Abstract Throughout the pandemic Chile implemented a series of public health mandates restricting mobility and high social-contact activities with a goal of reducing disease spread. In this paper, we study the impact of one of these policies-central planner variation in school reopenings on labor market outcomes. We examine how access to supervised care for children in school affected mothers’ labor supply and show that mothers increased labor force participation anywhere from 2.6 to 21.0 percentage points (ppts) as schools reopened. As mothers came back to the labor force, however, unplanned disruptions decreased their ability to stay actively engaged in work and increased their take up of leave from work, an artifact of unanticipated sick children and quarantine policies that particularly affected mothers who were secondary earners in the household. Conditional on being in the labor force, having a teenager buffered both mothers and fathers from work disruptions; parents were more likely to be actively working and less likely to be on leave. Our findings support a theory that parental labor supply is sensitivity to disruptions in the care of children but also depends on household composition and each parent’s role beyond gender. Policies that encourage consistent formalized systems of care and learning for children will not only benefit children, but also a second-earner’s ability to re-enter the labor force and advance at work. JEL: J13, J16, J22
Purpose Intervention provided to school-age children with developmental language disorder often relies on the provision of performance feedback, yet it is unclear whether children with this disorder benefit from feedback-based learning. The study evaluates the effect of performance feedback on learning in children with developmental language disorder. Method Thirteen 8- to 12-year-old children with developmental language disorder and 14 age- and gender-matched children with typical language development completed two learning tasks whose objective was to pair nonword novel names with novel objects. The two tasks differed in the presence of performance feedback to guide learning. Learning outcomes on immediate and follow-up tests were compared between the feedback-based and feedback-free tasks. Additionally, an electrophysiological marker of feedback processing was compared between children with and without developmental language disorder. Results Children with developmental language disorder demonstrated poorer learning outcomes on both tasks when compared with their peers, but both groups achieved better accuracy on the feedback-free task when compared with the feedback-based task. Within the feedback-based task, children were more likely to repeat a correct response than to change it after positive feedback but were as likely to repeat an error as they were to correct it after receiving negative feedback. While children with typical language elicited a feedback-related negativity with greater amplitude to negative feedback, this event-related potential had no amplitude differences between positive and negative feedback in children with developmental language disorder. Conclusions Findings indicate that 8- to 12-year-old children benefit more from a feedback-free learning environment and that negative feedback is not as effective as positive feedback in facilitating learning in children. The behavioral and electrophysiological data provide evidence that feedback processing is impaired in children with developmental language disorders. Future research should evaluate feedback-based learning in children with this disorder using other learning paradigms.
OBJECTIVE: Identifying which preterm (PT) children are at increased risk of language and learning differences increases opportunities for participation in interventions that improve outcomes. Speed in spoken language comprehension at early stages of language development requires information processing skills that may form the foundation for later language and school-relevant skills. In children born full-term, speed of comprehending words in an eye-tracking task at 2 years old predicted language and nonverbal cognition at 8 years old. Here, we explore the extent to which speed of language comprehension at 1.5 years old predicts both verbal and nonverbal outcomes at 4.5 years old in children born PT. METHOD: Participants were children born PT (n = 47; ≤32 weeks gestation). Children were tested in the "looking-while-listening" task at 18 months old, adjusted for prematurity, to generate a measure of speed of language comprehension. Parent report and direct assessments of language were also administered. Children were later retested on a test battery of school-relevant skills at 4.5 years old. RESULTS: Speed of language comprehension at 18 months old predicted significant unique variance (12%-31%) in receptive vocabulary, global language abilities, and nonverbal intelligence quotient (IQ) at 4.5 years, controlling for socioeconomic status, gestational age, and medical complications of PT birth. Speed of language comprehension remained uniquely predictive (5%-12%) when also controlling for children's language skills at 18 months old. CONCLUSION: Individual differences in speed of spoken language comprehension may serve as a marker for neuropsychological processes that are critical for the development of school-relevant linguistic skills and nonverbal IQ in children born PT.
Virginia A. Marchman, Elizabeth C. Loi, Katherine A. Adams et al.
BACKGROUND: Family caregivers often play a key role in medical decision-making for patients with cancer. Adult-children account for nearly half of caregivers, but often have less experience with serious illness care and decision-making and face unique relational challenges as the patient's child. Yet little research explores the potentially distinctive decision-making, involvement in decisions, and support needs of adult-child caregivers. METHODS: Analysis of survey data of U.S. cancer caregivers conducted by CancerCare® in 2021. Chi-square tests and multivariable regression models assessed whether adult-child and spousal caregivers differed on the type of medical decisions they participated in (e.g., treatment planning, medication management), who made the decision (e.g., caregiver or joint decision), and the resources that informed decisions (e.g., friends and family, education materials). RESULTS: Adult-children (N = 892) were less likely than spouses (N = 314) to participate in treatment planning (beta = -0.41; 95%CI = -0.81,-0.01), but more likely to be involved in decisions about whether to challenge medical authority (e.g., seeking alternative treatment, second opinion) (beta = 0.50; 95%CI = 0.22,0.78). Compared to spouses, adult-children made joint decisions with patients less often (-13.2-percentage points; 95%CI = -19.64,-6.67) and acted as primary decision-maker more frequently (5.60-percentage points; 95%CI = 0.01,10.43). More adult-children than spouses sought help and information regarding decisions from the oncology team (8.42-percentage points; 95%CI = 1.98,14.87) and friends and family (7.91-percentage points; 95%CI = 1.34,14.48). CONCLUSIONS: How cancer caregivers and patients are related to each other shapes caregivers' medical decision-making. Adult-children's and spouses' probabilities of participating in and influencing decisions differed for certain types of decisions while adult-children were more likely to seek information and social support regarding decisions. These findings highlight the importance of the patient's and caregiver's relationship type in medical decision-making, suggesting that decision support programs may be more effective if they tailor programs by relationship type.
Anny Fenton, Katherine A. Ornstein, Erin Elizabeth Kent et al.
Children have been widely used as pawns in the Colombian armed conflict. International conventions on children’s rights view child soldiers solely as victimized and traumatized; criminalizing the use of children under the age of fifteen in active hostilities. This paper aims to approximate the reality of Colombian child soldiers, versus the approach taken in other jurisdictions, where child soldiers have been the prosecuted in situations of armed conflict. In making this approximation, we attempt to answer the question of whether it is lawful to prosecute former child soldiers in post-conflict Colombia.
This study investigates the critical link between child care accessibility and local labor force participation, addressing a gap in current research that often lacks local spatial granularity. While over half of the U.S. population resides in child care deserts, disproportionately affecting rural, low-income, and minority communities, the economic implications for local labor markets remain underexplored. Leveraging Michigan child care license data and Census tract-level demographic and employment characteristics, this research employs a spatial econometric approach to estimate the impact of geographic distance to child care facilities on labor supply using descriptive data. Our findings consistently demonstrate that increased distance to child care is significantly associated with reduced labor force participation. While female labor force participation is lower in areas with constrained access to child care, we also found that households with two parents are also less likely to have full labor force participation when access to child care is constrained. The cost-effective framework used here can be replicated to identify specific communities most impacted by child care-related employment disruptions. The analytical findings can be instrumental in targeting and prioritizing child care policy interventions.
John T. Reaves, Hope Akaeze, Holli A. Schlukebir et al.
Parental trust in medical researchers is a commonly cited barrier to their child's participation in clinical research. Yet, there is little understanding of factors influencing parental trust to be implemented in interventions to address their concerns. This study seeks to identify psychosocial and modifying factors influencing parental trust in medical researchers to improve child and adolescent patients clinical trial participation, and potentially their health outcomes. We conducted a cross-sectional study with 307 parents. Multiple ordinary linear (OLS) regression was conducted to determine: (1) psychosocial and modifying factors associated with parental trust; and (2) perceived advantages and disadvantages associated with parental trust. Parent's race (White) (β = .343, p < .001), higher education level (β = .409, p < .001), higher perceived advantages of adolescent clinical trials (β = .142, p < .001), and lower perceived disadvantages of adolescent clinical trials (β = -.337, p = .001) were the most significant predictors of higher levels of parental trust in medical researchers. Parents who were African American and had lower education levels expressed lower levels of trust in medical researchers. Education on the benefits of clinical trials could reduce parents' apprehension towards their child's participation in clinical trials. Results support the development of a clinical trial education program for parents to improve their trust in medical researchers.
Jennifer Cunningham‐Erves, Jason A. Deakings, Tilicia L. Mayo‐Gamble et al.
Research Findings: Family child care providers widely participate in the Child and Adult Care Food Program (CACFP), yet their participation experiences have not been studied. To fill this gap, we used a mixed methods approach that combined survey data collected from a random sample of 224 CACFP-participating licensed family child care providers and in-depth qualitative interviews (n = 40 survey respondents). Working within a cost-benefit framework, we sampled from Chicago and small cities and towns in central Illinois in order to compare providers’ perceptions of the benefits and burdens of CACFP participation by reimbursement level and urban/rural location. Reimbursement rate was related to providers’ perceptions of the adequacy of the reimbursement and how difficult it was to purchase food that met program requirements. Location was related to providers’ perceptions of how difficult it was to prepare meals that met program requirements. Practice or Policy: Our findings suggest modifications to reduce inequities in who has access to the higher reimbursement rate. How providers qualify for the higher reimbursement rate could be reconsidered to ensure that providers outside of urban areas are not disadvantaged. Sponsoring organizations could expand efforts to provide technical assistance and nutrition education, especially for providers outside of urban areas.
Katherine Elizabeth Speirs, Rachel A. Gordon, Elizabeth Powers et al.
During the course of a program evaluation for Footprints Dance Project Society of Alberta, we uncovered a discrepancy between children and parents regarding both motivation for program participation and expected outcomes. At Footprints Dance Project, we work with a diverse group of children, primarily from low socioeconomic backgrounds. Despite advertising ourselves as an organization providing dance programs for children to experience dance—promoting a love of dance and artistic activities—one third of our parents expressed a primary expectation for their child to develop life skills through our program. Thirty-seven percent of our parents did not mention learning dance as an expectation of our community dance program at all. This contrasted starkly with both our child respondents’ motivations as well as our own assumptions. We discuss this dichotomy and its implications in community programming, both for program delivery and recruitment.
Child physical activity (PA) declines during summer reducing PA-related health benefits. Summer care programs (e.g., Boys & Girls Clubs) can promote active play while providing opportunities for friendships. Sport participation is a positive influence on PA and social development. Purpose: This article investigates the role of sport participation in PA attainment, perceived skill competency, and social connection at a summer care program. Methods: Children self-reported PA, sport participation, and the names of up to five peers whom they played with most at the program at the start (T1; n = 100; M age = 9.94 years; SD = 1.34; 47% male) and end (T2; n = 77; M age = 9.83 years; SD = 1.46; 51% male) of summer. Network autocorrelation models were used to determine if child sport participation was significantly associated with those they played with at the program. Results:Children who reported sport participation reported significantly more PA than those who did not at T1, but not T2. Child sport participation was significantly related to that of the peers they said they spent time with while at the program for T1 (β = 0.07, p < .01), but not T2 (β = 0.06, p = .10). Additionally, PA (β = 0.08, p < .01; β = 0.07, p = .01) and skill competency (β = 0.11, p = .02; β = 0.15, p < .01) were significantly associated with sport participation at both time points. While sports participation was a key factor in child friendships at the start of summer, the program allowed children, regardless of sport participation, to become friends outside of sports. Conclusions: These results suggest summer care programs promote PA through play and provide opportunities for children to facilitate friendships regardless of sport participation.
Tyler M. Prochnow, Megan S. Patterson, Andrew R. Meyer et al.
