About this trial
This study evaluates the effectiveness of a culturally adapted, home-based program designed to improve language and cognitive development in Arab toddlers in Israel. Families with children aged 18-36 months will participate in eight weekly sessions delivered in their homes. The intervention teaches parents strategies to enhance their child's language, communication, and problem-solving through play, daily routines, and story time. A comparison group will receive eight sessions on child health promotion (nutrition, sleep, safety, etc.). Child outcomes will be assessed using the Clinical Adaptive Test/Clinical Linguistic and Auditory Milestone Scale (CAT-CLAMS) and the Arabic Communicative Development Inventories (CDI). This research aims to provide an evidence-based, scalable model for early childhood interventions in disadvantaged populations.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18-36 months
Birth weight ≥1500 g
No significant sensory impairments or severe medical conditions
CAT-CLAMS scores at the lower end of the normative range (approximately -1 to 1.5 SD below mean)
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
Culturally Adapted Parent-Implemented Intervention
BehavioralA culturally adapted, parent-implemented home program designed to enhance toddlers' language, communication, and problem-solving skills. Trained facilitators deliver eight weekly 30-45-minute sessions in the family's home. Sessions focus on three everyday contexts-play, daily routines, and shared story time. Parents are guided to optimise the home environment, follow the child's interests, and use responsive interaction strategies such as joint attention, labelling, expansions, imitation, questioning, and scaffolding. Sessions progress from play-based interaction to integration into routines and storytelling.
Child Health Education Sessions
BehavioralEight weekly home-based sessions delivered by trained facilitators, focusing on child health and wellbeing (nutrition, sleep, safety, vaccination, and toilet training). Sessions match the intervention arm in frequency, duration, and contact time but do not include language or cognitive stimulation components.
Treatment groups
Trial outcomes
Primary outcomes
Change in Arabic-CDI total vocabulary score
Parent-reported receptive and expressive vocabulary.
Change in the CAT-CLAMS total score
: Measures language, communication, problem-solving, and adaptive behaviours.
Secondary outcomes
Change in PEDS parental concern score
Parent reported developmental concerns
Sponsors and contacts
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Hillel Yaffe Medical Center
Lead sponsor
Ben-Gurion University of the Negev
Collaborator
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