Official Title
Adapting and Delivering a Tele-Wellness Supported Digital Toolkit to Baltimore City's Approved Family Child Care Home Providers Caring for Children of Essential Workers: Promoting Health, Early Literacy, and Quality Parent Engagement Amid COVID-19: A Pilot Study
Brief Summary

The investigators aim to deliver a tele-wellness supported app to Baltimore City's Family Child Care Home (FCCH) providers who are caring for children of Essential Personnel. Once a pre-survey is conducted, login information will be assigned to 30 Family Child Care Home providers and parents the FCCH serve. Providers and Parents will receive self-care and parenting/parent engagement support through the app and through a tele-wellness service, Ask a Nurse, provided by community health nurses at the Johns Hopkins School of Nursing. Children will have access to gamified learning materials in early literacy, math, social-emotional learning, and nutrition.

Detailed Description

The investigators will adapt and deliver a tele-wellness supported digital toolkit via an app

for Baltimore City's Family Child Care Home (FCCH) providers and the families the FCCH serve.

Through this digital toolkit, the investigators aim to provide related self-care support,

parent/parent engagement support for both Family Child Care Home providers and parents, and

provide access to early literacy, math, social-emotional learning, and nutrition games for

children (3-6 years old). Additionally, Family Child Care Home providers and parents will

have access to a hotline and email to the Ask a Nurse program-a tele-wellness program run by

community registered nurses at Johns Hopkins School of Nursing. Through Ask a Nurse,

providers and parents will be able to receive wellness counseling from licensed registered

nurses and care coordination to address specific social needs. The tele-wellness service is

NOT intended to directly address health issues, diagnose, or prescribe. In summary, Family

Child Care Home providers will have access to self-care and parent engagement resources and

parents will have access to self-care and parenting resources in addition to the games for

the child(ren).



The first phase of this study is to tailor an existing app, Escribo Play that already has

gamified early literacy and math tools, and expand its scope by including self-care and

parenting/parent engagement support for Family Child Care Home Providers and the parents the

FCCH serve. Additionally, the investigators are creating gamified social-emotional learning

and nutrition games for the children.



The second phase is a pre-post test where the investigator will recruit FCCH providers

enrolled in the Essential Personnel Child Care or School-Aged program and the parents the

FCCH serve to fill out health surveys before and 15 weeks post engagement with the app.



The investigators hypothesize that engagement with the digital toolkit will improve provider

and parental perceived level of stress, informational support, access to learning games, as

well as social, emotional, and behavioral functioning in children.

Enrolling by invitation
Stress, Psychological
Child Behavior
Social Competence

Device: FamilyChildCare (provisional name of app)
Parents will provide their child(ren) access to a smartphone, tablet, or computer for approximately 30 minutes, three times per week for 15 weeks with a total dosage of instruction of about 22.5 hours. Parents and providers will receive self-care, parenting, and parent engagement tips and resources through push notifications twice a day. Additionally, daily reminders will be sent to parents through push notification to give their child(ren) access to the learning games. After 15 weeks of app engagement, the providers and parents will be contacted by the PI to notify them of the 15 week time mark and provide the information for post-surveys via Qualtrics.
Intervention

Eligibility Criteria

Inclusion Criteria: - Licensed Family Child Care Home Providers operating in Baltimore City who are approved or was once approved to remain open during COVID-19 through the Essential Personnel Child Care or School-Aged Program. - Parents or legal adult guardians of young children (3-6 years old) who have utilized or continue to utilize the services of Family Child Care Home providers enrolled in the study. - All participants must have access to a smartphone, tablet, or computer.

Exclusion Criteria: - Licensed Family Child Care Home Providers not enrolled or was never enrolled in the Essential Personnel Child Care or School-Aged Program - Parents of young children (3-6 years old) who have not utilized the services of Licensed Family Child Care Home Providers in the Essential Personnel Child Care or School-Aged Program - FCCH providers not operating in Baltimore City - FCCH providers who do not have at least 1 parent consenting to participate in the study.

Eligibility Gender
All
Eligibility Age
Minimum: 3 Years~Maximum: 99 Years
Countries
United States
Locations

Johns Hopkins School of Nursing
Baltimore, Maryland, 21205

Lucine Francis, PhD
Principal Investigator
Johns Hopkins University

Johns Hopkins University
NCT Number
Keywords
Family Child Care Home Providers
Parents
young children
Multi-component Self-Care
Tele-Wellness Service
Child care provider stress
Child care provider informational support
Behavior and Social functioning in Children
Educational learning games
Parent Engagement
Early Learning Intervention
Parenting
Social emotional learning games
MeSH Terms
Stress, Psychological