversity of Connecticut Health SystemFarmingtonConnecticutUSA
| | | | - Lauren S. Wakschlag
- Feinberg School of Medicine and Institute for Innovations in Developmental SciencesNorthwestern UniversityEvanstonIllinoisUSA
| | - Jillian Lee Wiggins
- Department of PsychologySan Diego State UniversitySan DiegoCaliforniaUSA
- San Diego State University/University of CaliforniaSan Diego Joint Doctoral Program in Clinical PsychologySan DiegoCaliforniaUSA
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3
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Moffat R, Casale CE, Cross ES. Mobile fNIRS for exploring inter-brain synchrony across generations and time. FRONTIERS IN NEUROERGONOMICS 2024; 4:1260738. [PMID: 38234472 PMCID: PMC10790948 DOI: 10.3389/fnrgo.2023.1260738] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Accepted: 12/01/2023] [Indexed: 01/19/2024]
Abstract
While still relatively rare, longitudinal hyperscanning studies are exceptionally valuable for documenting changes in inter-brain synchrony, which may in turn underpin how behaviors develop and evolve in social settings. The generalizability and ecological validity of this experimental approach hinges on the selected imaging technique being mobile-a requirement met by functional near-infrared spectroscopy (fNIRS). fNIRS has most frequently been used to examine the development of inter-brain synchrony and behavior in child-parent dyads. In this position paper, we contend that dedicating attention to longitudinal and intergenerational hyperscanning stands to benefit the fields of social and cognitive neuroscience more broadly. We argue that this approach is particularly relevant for understanding the neural mechanisms underpinning intergenerational social dynamics, and potentially for benchmarking progress in psychological and social interventions, many of which are situated in intergenerational contexts. In line with our position, we highlight areas of intergenerational research that stand to be enhanced by longitudinal hyperscanning with mobile devices, describe challenges that may arise from measuring across generations in the real world, and offer potential solutions.
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Affiliation(s)
- Ryssa Moffat
- Social Brain Sciences, ETH Zurich, Zurich, Switzerland
| | - Courtney E. Casale
- School of Psychological Sciences, Macquarie University, Sydney, NSW, Australia
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MacNeill LA, Krogh‐Jespersen S, Zhang Y, Giase G, Edwards R, Petitclerc A, Mithal LB, Mestan K, Grobman WA, Norton ES, Alshurafa N, Moskowitz JT, Tandon SD, Wakschlag LS. Lability of prenatal stress during the COVID-19 pandemic links to negative affect in infancy. INFANCY 2022; 28:136-157. [PMID: 36070207 PMCID: PMC9538880 DOI: 10.1111/infa.12499] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Revised: 07/01/2022] [Accepted: 07/30/2022] [Indexed: 01/19/2023]
Abstract
The association between prenatal stress and children's socioemotional development is well established. The COVID-19 pandemic has been a particularly stressful period, which may impact the gestational environment. However, most studies to-date have examined prenatal stress at a single time point, potentially masking the natural variation in stress that occurs over time, especially during a time as uncertain as the pandemic. This study leveraged dense ecological momentary assessments from a prenatal randomized control trial to examine patterns of prenatal stress over a 14-week period (up to four assessments/day) in a U.S. sample of 72 mothers and infants. We first examined whether varied features of stress exposure (lability, mean, and baseline stress) differed depending on whether mothers reported on their stress before or during the pandemic. We next examined which features of stress were associated with 3-month-old infants' negative affect. We did not find differences in stress patterns before and during the pandemic. However, greater stress lability, accounting for baseline and mean stress, was associated with higher infant negative affect. These findings suggest that pathways from prenatal stress exposure to infant socioemotional development are complex, and close attention to stress patterns over time will be important for explicating these pathways.
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Affiliation(s)
- Leigha A. MacNeill
- Department of Medical Social SciencesNorthwestern University Feinberg School of MedicineChicagoIllinoisUSA,Institute for Innovations in Developmental SciencesNorthwestern UniversityChicagoIllinoisUSA
| | - Sheila Krogh‐Jespersen
- Department of Medical Social SciencesNorthwestern University Feinberg School of MedicineChicagoIllinoisUSA,Institute for Innovations in Developmental SciencesNorthwestern UniversityChicagoIllinoisUSA
| | - Yudong Zhang
- Department of Medical Social SciencesNorthwestern University Feinberg School of MedicineChicagoIllinoisUSA,Institute for Innovations in Developmental SciencesNorthwestern UniversityChicagoIllinoisUSA
| | - Gina Giase
- Institute for Innovations in Developmental SciencesNorthwestern UniversityChicagoIllinoisUSA
| | - Renee Edwards
- Department of Medical Social SciencesNorthwestern University Feinberg School of MedicineChicagoIllinoisUSA,Institute for Innovations in Developmental SciencesNorthwestern UniversityChicagoIllinoisUSA
| | | | - Leena B. Mithal
- Department of PediatricsNorthwestern University Feinberg School of MedicineChicagoIllinoisUSA,Ann & Robert H. Lurie Children's Hospital of ChicagoChicagoIllinoisUSA
| | - Karen Mestan
- Department of PediatricsNorthwestern University Feinberg School of MedicineChicagoIllinoisUSA,Ann & Robert H. Lurie Children's Hospital of ChicagoChicagoIllinoisUSA
| | - William A. Grobman
- Department of Obstetrics and GynecologyThe Ohio State UniversityColumbusOhioUSA
| | - Elizabeth S. Norton
- Department of Medical Social SciencesNorthwestern University Feinberg School of MedicineChicagoIllinoisUSA,Institute for Innovations in Developmental SciencesNorthwestern UniversityChicagoIllinoisUSA,Department of Communication Sciences and DisordersNorthwestern UniversityEvanstonIllinoisUSA
| | - Nabil Alshurafa
- Institute for Innovations in Developmental SciencesNorthwestern UniversityChicagoIllinoisUSA,Department of Preventive MedicineNorthwestern University Feinberg School of MedicineChicagoIllinoisUSA
| | - Judith T. Moskowitz
- Department of Medical Social SciencesNorthwestern University Feinberg School of MedicineChicagoIllinoisUSA,Institute for Innovations in Developmental SciencesNorthwestern UniversityChicagoIllinoisUSA
| | - S. Darius Tandon
- Department of Medical Social SciencesNorthwestern University Feinberg School of MedicineChicagoIllinoisUSA,Institute for Innovations in Developmental SciencesNorthwestern UniversityChicagoIllinoisUSA
| | - Lauren S. Wakschlag
- Department of Medical Social SciencesNorthwestern University Feinberg School of MedicineChicagoIllinoisUSA,Institute for Innovations in Developmental SciencesNorthwestern UniversityChicagoIllinoisUSA
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Wakschlag LS, Finlay-Jones AL, MacNeill LA, Kaat AJ, Brown CH, Davis MM, Franklin P, Berkel C, Krogh-Jespersen S, Smith JD. Don't Get Lost in Translation: Integrating Developmental and Implementation Sciences to Accelerate Real-World Impact on Children's Development, Health, and Wellbeing. Front Public Health 2022; 10:827412. [PMID: 35493380 PMCID: PMC9046665 DOI: 10.3389/fpubh.2022.827412] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Accepted: 03/24/2022] [Indexed: 01/14/2023] Open
Abstract
Translation of developmental science discoveries is impeded by numerous barriers at different stages of the research-to-practice pipeline. Actualization of the vast potential of the developmental sciences to improve children's health and development in the real world is imperative but has not yet been fully realized. In this commentary, we argue that an integrated developmental-implementation sciences framework will result in a translational mindset essential for accelerating real world impact. We delineate key principles and methods of implementation science of salience to the developmental science audience, lay out a potential synthesis between implementation and developmental sciences, provide an illustration of the Mental Health, Earlier Partnership (MHE-P), and set actionable steps for realization. Blending these approaches along with wide-spread adoption of the translational mindset has transformative potential for population-level impact of developmental science discovery.
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Affiliation(s)
- Lauren S. Wakschlag
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
- Institute for Innovations in Developmental Sciences, Northwestern University, Chicago, IL, United States
| | - Amy L. Finlay-Jones
- Early Neurodevelopment and Mental Health Team, Telethon Kids Institute, Nedlands, WA, Australia
- School of Population Health, Curtin University, Bentley, WA, Australia
| | - Leigha A. MacNeill
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
- Institute for Innovations in Developmental Sciences, Northwestern University, Chicago, IL, United States
| | - Aaron J. Kaat
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
- Institute for Innovations in Developmental Sciences, Northwestern University, Chicago, IL, United States
| | - C. Hendricks Brown
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
- Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
- Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
| | - Matthew M. Davis
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
- Institute for Innovations in Developmental Sciences, Northwestern University, Chicago, IL, United States
- Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
- Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States
| | - Patricia Franklin
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
| | - Cady Berkel
- College of Health Solutions, Arizona State University, Tempe, AZ, United States
| | - Sheila Krogh-Jespersen
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
- Institute for Innovations in Developmental Sciences, Northwestern University, Chicago, IL, United States
| | - Justin D. Smith
- Institute for Innovations in Developmental Sciences, Northwestern University, Chicago, IL, United States
- Department of Population Health Sciences, Spencer Fox Eccles School of Medicine at the University of Utah, Salt Lake City, UT, United States
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6
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Krok W, Norton ES, Buchheit MK, Harriott E, Wakschlag L, Hadley PA. Using Animated Action Scenes to Remotely Assess Sentence Diversity in Toddlers. TOPICS IN LANGUAGE DISORDERS 2022; 42:156-172. [PMID: 36060270 PMCID: PMC9432823 DOI: 10.1097/tld.0000000000000280] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Although language samples are child-friendly and well-suited for obtaining global measures of language production, structured protocols have the potential to elicit many different exemplars of language structures in a shorter amount of time. We created a structured elicitation protocol, the Sentence Diversity Priming Task (SDPT), to efficiently assess sentence diversity in toddlers via video chat platforms. Sentence diversity is operationalized as the number of different subject–verb combinations in active declarative sentences. The task is presented as an animated picture book, with parents serving as the child's primary partner during administration. In this article, we provide the rationale for assessing sentence diversity, describe the task, and present preliminary analyses of compliance and developmental associations for 32 typically developing toddlers, 30–35 months old, with average language abilities. The preliminary findings suggest that the SDPT is an engaging task that holds toddlers' attention, reveals robust individual differences in their ability to produce sentences, is positively correlated with parent-reported language measures, and has the potential for assessing children's language growth over time. Finally, recommendations and tips for developing and remotely administering the protocol are provided, with an emphasis on encouraging parent involvement and increasing toddler compliance.
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Affiliation(s)
- Windi Krok
- Speech and Hearing Science, University of Illinois Urbana-Champaign, USA
| | - Elizabeth S. Norton
- Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, Illinois, USA
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Evanston, Illinois, USA
- Institute for Innovations in Developmental Sciences, Northwestern University, Chicago, Illinois, USA
| | - Mary Kate Buchheit
- Speech and Hearing Science, University of Illinois Urbana-Champaign, USA
| | - Emily Harriott
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Evanston, Illinois, USA
- Institute for Innovations in Developmental Sciences, Northwestern University, Chicago, Illinois, USA
| | - Lauren Wakschlag
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Evanston, Illinois, USA
- Institute for Innovations in Developmental Sciences, Northwestern University, Chicago, Illinois, USA
| | - Pamela A. Hadley
- Speech and Hearing Science, University of Illinois Urbana-Champaign, USA
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