Innovation in Action

Ready4Routines

Establishing family routines to build executive function

This project supports parents as they work with their children to build regular family routines. By focusing on real-life daily situations such as bedtime and mealtime, the Ready4Routines intervention seeks to strengthen executive function skills in adults and children, while also increasing predictability within young children’s lives.

This video tells the story of Ready4Routines and its focus on helping adults to build the skills for mindful parenting.

The Problem

Lack of predictable and stable daily routines at home can make it hard for children to develop executive function skills. These skills are crucial to a child’s ability to filter distractions, prioritize tasks, set and achieve goals, and control impulses. All are important behaviors for getting along with others and doing well in school. Later in life, these same skills are essential for adults in their roles as parent, employee, friend, and citizen.

The Theory of Change

When adult caregivers and their children work together to plan and execute consistent routines, they build executive function skills and enhance parent-child interactions. Consistent routines allow children to know what comes next, plan, act, reflect on their behavior and compare it to their plans, and resist temptations and distractions. As a result, they help children feel more secure in an otherwise unpredictable and uncertain environment. In addition, regular family routines can decrease parental stress. Read more about how theories of change guide program design and evaluation.

Our hypothesis:

  • The intervention will be well tolerated and feasible for low income families.
  • The intervention will lead to the development of more consistent routines.
  • Children and parents will show significant increases in executive function performance.
A mother and daughter practice activities together. Photo by Beth Balaban.
A mother and daughter practice activities together. Photo by Beth Balaban.

Intervention: The “How”

This intervention is being piloted at four sites in the United States and Canada that already deliver services to families living with low incomes. Each site will enroll up to 20 families for two cycles of testing. Over the course of 8 to 12 regular sessions, trained staff will coach parents on concepts such as being mindful, planning ahead, increasing autonomy, scaffolding, and reflection. These concepts are embedded in activity cards that have a colorful, easy-to-use format. Parents use the cards at home with their children to build and practice their own family routines.

Assessments we are using to evaluate this project:

  • Minnesota Executive Function Scale (MEFS). A touch-screen, tablet-based behavioral measure of executive function.
  • Theory of Mind Scale. Assesses children on their understanding of different perspectives, access to knowledge, beliefs, emotions, and intent of language.
  • Parental Stress Index. Self-reported stress levels of parents.
  • Family Self-Assessment Rubric. Families assess their routines at home.
  • Family Reflection Form. Families reflect on their experience.
Mothers working with a Ready4Routines coach, right, at the Acelero Center. Photo by Beth Balaban.
Mothers working with a Ready4Routines coach, right, at the Acelero Center. Photo by Beth Balaban.

What We’ve Learned

  • Parents are very interested in an intervention that supports regular family routines.
  • Parents are especially interested in the mindfulness component of the intervention.
  • A coaching/practice component to the workshops is necessary for building new skills.

In addition, once the strategy is proven feasible and effective, team members will have access to thousands of children and families collectively for larger-scale testing, and connections to Head Start and Early Head Start would allow for further scale up beyond the current partners. By simultaneously testing the intervention in two countries, momentum can be built for international exposure and uptake.

Team

Ready4Routines was created by a collaboration including Acelero Learning, Inc., Westside Infant Network (WIN), CUPS, the Institute of Child Development, University of Minnesota, Children's Services of Palm Beach County, Rose F. Kennedy Center Children's Evaluation and Rehabilitation Center at Montefiore, and Frontiers of Innovation.