R01NR022285

ROLE OF NYC'S UNIVERSAL PRE-K EXPANSION ON THE HEALTH AND EDUCATION OF CHILDREN - IMPROVING UPSTREAM COMPONENTS OF HEALTH IS CRITICAL FOR ASSURING IMPROVEMENT IN LONGER TERM HEALTH AND WELLBEING. THIS IS PARTICULARLY RELEVANT FOR PRE-KINDERGARTEN EDUCATION. WHILE EVIDENCE EXISTS ON SMALLER SCALE PROGRAMS THAT ARE NOT UNIVERSAL IN NATURE, WE HAVE A PAUCITY OF INFORMATION ON THE ROLE OF TRUE UNIVERSAL EXPANSIONS, AT THE LEVEL OF A LARGE CITY, ON HEALTH OR EDUCATION OUTCOMES FOR CHILDREN AT THE POPULATION LEVEL. IN 2014, NEW YORK CITY (NYC) LAUNCHED A UNIVERSAL PRE-KINDERGARTEN (UPK) EXPANSION, MORE THAN TRIPLING THE NUMBER OF SLOTS AVAILABLE IN 2 YEARS. WE WILL EXAMINE THE ROLE THAT HIS PROGRAM HAD IN BOTH HEALTH AND EDUCATION OUTCOMES FOR CHILDREN IN NYC THROUGH THE SCHOOL YEARS, THROUGH 12TH GRADE. UPK COULD INFLUENCE A WIDE VARIETY OF HEALTH (E.G., MENTAL HEALTH, ASTHMA, VISION/HEARING, OBESITY) AND EDUCATION (E.G., TEST SCORES, ATTENDANCE, RETENTION) OUTCOMES. THE RESEARCH LEVERAGES THE NYC STUDENT POPULATION HEALTH REGISTRY (SPHR), A UNIQUELY INCLUSIVE, LONGITUDINAL DATABASE OF ALL NYC PUBLIC SCHOOL STUDENTS, CREATED JOINTLY BY THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE AND NYC DEPARTMENT OF EDUCATION TO EXAMINE THESE AND OTHER OUTCOMES. SPHR LINKS MULTIPLE DATA SOURCES AT THE CHILD-LEVEL, ALLOWING US TO EXAMINE THE INFLUENCE OF UPK ON MYRIAD OUTCOMES. THE SPECIFIC AIMS ARE: AIM 1: DETERMINE THE INFLUENCE OF NYC’S CITYWIDE UPK EXPANSION ON CHILD HEALTH OUTCOMES. H1: RELATIVE TO CHILDREN WHO ENTERED PUBLIC SCHOOL BEFORE UPK EXPANSION, CHILDREN WHO ENTERED SCHOOL AFTER UPK EXPANSION WILL HAVE IMPROVED HEALTH OUTCOMES. AIM 2: DETERMINE THE INFLUENCE OF NYC’S CITYWIDE UPK EXPANSION ON CHILD EDUCATION OUTCOMES. H2: RELATIVE TO CHILDREN WHO ENTERED PUBLIC SCHOOL BEFORE UPK EXPANSION, CHILDREN WHO ENTERED SCHOOL AFTER UPK EXPANSION WILL HAVE IMPROVED EDUCATION OUTCOMES. AIM 3: DETERMINE THE INFLUENCE OF NYC’S CITYWIDE UPK EXPANSION ON HEALTH AND EDUCATION FOR ALL CHILDREN. H3: DIFFERENT GROUPS OF CHILDREN WILL SEE DIFFERENTIAL IMPACTS FROM UPK ON HEALTH AND EDUCATION OUTCOMES.

New York University

NURSES UNDERSTAND THAT IMPROVING HEALTH AND WELL-BEING MEANS ADDRESSING PEOPLE'S NEEDS IN MULTIPLE SETTINGS, CONTEXTS, AND OVER THE WHOLE LIFE COURSE. SCIENCE SUPPORTED BY THE NATIONAL INSTITUTE OF NURSING RESEARCH (NINR) USES THIS HOLISTIC PERSPECTIVE TO IMPROVE INDIVIDUAL AND POPULATION HEALTH AND ADVANCE HEALTH EQUITY. NINR-SUPPORTED RESEARCH PROMOTES HEALTH AND WELL-BEING BY ADDRESSING NEEDS AT MULTIPLE LEVELS INDIVIDUAL, FAMILY, COMMUNITY, AND SOCIETAL LEVELS AND DEVELOPING TREATMENT AND PREVENTION STRATEGIES THAT ARE RESPONSIVE TO THE REALITY OF PEOPLE'S LIVES. NURSES KNOW PEOPLE, AND PEOPLE TRUST NURSES. PATIENT AND FAMILIES INTERACT WITH NURSES MORE THAN ANY OTHER CLINICIANS. NURSING SCIENCE USES THIS SPECIAL RELATIONSHIP TO BETTER UNDERSTAND PATIENTS, FAMILIES, AND COMMUNITIES AND THE MANY FACTORS THAT INFLUENCE THEIR HEALTH. NURSING SCIENCE SUPPORTED BY NINR USES THIS KNOWLEDGE TO DEVELOP STRATEGIES FOR IMPROVING HEALTH AND WELLNESS ACROSS POPULATIONS, HEALTH CARE SETTINGS, AND THE LIFESPAN, WITH AN EMPHASIS ON ACHIEVING HEALTH EQUITY. NINR-SUPPORTED SCIENTISTS HAVE DEVELOPED INTERVENTIONS FOR: SUPPORTING PARENTS OF PREMATURE INFANTS, PROMOTING HIV PREVENTION IN UNDERSERVED POPULATIONS, IMPROVING TRANSITIONAL CARE LEADING TO BETTER OUTCOMES AND COST-SAVINGS, AND HELPING INNER-CITY CHILDREN MANAGE ASTHMA. NURSING SCIENCE TRANSCENDS THE BOUNDARIES OF DISEASE AND RESEARCH DISCIPLINES TO BETTER UNDERSTAND THE EXPERIENCES OF INDIVIDUALS AND FAMILIES LIVING WITH ILLNESS AND TO DEVELOP PERSONALIZED APPROACHES THAT MAXIMIZE HEALTH AND WELL-BEING FOR INDIVIDUALS AT ALL STAGES OF LIFE, ACROSS DIVERSE POPULATIONS AND SETTINGS. NINR-SUPPORTED SCIENCE USES NURSING SCIENCE'S UNIQUE, PATIENT AND COMMUNITY-FOCUSED PERSPECTIVE AND WIDE REACH ACROSS CLINICAL AND COMMUNITY SETTINGS TO ADVANCE OUR UNDERSTANDING OF THE SOCIAL DETERMINANTS OF HEALTH: THOSE FACTORS THAT ARE AT THE ROOT OF THE INEQUITIES THAT WE SEE, SUCH AS FOOD INSECURITY AND ACCESS TO HEALTHCARE. NINR RESEARCH EFFORTS IN WELLNESS INVESTIGATE THE KEY BIOLOGICAL, BEHAVIORAL, AND SOCIAL FACTORS THAT PROMOTE LONG-TERM HEALTH AND HEALTHY BEHAVIORS AND PREVENT THE DEVELOPMENT OF ILLNESS ACROSS HEALTH CONDITIONS, SETTINGS, AND THE LIFESPAN. RESEARCH IN WELLNESS IS ALSO FOCUSED ON DEVELOPING AND TESTING CULTURALLY APPROPRIATE INTERVENTIONS TO PROMOTE HEALTH AND PREVENT ILLNESS IN MINORITY AND UNDERSERVED GROUPS. NINR ALSO SUPPORTS SCIENCE TO ASSIST INDIVIDUALS, FAMILIES, AND HEALTH CARE PROFESSIONALS IN MANAGING ADVANCED, SERIOUS ILLNESS, AND PLANNING FOR END-OF-LIFE DECISIONS. IN ADDITION, NINR PROMOTES TECHNOLOGICAL ADVANCEMENTS THAT ADDRESS A RANGE OF HEALTH CARE CHALLENGES AND FACILITATE THE DELIVERY OF REAL-TIME PERSONALIZED INFORMATION TO INDIVIDUALS AND FAMILIES, HEALTH CARE PROVIDERS, AND COMMUNITIES. FINALLY, NINR HAS A LONGSTANDING AND CONTINUING COMMITMENT TO DEVELOPING THE NEXT GENERATION OF NURSE SCIENTISTS: THOSE INDIVIDUALS AND TEAM MEMBERS WHO WILL CARRY THE FIELD OF NURSING SCIENCE INTO THE FUTURE. IN ORDER TO PREPARE AN INNOVATIVE, DIVERSE, AND TALENTED NEXT GENERATION OF NURSE SCIENTISTS, NINR SUPPORTS A VARIETY OF TRAINING OPPORTUNITIES FOR SCIENTISTS AND TRAINEES AT ALL CAREER LEVELS, PARTICULARLY THOSE AT AN EARLY CAREER STAGE WHO ARE SO CRITICAL TO SUSTAINING THE FUTURE OF INNOVATIVE RESEARCH AND HIGH QUALITY HEALTH CARE.

93.361 - Nursing Research

National Institute of Nursing Research (NINR) [HHS - NIH]

New York United States

State-Wide

NIH Research Project Grant (Parent R01 Clinical Trial Not Allowed) (PA-20-185)