Study Summary: Early Social Indicator (ESI) for Infants and Toddlers
Sample
- Participants: 716 infants and toddlers aged 6–36 months served by a large, urban Early Head Start (EHS) program.
- Demographics:
- 49% female
- 12% had an Individual Family Service Plan (IFSP)
- 48% spoke English, 43% Spanish, 9% other languages
- All families met low-income eligibility criteria
- Setting: Assessments conducted in home (67%), center-based (32%), and other settings (1%) over a 5-year period.
- Staff: 95 EHS practitioners were trained and certified to administer and score the ESI.
Method
- Tool: Early Social Indicator (ESI), part of the Individual Growth and Development Indicators (IGDIs) suite.
- Design: 6-minute, play-based observational assessment measuring frequency of verbal/nonverbal, positive/negative social behaviors directed to adults, peers, or nondirected targets.
- Administration: Conducted quarterly (universal screening) and monthly (progress monitoring) by trained staff using standard toy sets.
- Scoring: Frequency-based, coded live or via video. Data entered into a web-based platform for automated reporting and graphing.
- Training: Staff achieved ≥85% agreement with master codes for certification; ongoing reliability checks conducted throughout the study.
Findings
- Feasibility: Sustained ESI use over 5 years with consistent staff engagement and data collection; over 2,900 assessments completed.
- Reliability:
- High agreement for composites (e.g., Total Positive Composite [TPC] = 92%)
- Lower reliability when identifying peer/nondirected recipients
- Sensitivity to Growth:
- Social engagement increased with age, with verbal skills emerging after nonverbal skills.
- Growth followed a curvilinear pattern (fast growth early, slower after 24–30 months).
- Key Skill Patterns:
- Adult-directed positive social behaviors dominated early development.
- Peer-directed behaviors emerged later (after 20 months), particularly verbal.
- Benchmarks: Developed local benchmark trajectories for TPC (Mean, ±1.0 SD, ±1.5 SD) to guide intervention decisions.
- Moderators:
- IFSP Status: Children with IFSPs had lower social engagement across time.
- Home Language: Children with non-English home languages began with higher TPC scores; rate of growth was similar.
- Gender: No significant differences.
- Peer Presence: Absence of a peer in the assessment did not significantly affect TPC scores.