Camacho, Christine, Straatmann, Viviane S, Day, Jennie C and Taylor-Robinson, David 
ORCID: 0000-0002-5828-7724
(2019)
Development of a predictive risk model for school readiness at age 3 years using the UK Millennium Cohort Study.
, England.
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Development of a predictive risk model for school readiness at age 3 years using the UK Millenium Cohort Study. Camach Straatmann Day Taylor Robinson 2019 BMJ Open.pdf - Published version Download (727kB) | Preview |
Abstract
<h4>Objectives</h4>The aim of this study is to develop a predictive risk model (PRM) for school readiness measured at age 3 years using perinatal and early infancy data.<h4>Design and participants</h4>This paper describes the development of a PRM. Predictors were identified from the UK Millennium Cohort Study wave 1 data, collected when participants were 9 months old. The outcome was school readiness at age 3 years, measured by the Bracken School Readiness Assessment. Stepwise selection and dominance analysis were used to specify two models. The models were compared by the area under the receiver operating characteristic curve (AUROC) and integrated discrimination improvement (IDI).<h4>Results</h4>Data were available for 9487 complete cases. At age 3, 11.7% (95% CI 11.0% to 12.3%) of children were not school ready. The variables identified were: parents' Socio-Economic Classification, child's ethnicity, maternal education, income band, sex, household number of children, mother's age, low birth weight, mother's mental health, infant developmental milestones, breastfeeding, parents' employment, housing type. A parsimonious model included the first six listed variables (model 2). The AUROC for model 1 was 0.80 (95% CI 0.78 to 0.81) and 0.78 (95% CI 0.77 to 0.79) for model 2. Model 1 resulted in a small improvement in discrimination (IDI=1.3%, p<0.001).<h4>Conclusions</h4>Perinatal and infant risk factors predicted school readiness at age three with good discrimination. Social determinants were strong predictors of school readiness. This study demonstrates that school readiness can be predicted by six attributes collected around the time of birth.
| Item Type: | Conference or Workshop Item (Unspecified) |
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| Uncontrolled Keywords: | Humans, Risk Assessment, Risk Factors, Cohort Studies, Child Development, Family Characteristics, Socioeconomic Factors, Schools, Child, Preschool, Infant, Female, Male, United Kingdom |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 31 Jul 2019 14:57 |
| Last Modified: | 19 Jan 2023 00:36 |
| DOI: | 10.1136/bmjopen-2018-024851 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3050693 |
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