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Nanaimo TDI November 2016


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Nov. 9, 2016 GNEYP Research Event – Investigating the Early Development Instrument (EDI) & Toddler Development Instrument (TDI)

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Nanaimo TDI November 2016

  1. 1. Building a comprehensive, population-based child development monitoring system
  2. 2. “Owen & Mzee: The true story of a remarkable friendship”
  3. 3. Dolinoy, Weidman, & Jirtle, 2007
  4. 4. Identical genes, but different prenatal diet Waterland & Jirtle, 2003 Restricted diet: More obesity More diabetes More cancers
  5. 5. Fagen & Fagen, 2004
  6. 6. Play & brain size across species Social play Relative size of brain regions with socio-cognitive, motor, emotional, & visual functions Lewis, 2003
  7. 7. Play & brain size across species Social play Relative size of brain regions with socio-cognitive, motor, emotional, & visual functions Lewis, 2003
  8. 8. Play & brain size across species Social play Relative size of brain regions with socio-cognitive, motor, emotional, & visual functions Lewis, 2003
  9. 9. Fertile Minds From birth, a baby’s brain cells proliferate wildly, making connections that may shape a lifetime of experience. The first three years are critical. February 3, 1997
  10. 10. 2nd Decade 3rd/4th Decade 5th/6th Decade Old Age  School Failure  Teen Pregnancy  Criminality  Obesity  Elevated Blood Pressure  Depression  Coronary Heart Disease  Diabetes  Premature Aging  Memory Loss The long reach of early experience….
  11. 11. 'Fair Society Healthy Lives’ marmot-review
  12. 12. Vision & goals Toward a longitudinal ECD monitoring system
  13. 13. Toddler Development Instrument
  14. 14. Key milestones “Getting it right at 18 months: In support of an enhanced well-baby visit” • R Williams, J Clinton; Canadian Paediatric Society , Early Years Task Force • Paediatr Child Health 2011; 16(10):647-50
  15. 15. Enhanced 18-month well-baby visit • Ontario, Canada d_18-month.aspx Provincial government provides funding Nipissing District Developmental Screen Rourke Baby Record
  16. 16. Components of a platform • Short questionnaire filled out by parents • Universal access – voluntary participation • Practical benefits to practitioners and families (e.g., context-specific feedback; referral to resources) • Easy to implement for parents and professionals • Inexpensive • Secure and privacy protected (confidential) • Person-specific linkages to other data sources • Aggregate-able for geo-spatial neighborhood mapping • Scientifically valid (i.e., predictive)
  17. 17. Work to date Forum for Early Child Development Monitoring – Expert consultation – Literature review – Analyses of longitudinal studies • (e.g., ELDEQ; ASQ data) – Focus groups with parents and ECD professionals
  18. 18. Constructs on TDI pilot version – Developmental milestones – Child-parent/adult at home interaction – Social play, outdoor play, screen time – Sleep, nutrition, dental care, family doctor, immunization – Child care and access barriers – Community child-family resources and access barriers – Neighborhood safety, residential stability, interactions – Social support for parent/caregiver – Family dynamics (e.g., family functioning) – Parenting beliefs and practices (e.g., parental impact, competence) – Parental well-being and mental health – Demographic & socioeconomic background questions
  19. 19. Pilot sites Trail Kamloops Revelstoke East Kootenay Comox Vancouver Powell River Fraser Region
  20. 20. Trail • Main contact: Christy Anderson – Executive Director, Family Action Network; Member of IRESN • TDI implementation set to start end of October • Ongoing TDI collection through various early years organizations: – Strong Start Programs; Aboriginal Family Gathering Program; Columbia Basin Alliance for Literacy Kamloops • Main contact: Judy Treherne – Consultant, Make Children First; Member of IRESN • TDI implementation to start early November • Early Years Centre will serve as centre for coordination and distribution of TDI • Additional locations interested in/committed to TDI implementation: – Children’s Therapy & Family Resource Centre; Interior Community Services; School District #73 Strong Start programs; Lii Michif Otipemisiwak Family and Community Services; Secwepemc Child and Family Services; Kamloops Aboriginal Friendship Society; Q’wemtsin Health Society; Interior Health Public Health (Baby Clinics, Speech & Dental); Thompson Rivers University, ECE Program, Infant Toddler program
  21. 21. Revelstoke • Main contact: Tracy Spannier – Early Years Coordinator, Revelstoke Early Years Centre • TDI implementation set to start at community event on November 19th • Additional implementation sites include: – Public Health; Revelstoke Child Care Society; Revelstoke Speech & Language Clinic; Strong Start, Revelstoke Leap Land, Columbia Basin Alliance for Literacy East Kootenay • Main contact: Gina Panattoni – Regional Manager, Children First/Success by Six • Interest expressed by four communities to partner in pilot implementation – Cranbrook, Ktunaxa Nation, Kimberly, Fernie • Specific implementation locations, dates, and details TBD Comox • Main contact: Joanne Schroeder – Executive Director, Comox Valley Child Development Association • TDI implementation to start January 2017 • Four key agencies to facilitate TDI implementation: – Public Health; School District #71; Family Services; Comox Valley Child Development Association
  22. 22. Vancouver • Main contact: Susan Conley – Regional Manager, Public Health, Perinatal & Early Childhood; Radhika Bhagat – Manager, Public Health • TDI implementation to start January 2017 • TDI collection to be facilitated by PHNs in community health centres (CHC) Powell River • Main contact: Rita John – Early Learning Coordinator, School District #47 • TDI implementation to start in November and be co-coordinated between SD47 and Public Health • Proposed implementation sites include: – Powell River CHC Baby Clinics, School District #47 Strong Start Programs Fraser Region • Main contact: Sherry Sinclair – Executive Director, BC Association of Family Resource Programs • Interest expressed in partnering for pilot implementation • Implementation locations, dates, and details TBD