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‹date/time›
‹footer›
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=
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Institute of Children, Famil=
ies
and Social
Issues
Early Community-Based Preventati=
ve
Interventions with Children and Families:
=
Lessons Learned
and
Some New Issues
and
Some New Issues
Jay Belsky, Director
Institute for the Study of Children, Families and Social
Issues
Birkbeck University of London
23 September 2008
![](3D"slide0077_image002.jpg")
![](3D"slide0077_image004.gif")
Institute of Children, Famil=
ies
and Social
Issues
•OVERVIEW
![](3D"slide0031_image005.gif")
<=
span
style=3D'font-size:178%'>I.Some basic developmental
considerations.
<=
span
style=3D'font-size:178%'>II.Lessons learned regarding early
intervention
<=
span
style=3D'font-size:178%'>III. New issues:
Unintended
Consequence
Differential
Susceptibility
![](3D"slide0031_image006.jpg")
Institute of Children, Famil=
ies
and Social
Issues
•BASIC
•DEVELOPMENTAL
•CONSIDERATIONS
![](3D"slide0032_image007.gif")
![](3D"slide0032_image008.jpg")
Institute of Children, Famil=
ies
and Social
Issues
•WHY INTERVENE EARLY?
![](3D"slide0004_image009.gif")
BECAUSE “THE CHILD IS THE FATHER <=
/span>OF THE MAN”:
=
INDIVDUAL DIFFERENCES IN <=
span
style=3D'position:absolute;top:53.8%;left:5.13%;width:87.26%;height:14.67%=
'>DEVELOPMENT ARE TOLERABLY =
STABLE, ESPECIALLY PROBLEMS IN EARLY DEVELOPMENT.
![](3D"slide0004_image010.jpg")
Institute of Children, Famil=
ies
and Social
Issues
Stability
of Temperament / Personality:
Age 3 to Age 18
Age 3 to Age 18
Aggression
Self Control
Stress Reaction
Caspi & Silva, 1995
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Institute of Children, Famil=
ies
and Social
Issues
BUT IT WOULD BE A MI=
STAKE
TO EXAGERATE THE DEGREE OF STABILITY, AS ALL TO=
O MANY
DO TODAY, OFTEN SPEAKING OF THE EARLY YEARS AS BEING=
&=
#8220;CRITICAL&=
#8221; OR &=
#8220;CRUCIAL&=
#8221;
![](3D"slide0006_image013.gif")
![](3D"slide0006_image014.jpg")
Institute of Children, Famil=
ies
and Social
Issues
![](3D"slide0022_image015.gif")
CONSIDER THE STRIKINGLY DIFFERENT PATTERNS OF CHANGE IN THE EXPRESSION OF NEGATIVE EMOTION—A SOMETIME <=
span
style=3D'position:absolute;top:54.25%;left:14.41%;width:86.14%;height:6.75=
%'>CONTRIBUTOR TO PROBLEMS IN DEVELOPMENT--IN INFANTS ACROSS JUST THE FIRST 9 MONTHS OF LIFE.
![](3D"slide0022_image016.jpg")
Institute of Children, Famil=
ies
and Social
Issues
![](3D"slide0023_image018.gif")
Institute of Children, Famil=
ies
and Social
Issues
![](3D"slide0024_image019.gif")
CONSIDER NEXT STRIKINGLY <=
span
style=3D'position:absolute;top:33.0%;left:14.41%;width:93.25%;height:6.75%=
'>DIFFERENT PATTERNS OF CHANGE IN IQ FOR SUBGROUPS OF CHILDREN FOLLOWED FROM AGE 2 to 17.
Note especially the contrast between groups 4 and 5 and between 4 and 2:
![](3D"slide0024_image020.jpg")
Institute of Children, Famil=
ies
and Social
Issues
![](3D"slide0025_image022.gif")
Institute of Children, Famil=
ies
and Social
Issues
IN BOTH OF THESE STU=
DIES
THE CHANGE OR “DISCONTINUITY” IN =
DEVELOPMENT PROVED T=
O BE LAWFUL, RATHER THAN
RANDOM.
![](3D"slide0020_image023.gif")
![](3D"slide0020_image024.jpg")
Institute of Children, Famil=
ies
and Social
Issues
=
THE FACT THAT THE REARING ENVIRONMENT IN QUESTION INVOLVED FAMILY EXPERIENCES =
WITHIN THE FIRST YEAR OF LIFE WITH RESPECT TO THE FIRST FIGURE =
CERTAINLY CALLS ATTENTION TO THE POTENTIAL BENEFITS OF EARLY INTERVENTION.
![](3D"slide0026_image025.gif")
![](3D"slide0026_image026.jpg")
Institute of Children, Famil=
ies
and Social
Issues
BUT THE FACT THAT THE
SEEMINGLY INFLUENTIAL REARING EXPERIENCES THAT ACCOUNTED FOR THE CHA=
NGE PRESENTED IN THE SECO=
ND
FIGURE OCCURRED WELL AFTER THE OPENING YEARS OF LIFE SHOULD ALERT US TO THE <=
span
style=3D'position:absolute;top:57.75%;left:4.49%;width:96.62%;height:6.0%'=
>FACT THAT DEVELOPMENT=
IS A
PROCESS THAT EXTENDS BEYOND THE EARLY YEARS. THE EARLY YEAR=
S ARE <=
span
style=3D'mso-hansi-font-family:Tahoma;font-size:88%'>IMPORTANT AND INFLUENTIAL=
, BUT IS IT CORRECT TO REFER TO T=
HEM AS
“CRUCIAL” OR &#=
8220;CRITICAL&#=
8221;?
![](3D"slide0027_image027.gif")
![](3D"slide0027_image028.jpg")
Institute of Children, Famil=
ies
and Social
Issues
ALL THIS IS NOT TO SAY THAT EARLY <=
/span>DOES NOT MATTER OR THAT WE <=
/span>MIGHT NOT GET “MORE BANG FOR THE BUCK” OUT OF EARLY RATHER THAN LATER INTERVENTION.
PROCESSES OF BRAIN DEVELOPMENT CERTAINLY SPEAK TO THE =
POTENTIAL IMPORTANCE OF EARLY =
VS. LATER INTERVENTION.
![](3D"slide0029_image029.gif")
![](3D"slide0029_image030.jpg")
Institute of Children, Famil=
ies
and Social
Issues
![](3D"slide0030_image031.gif")
Brain Development – Opportunity a=
nd Investment
![](3D"slide0030_image032.gif")
Spending on Health, Education, Income Support, Social Services and Crime à
ß=
Brain Mallea=
bility
=
;
á
Conceptio=
n
ã
Birth
Age
![](3D"slide0030_image041.gif")
1
3
10
60
80
Institute of Children, Famil=
ies
and Social
Issues
•LESSONS
LEARNED
•REGARDING
•EARLY
INTERVENTION
![](3D"slide0033_image042.gif")
![](3D"slide0033_image043.jpg")
Institute of Children, Famil=
ies
and Social
Issues
•
•
•THERE IS NO SINGLE WAY TO DO EARLY INTERVENTION W=
ELL.
![](3D"slide0035_image044.gif")
![](3D"slide0035_image045.jpg")
Institute of Children, Famil=
ies
and Social
Issues
=
SOME EFFECTIVE PROGRAMMES ARE CENTRE BASED INVOLVING THE =
PROVISION OF HIGH QUALITY CHILD CARE, PRESCHOOL OR EARLY EDUCATION WITH THE CHILD
RATHER TH=
AN THE
FAMILY BEING THE IMMEDIATE
TARGET OF IN=
TERVENTION
![](3D"slide0036_image046.gif")
![](3D"slide0036_image047.jpg")
Institute of Children, Famil=
ies
and Social
Issues
Chicago Parent-Child Centers
• Decades ago the U.S. federal
government funded the establi=
shment
of Child-Parent Centers (CPC) in state schools serving economically and educationally disadvantag=
ed children. Programmes provided half-day preschool, =
half
or all day kindergarten (=
i.e.,
reception) and all day service in the follow-on programme for the next 3 years of primary
school.
on standardized
reading and math tests at ages 9 and 13 and followed up also at age 24.
![](3D"slide0090_image048.jpg")
![](3D"slide0090_image049.gif")
Institute of Children, Famil=
ies
and Social
Issues
Chicago Parent-Child Centerscon’t=
EFFECTS ON READING AND MATH ACHIEVEMENT,RETENTION AND SPECIAL NEEDS =
PLACEMENT
Age
9 =
;
Age 13
Ever =
Ever
=
; &n=
bsp;
Read Math Read Math Retained SpecNeeds
Chicago Average 95 100 146=
145 =
;
Preschool+Kinderg 94
99 &n=
bsp;
137 138 30%
14%
Pre+K+3 Years 101 104 148 144 13%
10%
(Source: Reynolds, A. & Temple, J. (1998). Ext=
ended
early childhood intervention and school achievement: Age thirteen findings from the Chicago Longitudinal St=
udy. Child Development, 69, 231-246.)
![](3D"slide0091_image050.jpg")
![](3D"slide0091_image051.gif")
Institute of Children, Famil=
ies
and Social
Issues
Chicago Parent-Child Centerscon’t=
EFFECTS
ON ADULT HEALTH AND WELL BEING
<=
/span>PRESCHOOL =
;
COMPARISON
=
; &n=
bsp; =
;
INTERVENTION =
;
GROUP
<=
/span> (n=3D888) =
; &n=
bsp;
(n=3D480) =
;
p<
EDUCATION
% HighSchoolGrad =
;
71 =
; &n=
bsp;
64 =
;
.01
% 4-Yr. Univ. Grad =
;
15 =
; &n=
bsp;
10 =
;
.02
CRIME
% Ever Jailed =
; &n=
bsp;
21 &n=
bsp; =
; &n=
bsp;
26 &n=
bsp; =
;
.03
ECONOMIC STATUS
% Yrly Income>$12000 =
;
38 =
; &n=
bsp; =
;
33 =
; &n=
bsp;
--
% Full-time Employed =
;
40 =
; &n=
bsp; =
;
39 =
; &n=
bsp;
--
HEALTH
% Females <18 yrs w/child 30 =
; &n=
bsp; =
;
32 =
; &n=
bsp;
--
% Substance Use >16y =
;
26 =
; &n=
bsp; =
;
28 =
; &n=
bsp;
--
% Any Depression Sympts. 13 =
; &n=
bsp; =
;
17 =
; &n=
bsp;
-- =
; &n=
bsp; =
;
(Source: Reynolds, A. et al. (2007). Effects of a
school-based, early childhood intervention on adult health and well being. <=
i>Archives
of Pediatric and Adolescent Medicine, 161, 730-739.)
![](3D"slide0092_image052.jpg")
![](3D"slide0092_image053.gif")
Institute of Children, Famil=
ies
and Social
Issues
Meta-Analysis of 19 Educationally-Orie=
nted
Early Intervention Programmes Targeting Disadvantaged =
Children Publis=
hed in
Peer Reviewed Journals Since 1985
(Block, et al., 2005)
(Block, et al., 2005)
•Overall effect size on all outcomes <=
/span>measured,
both cognitive and social emotional was small to modest: .32 <=
/span>(p<.05)
Centre-ba=
sed
interventions produced significantly greater effects than
home-based programmes in the cognitive domain
(d: .48, p<.05).
=
Programme
effects faded with time.
•(Source:
Blok, H. et al. (2005). The relevance of delivery mode and other programme=
characteristics for the effectivenessof early chil=
dhood
intervention. International Journa=
l of Behavioral Development, 29, 35-47.)
Institute of Children, Famil=
ies
and Social
Issues
=
SOME EFFECTIVE PROGR=
AMMES ARE HOME-BASED, INVO=
LVING INTENSIVE HOME-VISIT=
OR SERVICES, WITH THE P=
ARENT BEING THE IMMEDIATE =
TARGET
=
OF
INTERVENTION.
![](3D"slide0037_image054.gif")
![](3D"slide0037_image055.jpg")
Institute of Children, Famil=
ies
and Social
Issues
NURSE-FAMILY PARTNERSHIP
Developed
and tested over 3 decades by Professor David Olds.
Based on self-efficacy theory and attachment
theory.
•Nurse-led
home-visiting during pregnancy and the child’s first two years of life aimed at improving:
(a)the outcom=
es of
pregnancy by helping young, poor,
typically single women
improve their prenatal health,
(b)the child&=
#8217;s
health and development by helping
parents provide more
sensitive and competent care of the child, and
=
(c)the parent=
al life
course by helping parents plan fu=
ture
pregnancies, compl=
ete
their education and find work.
•Currently being
piloted at 10 sites in the UK to see if it can be “transplanted” here from the US, and a=
n RCT
with 20 sites set to get underway
early next year.
![](3D"slide0068_image056.jpg")
![](3D"slide0068_image057.gif")
Institute of Children, Famil=
ies
and Social
Issues
NURSE-FAMILY PARTNERSHIP=
Evaluated in 3 large-scale randomised-control tria=
ls in the U.S., first, in a small, town in rural, up-=
state New York with a mostly white population, then in a mid-size southern city (Memphis) with =
an African-American population; and then in a large midwestern city (Denver) with an Hispanic population. Results showed the programme could
•1. Improve
parental care of the child as reflected in fe=
wer
injuries and ingestions that may be associated
with child abuse and neglect and the
provision of a more stimulating home environment;
![](3D"slide0071_image058.jpg")
![](3D"slide0071_image059.gif")
Institute of Children, Famil=
ies
and Social
Issues
NURSE-FAMILY PARTNERSHIP
•2. Improve
developmental outcomes
<=
/span>
•--for very young children, including enhanced infant emotional and language development;
functioning and receptive vocabulary and fewer behaviour problems in the borderline =
or clinical range;
partners and fewer arrests by age 15.
<=
/span>
•
![](3D"slide0095_image060.jpg")
![](3D"slide0095_image061.gif")
Institute of Children, Famil=
ies
and Social
Issues
NURSE-FAMILY PARTNERSHIP
•=
3.
Improve maternal life course=
, as reflected in fewer subsequent pregnancies, increased interbirth <=
span
style=3D'position:absolute;top:45.25%;left:15.16%;width:76.4%;height:7.25%=
'>intervals, greater work-force participation and reduced dependence on public assistance.
•
•
•
![](3D"slide0096_image062.jpg")
![](3D"slide0096_image063.gif")
Institute of Children, Famil=
ies
and Social
Issues
NURSE-FAMILY PARTNERSHIP
•But must be appreciated that positive=
effects
• (1) did not always replicate exactly=
across
experimental trials and
those most at risk (e.g.,
smokers, limited IQ, very young)
•
•
![](3D"slide0097_image064.jpg")
![](3D"slide0097_image065.gif")
Institute of Children, Famil=
ies
and Social
Issues
•S=
OME
EFFECTIVE PROGRAMMES ARE BOTH CENTRE AND FAMILY BASED, COMBINING HIGH-QUALITY CHILD CARE WITH HOME VISITING, MAKING THE CHILD AND THE PARENT DIRECT TARGETS OF INTERVENTION:
•
![](3D"slide0038_image066.gif")
![](3D"slide0038_image067.jpg")
Institute of Children, Famil=
ies
and Social
Issues
EARLY HEAD START
•Head St=
art
was initially a centre-based, early-education programme for impoverished children, initiated in the year b=
efore
they began schooling, around a=
ge
4.
Over the years, the quality of Head Start programm=
es
became degraded and it be=
came
appreciated that not only did it need an upgrade, but that benefits could accrue from initi=
ating =
intervention much earlier in the child’s
life.
Early Head Start was launched in 1995 for low-inco=
me
pregnant women.
<=
/span>
It is a comprehensive, two-generation program that
focuses on enhancing
children’s development while strengthening families.
![](3D"slide0070_image068.jpg")
![](3D"slide0070_image069.gif")
Institute of Children, Famil=
ies
and Social
Issues
EARLY HEAD START
All Early Head Start programmes must follow the He=
ad
Start Program Performance
Standards which stipulate that programs are to provide high-quality, comprehensive child
development services delivered
through home-visits, child care, case management, parenting education, health care and
referrals, an family
support.
While some programmes provide only centre-based se=
rvices
and others only home-ba=
sed
services, a recent evaluation highlighted
the greater benefit of providing both.
![](3D"slide0073_image070.jpg")
![](3D"slide0073_image071.gif")
Institute of Children, Famil=
ies
and Social
Issues
EARLY HEAD START
• A recent randomised-control =
trial
involving some 17 progra=
mmes
and 3,001 families showed that, relative to control parents, EHS parents
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Slide 1
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Slide 1
oOutreach and home visiting.
oSupport for families and parents.
=
![](3D"slide0044_image078.gif")
![](3D"slide0044_image079.jpg")
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Slide 1
NATIONAL EVALU= ATION OF SURE START
IMPACT-STUDY
![=3DNESS](3D"slide0080_image086.gif")
![](3D"slide0080_image087.jpg")
![](3D"slide0080_image088.gif")
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Slide 1
![](3D"slide0060_image118.gif")
![](3D"slide0060_image119.jpg")
![](3D"slide0060_image121.jpg")
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------=_NextPart_01C932A3.96FE8350
Content-Location: file:///C:/0A87D9D9/Day2Belsky_files/script.js
Content-Transfer-Encoding: quoted-printable
Content-Type: application/javascript; charset="us-ascii"
function LoadSld()
{
var sld=3DGetObj("SlideObj")
if( !g_supportsPPTHTML ) { =09
sld.style.visibility=3D"visible"
return
}
if( MakeNotesVis() ) return
runAnimations =3D _InitAnimations();
=09
if( IsWin("PPTSld") )
parent.SldUpdated(GetSldId())
g_origSz=3DparseInt(SlideObj.style.fontSize)
g_origH=3Dsld.style.posHeight
g_origW=3Dsld.style.posWidth
g_scaleHyperlinks=3D(document.all.tags("AREA").length>0)
if( g_scaleHyperlinks )
InitHLinkArray()
if( g_scaleInFrame||(IsWin("PPTSld") && parent.IsFullScrMode() ) )
document.body.scroll=3D"no"
_RSW()
if( IsWin("PPTSld") && parent.IsFullScrMode() )
FullScrInit();
=09
MakeSldVis();
ChkAutoAdv()
if( runAnimations )
{
if( document.all("NSPlay") )
document.all("NSPlay").autoStart =3D false;
if( sld.filters && sld.filters.revealtrans )
setTimeout( "document.body.start()", sld.filters.revealtrans.duration * =
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else
document.body.start();
}
}
function MakeSldVis()=20
{
var fTrans=3Dg_showAnimation && SldHasTrans()
if( fTrans )=09
{
if( g_bgSound ) {
idx=3Dg_bgSound.indexOf(",");
pptSound.src=3Dg_bgSound.substr( 0, idx );
pptSound.loop=3D -(parseInt(g_bgSound.substr(idx+1)));
}
SlideObj.filters.revealtrans.Apply()=09
}
SlideObj.style.visibility=3D"visible"
if( fTrans )
SlideObj.filters.revealtrans.Play()
}
function MakeNotesVis()=20
{
if( !IsNts() ) return false=20
SlideObj.style.display=3D"none"
nObj =3D document.all.item("NotesObj")
parent.SetHasNts(0)
if( nObj ) {=20
nObj.style.display=3D""
parent.SetHasNts(1)
}
return 1
}
function ChkAutoAdv()
{
if(SldHasTrans())
SlideObj.onfilterchange=3DAutoAdv
else
AutoAdv()
}
function AutoAdv()
{
if(!IsWin("PPTSld") || !gUseSldTimings )return
var sld=3DGetCurSld()
if( (sld.mAdvDelay>0) && !parent.IsFramesMode() )
setTimeout("parent.GoToNextSld()",sld.mAdvDelay)
}
function GetObj(id)
{
if(g_supportsPPTHTML) return document.all(id);
else return document.getElementById(id);
}
function SldHasTrans() { return SlideObj.style.filter !=3D ""; }
function GetSldId()=20
{
var regExp =3D /file:\/\/\//i
var pos =3D location.href.search(regExp)
if (MHTMLPrefix !=3D "" && pos !=3D -1)
sId =3D location.href.substring(pos)
else
{
sId =3D RemoveFilePrefixFromHref(location.href);
var regExp =3D /\//
var fixedHref =3D sId
var pos =3D -1
=09
pos =3D fixedHref.search(regExp)
while (pos !=3D -1)
{
fixedHref =3D fixedHref.replace(regExp, "\\")
pos =3D fixedHref.search(regExp)
}
=09
if (g_fBaseHyperlink =3D=3D true)
sId =3D "file:///" + fixedHref;
else
sId =3D fixedHref.substring(fixedHref.lastIndexOf('\\') + 1)
}
=09
return sId
}
function HideMenu() { if( frames["PPTSld"] && PPTSld.document.all.item("ctx=
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function IsWin( name ) { return window.name =3D=3D name }
function IsNts() { return IsWin("PPTNts") }
function IsSldOrNts() { return( IsWin("PPTSld")||IsWin("PPTNts") ) }
function SupportsPPTAnimation() { return( navigator.platform =3D=3D "Win32"=
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function SupportsPPTHTML()
{
var appVer=3Dnavigator.appVersion, msie=3DappVer.indexOf("MSIE "), ver=3D0
if( msie >=3D 0 )
ver=3DparseFloat( appVer.substring( msie+5, appVer.indexOf(";",msie) ) )
else
ver=3DparseInt(appVer)
return( ver >=3D 4 && msie >=3D 0 )
}
function _RSW()
{
if( !g_supportsPPTHTML || IsNts() ||
( !g_scaleInFrame && (!IsWin("PPTSld") || !parent.IsFullScrMode()) ) )
return
var padding=3D0;
if( IsWin("PPTSld") && parent.IsFramesMode() ) padding=3D6
cltWidth=3Ddocument.body.clientWidth-padding
cltHeight=3Ddocument.body.clientHeight-padding
factor=3D(1.0*cltWidth)/g_origW
if( cltHeight < g_origH*factor )
factor=3D(1.0*cltHeight)/g_origH
newSize =3D g_origSz * factor
if( newSize < 1 ) newSize=3D1
s=3DSlideObj.style
s.fontSize=3DnewSize+"px"
s.posWidth=3Dg_origW*factor
s.posHeight=3Dg_origH*factor
s.posLeft=3D(cltWidth-s.posWidth+padding)/2
s.posTop=3D(cltHeight-s.posHeight+padding)/2
if( g_scaleHyperlinks )
ScaleHyperlinks( factor )
}
function _InitAnimations()
{
animRuntimeInstalled =3D ''+document.body.localTime !=3D 'undefined';
isFullScreen =3D (window.name =3D=3D "PPTSld") && !parent.IsFramesMode();
g_animUseRuntime =3D g_showAnimation && animRuntimeInstalled && !(isFullSc=
reen && parent.IsSldVisited());
if( g_animUseRuntime ) {
collSeq =3D document.all.tags("seq");
if( collSeq !=3D null ) {
for(ii=3D0;ii numSlds )
gSldJumpIdx =3D numSlds;
if ( gSldJumpIdx >=3D 0 ) {
if ( gSldJumpIdx =3D=3D 0 )
gSldJumpIdx =3D 1;
var jumpTo =3D parseInt(gSldJumpIdx);
gSldJump =3D 0; gSldJumpIdx =3D "";
win.GoToSld( parent.GetSldList().mList[jumpTo-1].mSldHref )
}
}
}
function _KDH()
{
if( event.keyCode =3D=3D 8 ) {
event.returnValue =3D 0;
parent.GoToPrevSld();
}
}function DocumentOnClick()
{
if( IsNts() || parent.HideMenu() ) return;
if( ( g_allowAdvOnClick && (window.name=3D=3D"PPTSld") && !parent.IsFrames=
Mode() ) ||
(event && event.keyCode=3D=3D32) ) {
=09
if( g_animUseRuntime && g_animMainSequence && g_animMainSequence.cangonex=
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return;
parent.GoToNextSld();
}
}
var g_supportsPPTHTML =3D SupportsPPTHTML(), g_scaleInFrame =3D 1, gId=3D""=
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g_scaleHyperlinks =3D false, g_allowAdvOnClick =3D 1, g_showInBrowser =
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var g_showAnimation =3D g_supportsPPTHTML && SupportsPPTAnimation() && ( (w=
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r g_animManager =3D null;
var g_animUseRuntime =3D false;
var g_animItemsToHide, g_animInteractiveItems, g_animSlideTime;
var g_animMainSequence =3D null;
var ENDSHOW_MESG=3D"End of slide show, click to exit.", SCREEN_MODE=3D"Fram=
es", gIsEndShow=3D0, NUM_VIS_SLDS=3D54, SCRIPT_HREF=3D"script.js", FULLSCR_=
HREF=3D"fullscreen.htm";
var gCurSld =3D gPrevSld =3D 1, g_offset =3D 0, gNtsOpen =3D gHasNts =3D gO=
tlTxtExp =3D 0, gHasNarration =3D 0, gOtlOpen =3D true
window.gPPTHTML=3DSupportsPPTHTML()
var g_fBaseHyperlink =3D false;
var gMainDoc=3Dnew Array(new hrefList("slide0077.htm",1,-1,1),new hrefList(=
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slide0004.htm",1,-1,1),new hrefList("slide0005.htm",1,-1,1),new hrefList("s=
lide0006.htm",1,-1,1),new hrefList("slide0022.htm",1,-1,1),new hrefList("sl=
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htm",1,-1,1),new hrefList("slide0071.htm",1,-1,1),new hrefList("slide0095.h=
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1,1),new hrefList("slide0094.htm",1,-1,1),new hrefList("slide0039.htm",1,-1=
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1),new hrefList("slide0085.htm",1,-1,1),new hrefList("slide0084.htm",1,-1,1=
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,new hrefList("slide0088.htm",1,-1,1),new hrefList("slide0087.htm",1,-1,1),=
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ew hrefList("slide0060.htm",1,-1,1),new hrefList("slide0075.htm",1,-1,1));
/*********************************************
Frameset functions
These functions control slide navigation
and state of the frameset.
**********************************************/
function RemoveFilePrefixFromHref(href)
{
var regExp =3D /^file:\/\/\//i;
return href.replace(regExp, "")
}
function FullScrInit()
{
g_allowAdvOnClick =3D GetCurSld().mAdvOnClk
document.body.style.backgroundColor=3D"black"
document.oncontextmenu=3Dparent._CM;
document.onkeydown =3D _KDH;
document.ondragstart=3DCancel
document.onselectstart=3DCancel
self.focus()
}
function Redirect( frmId )
{=09
var str=3Ddocument.location.hash,idx=3Dstr.indexOf('#'), sId=3DGetSldId()
if(idx>=3D0) str=3Dstr.substr(1);
if( window.name !=3D frmId && ( sId !=3D str) ) {
obj =3D GetObj("Main-File")
window.location.href=3Dobj.href+"#"+sId
return 1
}
return 0
}
var MHTMLPrefix =3D CalculateMHTMLPrefix();=20
function CalculateMHTMLPrefix()
{
if ( document.location.protocol =3D=3D 'mhtml:') {=20
href=3Dnew String(document.location.href)=20
Start=3Dhref.indexOf('!')+1=20
End=3Dhref.lastIndexOf('/')+1=20
if (End < Start)=20
return href.substring(0, Start)=20
else=20
return href.substring(0, End)=20
}
return '';
}
function GetTags(base,tag)
{
if(g_supportsPPTHTML) return base.all.tags(tag);
else return base.getElementsByTagName(tag);
}
function UpdNtsPane(){ if(frames["PPTNts"]) PPTNts.location.replace( MHTMLP=
refix+GetHrefObj( gCurSld ).mNtsHref ) }
function UpdNavPane( sldIndex ){ if(gNavLoaded) PPTNav.UpdNav() }
function UpdOtNavPane(){ if(gOtlNavLoaded) PPTOtlNav.UpdOtlNav() }
function UpdOtlPane(){ if(gOtlLoaded) PPTOtl.UpdOtl() }
function SetHasNts( fVal )
{
if( gHasNts !=3D fVal ) {
gHasNts=3DfVal
UpdNavPane()
}
}
function ToggleOtlText()
{
gOtlTxtExp=3D!gOtlTxtExp
UpdOtlPane()
}
function ClearMedia()
{
// Clear any sounds playing before launching another browser window. Other=
wise,
// in fullscreen mode, you'll continue to hear the sound in the frames mod=
e.
if (PPTSld.pptSound) PPTSld.pptSound.loop =3D 0;
}
function FullScreen()
{=20
if ( PPTSld.g_animUseRuntime )
PPTSld.document.body.pause();
ClearMedia();
var href =3D ( document.location.protocol =3D=3D 'mhtml:') ? FULLSCR_HREF =
: FULLSCR_HREF+"#"+GetHrefObj(gCurSld).mSldHref;
if (MHTMLPrefix !=3D "")
href =3D RemoveFilePrefixFromHref(href)
if(PPTNav.event.ctrlKey) {
var w =3D (window.screen.availWidth * 1.0) / 2.0
var h =3D w * (PPTSld.g_origH * 1.0) / PPTSld.g_origW
win =3D window.open( MHTMLPrefix+href,null,"toolbar=3D0,resizable=3D1,top=
=3D0,left=3D0," + "width=3D"+ w + ",height=3D" + h );
if( win.document.body && PPTSld.g_animUseRuntime )
win.document.body.PPTSldFrameset=3Dwindow;
}
else
{
win =3D window.open( MHTMLPrefix+href,null,"fullscreen=3Dyes" );
if( win.document.body && PPTSld.g_animUseRuntime )
win.document.body.PPTSldFrameset=3Dwindow;
}
}
function ToggleVNarration()
{
rObj=3DPPTSld.document.all("NSPlay")
if( rObj && !PPTSld.g_animUseRuntime ) {
if( (rObj.playState =3D=3D 1)||(rObj.playState =3D=3D 0) )
rObj.Play()
else if( rObj.playState =3D=3D 2 )
rObj.Pause()
else
return;
}
else if( PPTSld.g_animUseRuntime )
{
narObj =3D PPTSld.document.all("narrationID")
if( narObj )
narObj.togglePause()
}
}
function GetCurSldNum()
{ =20
obj=3DGetHrefObj(gCurSld)
if( obj.mOrigVis =3D=3D 1 )
return obj.mSldIdx
else =20
return gCurSld
}
function GetNumSlds()
{ =20
if( GetHrefObj(gCurSld).mOrigVis =3D=3D 1 )
return GetSldList().mNumVisSlds;
else
return GetSldList().mList.length
}
function GetSldNum( href )
{
for(ii=3D0; ii 1 )
PopSldList();
else if( !IsFramesMode() ) {
if( gLoopCont )
GoToFirst()
else
EndShow()
}
}
function GoToPrevSld()
{
ii=3DgCurSld-1
if( ii > 0 ) {
obj=3DGetHrefObj(ii)
while ( obj && ( obj.mVis =3D=3D 0 ) && ( ii>0 ) )
obj=3DGetHrefObj(--ii)
if( ii =3D=3D 0 ) ii=3D1
GoToSldNum(ii)
}
}
function GoToFirst(){ GoToSld( GetHrefObj(1).mSldHref ) }
function GoToLast()
{
ii=3DGetSldList().mList.length
if( ii !=3D gCurSld )
GoToSld( GetHrefObj(ii).mSldHref )
}
function GoToSldNum( num )
{
if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue
obj =3D GetHrefObj( num )
obj.mVis=3D1
gPrevSld=3DgCurSld
gCurSld =3D num;
=09
if (MHTMLPrefix !=3D "")
PPTSld.location.replace(MHTMLPrefix+RemoveFilePrefixFromHref(obj.mSldHref=
))
else
PPTSld.location.replace(obj.mSldHref)
=09
if( IsFramesMode() ) {
UpdNavPane(); UpdOtlPane(); UpdNtsPane()
}
}
function GoToSld( href )
{
if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue
GetHrefObj( GetSldNum(href) ).mVis=3D1
if (MHTMLPrefix !=3D "")
PPTSld.location.replace(MHTMLPrefix+RemoveFilePrefixFromHref(href))
else
PPTSld.location.replace(href)
}
function SldUpdated( id )
{
if( id =3D=3D GetHrefObj(gCurSld).mSldHref ) return
gPrevSld=3DgCurSld
gCurSld=3DGetSldNum(id)
if( IsFramesMode() ) {
UpdNavPane(); UpdOtlPane(); UpdNtsPane()
}
}
function PrevSldViewed(){ GoToSld( GetHrefObj(gPrevSld).mSldHref ) }
function HasPrevSld() { return ( gIsEndShow || ( gCurSld !=3D 1 && GetHrefO=
bj( gCurSld-1 ).mVis =3D=3D 1 )||( GetCurSldNum() > 1 ) ) }
function HasNextSld() { return (GetCurSldNum() !=3D GetNumSlds()) }
function CloseWindow() {
if( HideMenu() ) return;
=09
var event =3D PPTSld.event;
if( !IsFramesMode() && event && (event.keyCode=3D=3D27 || event.keyCode=3D=
=3D32 || event.type=3D=3D"click" ) )
window.close( self );
CatchNumKeys( self, event );
}
function Unload() { gIsEndShow=3D0; }
function SetupEndShow() {
gIsEndShow=3D1;
PPTSld.document.body.scroll=3D"no";
PPTSld.document.onkeypress=3DCloseWindow;
PPTSld.document.onclick=3DCloseWindow;
PPTSld.document.oncontextmenu=3D_CM;
}
function EndShow()
{
if( IsFramesMode() ) return
if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue
doc=3DPPTSld.document
var dir =3D doc.body.dir
if( dir !=3D "rtl" ) dir =3D "ltr";
doc.open()
doc.writeln(' 0) {
PushSldList(sldList,fEnd);
gCurSld =3D 1;
}
else
if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue
}
function PushSldList(arr,fEnd) {
var ii =3D gSldStack.length;
gSldStack[ii] =3D new SldList(arr,gCurSld,fEnd);
GoToSld( gSldStack[ii].mList[0].mSldHref );
}
function PopSldList() {
if (gSldStack[gSldStack.length-1].fEndShow)
EndShow()
else {
gCurSld =3D gSldStack[gSldStack.length-1].mCurSld;
gSldStack[gSldStack.length-1] =3D null;
gSldStack.length--;
var sldList =3D gSldStack[gSldStack.length-1];
GoToSld( sldList.mList[gCurSld - 1].mSldHref );
}
}
var custShowList=3Dnew Array();
/*********************************************
Navigation button implementation
There are 2 types of buttons: ImgBtn, TxtBtn
implemented as function objects. They share
a similiar interface so the event handlers
can call SetActive, for example, on a button=20
object without needing to know exactly=20
what type of button it is.
**********************************************/
//----------------------------------
function ImgBtn( oId,bId,w,action )
//----------------------------------
{
var t=3Dthis
t.Perform =3D _IBP
t.SetActive =3D _IBSetA
t.SetInactive=3D _IBSetI
t.SetPressed =3D _IBSetP
t.SetDisabled=3D _IBSetD
t.Enabled =3D _IBSetE
t.ChangeIcon =3D null
t.UserAction =3D action
t.ChgState =3D _IBUI
t.mObjId =3D oId
t.mBorderId=3D bId
t.mWidth =3D w
t.mIsOn =3D t.mCurState =3D 0
}
function _IBSetA()
{
if( this.mIsOn ) {
obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 )
obj.style.posTop=3D0
}
}
function _IBSetI()
{
if( this.mIsOn ) {
obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 )
obj.style.posTop=3D0=20
}
}
function _IBSetP()
{
if( this.mIsOn ) {
obj=3Dthis.ChgState( gShadowClr,gHiliteClr,2 )
obj.style.posLeft+=3D1; obj.style.posTop+=3D1
}
}
function _IBSetD()
{ =20
obj=3Dthis.ChgState( gFaceClr,gFaceClr,0 )
obj.style.posTop=3D0=20
}
function _IBSetE( state )
{
var t=3Dthis
GetObj( t.mBorderId ).style.visibility=3D"visible"
if( state !=3D t.mIsOn ) {
t.mIsOn=3Dstate
if( state )
t.SetInactive()
else
t.SetDisabled()
}
}
function _IBP()
{
var t=3Dthis
if( t.mIsOn ) {
if( t.UserAction !=3D null )
t.UserAction()
if( t.ChangeIcon ) {
obj=3DGetObj(t.mObjId)
if( t.ChangeIcon() )
obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-4)*t.mWidth
else
obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-0)*t.mWidth
}
t.SetActive()
} =20
}
function _IBUI( clr1,clr2,nextState )
{
var t=3Dthis
SetBorder( GetObj( t.mBorderId ),clr1,clr2 )
obj=3DGetObj( t.mObjId )
obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-nextState)*t.mWidth-obj=
.style.posTop
t.mCurState=3DnextState
return obj
}
//-----------------------------------------
function TxtBtn( oId,oeId,action,chkState )
//-----------------------------------------
{
var t=3Dthis
t.Perform =3D _TBP
t.SetActive =3D _TBSetA
t.SetInactive=3D _TBSetI
t.SetPressed =3D _TBSetP
t.SetDisabled=3D _TBSetD
t.SetEnabled =3D _TBSetE
t.GetState =3D chkState
t.UserAction =3D action
t.ChgState =3D _TBUI
t.mObjId =3D oId
t.m_elementsId=3D oeId
t.mIsOn =3D 1
}
function _TBSetA()
{
var t=3Dthis
if( t.mIsOn && !t.GetState() )
t.ChgState( gHiliteClr,gShadowClr,0,0 )
}
function _TBSetI()
{
var t=3Dthis
if( t.mIsOn && !t.GetState() )
t.ChgState( gFaceClr,gFaceClr,0,0 )
}
function _TBSetP()
{
if( this.mIsOn )
this.ChgState( gShadowClr,gHiliteClr,1,1 )
}
function _TBSetD()
{ =20
this.ChgState( gFaceClr,gFaceClr,0,0 )
this.mIsOn =3D 0
}
function _TBSetE()
{
var t=3Dthis
if( !t.GetState() )
t.ChgState( gFaceClr,gFaceClr,0,0 )
else
t.ChgState( gShadowClr,gHiliteClr,1,1 )
t.mIsOn =3D 1
}
function _TBP()
{
var t=3Dthis
if( t.mIsOn ) {=20
if( t.UserAction !=3D null )
t.UserAction()
if( !t.GetState )
return
if( t.GetState() )
t.SetPressed()
else
t.SetActive()
} =20
}
function _TBUI( clr1,clr2,lOffset,tOffset )
{
SetBorder( GetObj( this.mObjId ),clr1,clr2 )
Offset( GetObj( this.m_elementsId ),lOffset,tOffset )
}
function Offset( obj, top, left ){ obj.style.top=3Dtop; obj.style.left=3Dle=
ft }
function SetBorder( obj, upperLeft, lowerRight )
{
s=3Dobj.style;
s.borderStyle =3D "solid"
s.borderWidth =3D 1=20
s.borderLeftColor =3D s.borderTopColor =3D upperLeft
s.borderBottomColor=3D s.borderRightColor =3D lowerRight
}
function GetBtnObj(){ return gBtnArr[window.event.srcElement.id] }
function BtnOnOver(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetActive() }
function BtnOnDown(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetPressed() }
function BtnOnOut(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetInactive() }
function BtnOnUp()
{
b=3DGetBtnObj()
if( b !=3D null )
b.Perform()
else
Upd()
}
function GetNtsState(){ return parent.gNtsOpen }
function GetOtlState(){ return parent.gOtlOpen }
function GetOtlTxtState(){ return parent.gOtlTxtExp }
function NtsBtnSetFlag( fVal )
{
s=3Ddocument.all.item( this.m_flagId ).style
s.display=3D"none"
if( fVal )
s.display=3D""
else
s.display=3D"none"
}
function _BSetA_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S=
etActive() }
function _BSetI_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S=
etInactive() }
function _BSetP_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S=
etPressed() }
function _BSetA_BorderImg()
{=20
b =3D gBtnArr[this.mBorderId]=20
if( b !=3D null && this.mIsOn && !b.GetState() ) {
obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 )
obj.style.posTop=3D0
}
}
function _BSetI_BorderImg()
{=20
b =3D gBtnArr[this.mBorderId]
if( b !=3D null && this.mIsOn && !b.GetState() ) {
obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 )
obj.style.posTop=3D0
}
}
var gHiliteClr=3D"THREEDHIGHLIGHT",gShadowClr=3D"THREEDSHADOW",gFaceClr=3D"=
THREEDFACE"
var gBtnArr =3D new Array()
gBtnArr["nb_otl"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOtlPan=
e,GetOtlState )
gBtnArr["nb_otlElem"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOt=
lPane,GetOtlState )
gBtnArr["nb_nts"] =3D new ImgBtn( "nb_nts","nb_ntsBorder",10,parent.ToggleN=
tsPane )
gBtnArr["nb_nts"].SetActive =3D _BSetA_BorderImg;
gBtnArr["nb_nts"].SetInactive =3D _BSetI_BorderImg;
gBtnArr["nb_ntsBorder"] =3D new TxtBtn( "nb_ntsBorder","nb_ntsElem",parent.=
ToggleNtsPane,GetNtsState )
gBtnArr["nb_ntsElem"] =3D new TxtBtn( "nb_ntsBorder","nb_ntsElem",parent.To=
ggleNtsPane,GetNtsState )
gBtnArr["nb_prevBorder"] =3D gBtnArr["nb_prev"]=3D new ImgBtn( "nb_prev","n=
b_prevBorder",30,parent.GoToPrevSld )
gBtnArr["nb_nextBorder"] =3D gBtnArr["nb_next"]=3D new ImgBtn( "nb_next","n=
b_nextBorder",30,parent.GoToNextSld )
gBtnArr["nb_sldshw"]=3D new ImgBtn( "nb_sldshw","nb_sldshwBorder",18,parent=
.FullScreen )
gBtnArr["nb_sldshwBorder"] =3D new TxtBtn( "nb_sldshw","nb_sldshwBorder",pa=
rent.FullScreen,null )
gBtnArr["nb_sldshwBorder"].SetActive =3D _BSetA_Border;
gBtnArr["nb_sldshwBorder"].SetInactive =3D _BSetI_Border;
gBtnArr["nb_sldshwText"] =3D new TxtBtn( "nb_sldshw","nb_sldshwText",parent=
.FullScreen,null )
gBtnArr["nb_sldshwText"].SetActive =3D _BSetA_Border;
gBtnArr["nb_sldshwText"].SetInactive =3D _BSetI_Border;
gBtnArr["nb_voice"] =3D gBtnArr["nb_voiceBorder"] =3D new ImgBtn( "nb_voice=
","nb_voiceBorder",18,parent.ToggleVNarration )
gBtnArr["nb_otlTxtBorder"] =3D gBtnArr["nb_otlTxt"]=3D new ImgBtn( "nb_otlT=
xt","nb_otlTxtBorder",23,parent.ToggleOtlText )
gBtnArr["nb_ntsBorder"].m_flagId=3D "nb_nts"
gBtnArr["nb_ntsBorder"].SetFlag =3D NtsBtnSetFlag
gBtnArr["nb_otlTxt"].ChangeIcon=3D GetOtlTxtState
/*********************************************
Context menu implementation
_CM() is the function that's hooked up to
the oncontextmenu event. Once we're asked to
show the menu, we first build it by creating
DIVs on-the-fly. Then we position it=20
within the screen area so it doesn't get
clipped.
Creating the DIVs using createElement() means
we don't have to write out any extra HTML
into the slide HTML files.
**********************************************/
var sNext=3D"Next",sPrev=3D"Previous",sEnd=3D"End Show",sFont=3D"Arial",sAr=
row=3D"Arrow",sFreeform=3D"Freeform",sRect=3D"Rectangle",sOval=3D"Oval"
function ShowMenu()
{
BuildMenu();
var doc=3DPPTSld.document.body,x=3DPPTSld.event.clientX+doc.scrollLeft,y=
=3DPPTSld.event.clientY+doc.scrollTop
m =3D PPTSld.document.all.item("ctxtmenu")
m.style.pixelLeft=3Dx
if( (x+m.scrollWidth > doc.clientWidth)&&(x-m.scrollWidth > 0) )
m.style.pixelLeft=3Dx-m.scrollWidth
m.style.pixelTop=3Dy
if( (y+m.scrollHeight > doc.clientHeight)&&(y-m.scrollHeight > 0) )
m.style.pixelTop=3Dy-m.scrollHeight
m.style.display=3D""
}
function _CM()
{
if( !parent.IsFullScrMode() ) return;
if(!PPTSld.event.ctrlKey) {
ShowMenu()
return false
} else
HideMenu()
}
function BuildMenu()
{
if( PPTSld.document.all.item("ctxtmenu") ) return
var mObj=3DCreateItem( PPTSld.document.body )
mObj.id=3D"ctxtmenu"
mObj.style.visibility=3D"hidden"
var s=3DmObj.style
s.position=3D"absolute"
s.cursor=3D"default"
s.width=3D"120px"
SetCMBorder(mObj,"menu","black")
var iObj=3DCreateItem( mObj )
SetCMBorder( iObj, "threedhighlight","threedshadow" )
iObj.style.padding=3D2
CreateMenuItem( iObj,sNext,M_GoNextSld,M_True )
CreateMenuItem( iObj,sPrev,M_GoPrevSld,M_HasPrevSld )
=09
CreateSeparator( iObj )
CreateMenuItem( iObj,sEnd,M_End,M_True )
mObj.style.visibility=3D"visible"
}
function Cancel() { window.event.cancelBubble=3Dtrue; window.event.returnVa=
lue=3Dfalse }
function Highlight() { ChangeClr("activecaption","threedhighlight") }
function Deselect() { ChangeClr("threedface","menutext") }
function Perform()
{
e=3DPPTSld.event.srcElement
if( e.type=3D=3D"menuitem" && e.IsActive() )
e.Action()
else
PPTSld.event.cancelBubble=3Dtrue
}
function ChangeClr( bg,clr )
{
e=3DPPTSld.event.srcElement
if( e.type=3D=3D"menuitem" && e.IsActive() ) {
e.style.backgroundColor=3Dbg
e.style.color=3Dclr
}
}
function M_HasPrevSld() { return( parent.HasPrevSld() ) }
function M_GoNextSld() { if( gIsEndShow ) M_End(); else GoToNextSld() }
function M_GoPrevSld() { if( gIsEndShow ) { gIsEndShow=3D0; history.back();=
PPTSld.event.cancelBubble=3Dtrue; } else GoToPrevSld() }
function M_True() { return true }
function M_End() { window.close( self ) }
function CreateMenuItem( node,text,action,eval )
{
var e=3DCreateItem( node )
e.type=3D"menuitem"
e.Action=3Daction
e.IsActive=3Deval
e.innerHTML=3Dtext
if( !e.IsActive() )
e.style.color=3D"threedshadow"
e.onclick=3DPerform
e.onmouseover=3DHighlight
e.onmouseout=3DDeselect
s=3De.style;
s.fontFamily=3DsFont
s.fontSize=3D"9pt"
s.paddingLeft=3D2
}
function CreateSeparator( node )
{
var sObj=3DCreateItem( node )
SetCMBorder(sObj,"menu","menu")
var s=3DsObj.style
s.borderTopColor=3D"threedshadow"
s.borderBottomColor=3D"threedhighlight"
s.height=3D1
s.fontSize=3D"0px"
}
function CreateItem( node )
{
var elem=3DPPTSld.document.createElement("DIV")
node.insertBefore( elem )
return elem
}
function SetCMBorder( o,ltClr,rbClr )
{
var s=3Do.style
s.backgroundColor=3D"menu"
s.borderStyle=3D"solid"
s.borderWidth=3D1
s.borderColor=3DltClr+" "+rbClr+" "+rbClr+" "+ltClr
}
------=_NextPart_01C932A3.96FE8350
Content-Location: file:///C:/0A87D9D9/Day2Belsky_files/fullscreen.htm
Content-Transfer-Encoding: quoted-printable
Content-Type: text/html; charset="us-ascii"
Slide 1
•
•<=
/span>Were more emotionally supportive of their children=
•<=
/span>Provided more language and learning stimulation=
3;
•<=
/span>Read to their children more
![](3D"slide0074_image072.jpg")
![](3D"slide0074_image073.gif")
•<=
/span>Spanked their children less
•
•
(1)Performed better in cognitive and language
development
(2)Displayed higher emotional engagement of the paren=
t and sustained attention with play objects
<=
/span>
(3)Manifest less aggressive behaviour
(4)
Institute of Children, Famil=
ies
and Social
Issues
•IS
THERE A COMMON DENOMINATOR FOR EFFECTIVE PROGRAMMES?
•C=
ONSIDER
THE CASE OF SURE START LOCAL PROGRAMMES (SSLPs) AND HOW THEY DIFFERED FROM THOSE EFFECTIVE PROGRAMMES JUST CONSIDERED.
Institute of Children, Famil=
ies
and Social
Issues
Commu=
nity
control was consistently emphasised in the development and operation of SS=
LPs
and this control was exercised through local partnerships of stakeholders =
that
were responsible for the programmes.
Partnerships at the heart of Sure Start, designed to bring
together everyone concerned with children in the local community, including
health, social services, education, the private sector, the voluntary sect=
or
and parents.
Thus partnerships were to provide local community control =
of
the design of each SSLP and hence there was no specification of how to provide services, only what th=
ey
should achieve.
Institute of Children, Famil=
ies
and Social
Issues
oSupport for good quality play, learning
and childcare experiences for children.
oPrimary and community health care and
advice about child health and development and family health.
oSupport for people with special needs,=
and
helping access to specialised services.
However, all SSLPs were
expected to provide the following core servic=
es in some
way :
Institute of Children, Famil=
ies
and Social
Issues
SSLPs
represented an intervention unlike almost any other undertaken devoted to
enhancing the life prospects of young children growing up in disadvantaged
families and communities.
It was different in that it was area-based, with all
children under four and their families living in a prescribed area serving=
as
the “targets” of intervention--irrespective of their actual de=
gree
of disadvantage.
Institute of Children, Famil=
ies
and Social
Issues
Essen=
tially,
even though the entire SSLP effort was putatively “evidence
based”, what was essentially done was that high-quality scientific
evidence showing that well-de=
signed early intervention programmes with well stipulated protocols=
COULD be effective=
--when implemented with high fidelity--was married to an ideology of community
development to create an early intervention unlike almost any ever underta=
ken
before.
Needless to say, there was much (intended) variation in how
SSLPs operated and evidence of efficacy has been somewhat limited and
certainly open to alternative interpretation.
Institute of Children, Famil=
ies
and Social
Issues
•NEW ISSUE #1:
•UNINTENDED CONSEQUENCES
Institute of Children, Famil=
ies
and Social
Issues
NATIONAL EVALU= ATION OF SURE START
IMPACT-STUDY
Institute of Children, Famil=
ies
and Social
Issues
EARLY RESULTS
• Whereas some modest positive
effects of Sure Start Local Programmes
were detected in the case of most children and families, some apparently negative effects
emerged in the m=
ost
at-risk families in the first stage of impact evaluation:
•Chil=
dren
in Sure Start areas who were born to teen mothers manifested lower verbal ability, less social
competence and more
behavior problems at age 3 than their counterparts who did not reside in Sure Start areas.
•More=
over,
like children of teen mothers, those growing up in workless households or in lone-parent homes also
scored lower in verb=
al
ability when living in Sure Start areas than other areas.
•More
recent results indicate that these disconcerting effects have not continued, perhaps do to changes in
programme.
•Neve=
rtheless,
they alert us to unintended consequences.
Institute of Children, Famil=
ies
and Social
Issues
EARLY HEAD START
•So, =
too,
do some as yet unmentioned results of the Early Head =
Start Evaluation:
•Inte=
restingly
and intriguingly, Early Head Start also detected some negative effects of the programme.
•Once=
again
it was the most at-risk families for whom benefits not only did not materialise, but there was evi=
dence
of children doing
worse when enrolled in the programme than when not!
•The
evaluators of EHS have not highlighted these unintended =
consequences, especially in their formal
publications.
Institute of Children, Famil=
ies
and Social
Issues
•NEW ISSUE #2:
•DIFFERENTIAL SUSCEPTIBLITY=
Institute of Children, Famil=
ies
and Social
Issues
BRADLEY
& CORWYN
(2007)
(2007)
=
Institute for the=
Study
of Children, Families and Social Issues=
Tested the differential-susceptibility
hypothesis that more negative infants would be disproportionately affected by mothering (measured at 6, 15,=
24,
36 and 54 months and composited), drawing on data from the NICHD Study of
Early Child and Youth Development.
The outcome to be explained was teacher-reported externali=
zing
p=
roblems
when children were in first grade (i.e., ~ 6-7 years)
The negative emotionality moderator was
based on 1- and 6-month maternal reports of infant temperament
Institute of Children, Famil=
ies
and Social
Issues
Institute of Children, Famil=
ies
and Social
Issues
PLEUSS
& BELSKY
(in press)
(in press)
=
Institute for the=
Study
of Children, Families and Social Issues=
Tested the differential-susceptibility
hypothesis that more negative infants would be disproportionately affe=
cted
by quality of child care (measured at 6, 15, 24, 36 and 54 months and composit=
ed),
d=
rawing
on data from the NICHD Study of Early Child and Youth Development.
The outcome to be explained was teacher-reported externali=
zing
p=
roblems
when children were in kindergarten (i.e., ~ 5-6 years)
The negative emotionality moderator was
based on 1- and 6-month maternal reports of infant temperament
Institute of Children, Famil=
ies
and Social
Issues
Institute of Children, Famil=
ies
and Social
Issues
MORE EVIDENCE OF DIFFERENTIAL =
SUSCEPTIBILITY&=
#8212;TO
EARLY INTERVENTION
=
Institute for the=
Study
of Children, Families and Social Issues=
Clancy Blair re-evaluated effects of a
combined home-visiting and quality-early child care intervention provided to premature
infants born to very poor families in three sites in the USA. The =
intervention began
early in the first year of life (i.e., home visiting) and continued into =
and
beyond the second year (i.e., + quality centre-based child
care).
Previous examination of intervention eff=
ects
had revealed positive ones in both the cognitive and behavioral realms by three
years of age.
Institute of Children, Famil=
ies
and Social
Issues
The relation between negative emotionality and
externalizing behaviour among intervention and follow-up groups
Low
High
Negative emotion=
ality
Mean CBCL externalizing
48
50
52
54
56
58
95% c.i.
Follow-up
95% c.i.
Intervention<=
/span>
Institute of Children, Famil=
ies
and Social
Issues
=
NEGATIVE EMOTIONALITY/DIFFICULT =
TEMPERAMENT MAY NOT BE THE ONLY IMPORTANT
MODERATOR OF EARLY INTERVENTION EFFECTS
Institute of Children, Famil=
ies
and Social
Issues
BIERMAN
AND ASSOCIATES
(2008)
(2008)
=
Institute for the=
Study
of Children, Families and Social Issues=
Tested the hypothesis that children show=
ing less<=
span
style=3D'font-family:"Times New Roman";mso-ascii-font-family:"Times New Ro=
man";
mso-bidi-font-family:"Times New Roman";font-size:111%'> executive function
(EF) would disproportionately benefit from a preschool intervention
designed to promote <=
/span>(a) literacy and (b)
socioemotional skills.
The intervention involved the implementa=
tion
of a special series of class=
room activities administ=
ered
by Head Start teachers specifically trained to use them in <=
span
style=3D'position:absolute;top:57.49%;left:4.49%;width:89.88%;height:4.25%=
'>their classrooms. &=
#13;
One measured EF skill involved the abili=
ty
to inhibit motor activity—tested by first asking a chil=
d to
walk a 6-foot long straight line and then having him do it <=
span
style=3D'position:absolute;top:73.0%;left:4.49%;width:106.55%;height:4.25%=
'>two more times but =
as slowly as
possible
— to see how much they could reduce walking speed. EF w=
as
tested at the beginning of the academic year and children’s so=
cial
and cognitive functioning at the end of the academic year.
(Source: Bierman, K. et al. (2008). Executive functions and
school readiness. Development and Psychopathology, =
20, 821-843.)
Institute of Children, Famil=
ies
and Social
Issues
Institute of Children, Famil=
ies
and Social
Issues
•WHAT ABOUT GENETIC MAKE
UP
•OR
GENOTYPE
•AS A MODERATOR OF
•INTERVENTION EFFECTS?
Institute of Children, Famil=
ies
and Social
Issues
INSERT FIGURE with 6 lines here HERE
=
Institute for the=
Study
of Children, Families and Social Issues=
Institute of Children, Famil=
ies
and Social
Issues
CONCLUDING COMMENTS
• Early intervention should no=
t be
regarded as a quick fix; what happens
after an early intervention matters hugely—to the fate of its effect.
•Distinguishing <=
/span>efficacy
(trials) from effectiveness (trials): Demonstrations of positive impact experimentally in small or even la=
rge
studies carefully examin=
ed by
researchers is one thing; generating the same kinds of effects once programmes are widely dissem=
inated
is quite another thing. &=
#13;
•Quality of the
programme delivery—and thus fidelity to a well specified programme model—is key, both for experimental
efforts and broader disse=
mination.
•Not all children=
will
be equally affected; indeed, across-the-board effects may be carried by a sub-group of highly malleable
children.
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