We sought to determine whether pediatric primary care interventions targeting positive parenting among low socioeconomic status mothers resulted in reduced referrals to the New York City Early Intervention Program (NYC-EIP). Participants in Building Blocks (BB) and the Video Interaction Project (VIP) were linked with the NYC-EIP administrative dataset to determine referrals. In all, 139 of 422 study participants (31.4%) meeting inclusion criteria were referred to the NYC-EIP. Although referrals did not differ overall by group (VIP 29.8%; BB 33.8%; control 35.3%), differences were found for mothers with education/literacy of seventh grade or higher (interaction p = .02). In that subgroup, VIP was associated with reduced referrals by age 3 years (22.4%; adjusted odds ratio 0.53; 95% confidence interval [0.29, 0.97]), compared with BB (35.0%) and controls (34.3%), with survival analysis showing reduced cumulative risk (p = .04). We conclude that VIP resulted in reduced referrals for early intervention evaluation among children of mothers with seventh-grade education or higher.

中文翻译：

---

通过与公共卫生数据库的联系评估儿科初级保健育儿干预对 EI 转诊的影响

我们试图确定针对低社会经济地位母亲积极育儿的儿科初级保健干预措施是否会减少转诊到纽约市早期干预计划 (NYC-EIP) 的人数。Building Blocks (BB) 和视频交互项目 (VIP) 的参与者与 NYC-EIP 管理数据集相关联，以确定推荐。总之，符合纳入标准的 422 名研究参与者中有 139 名 (31.4%) 被转介到 NYC-EIP。尽管转诊在各组之间没有差异（VIP 29.8%；BB 33.8%；控制 35.3%），但在教育/识字率达到七年级或更高的母亲中发现了差异（交互 p = .02）。在该亚组中，与 BB 相比，VIP 与 3 岁时转诊减少相关（22.4%；调整后的优势比为 0.53；95% 置信区间 [0.29, 0.97]）。0%) 和对照组 (34.3%)，生存分析显示累积风险降低 (p = .04)。我们得出的结论是，VIP 导致七年级或更高学历母亲的孩子接受早期干预评估的转介减少。