Dana Suskind's research while affiliated with University of Chicago and other places

Publications (54)

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This randomized controlled trial showed that video-based anticipatory guidance implemented at well-child visits in the first 6 months increased knowledge of early cognitive and language development (P < .001), which in turn promoted cognitive growth fostering behaviors among parents of low socioeconomic status (95% CI 0.09-0.57). TRIAL REGISTRATION...
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Background Use of numerical and spatial language, also known as math talk, is critical to the development of foundational number and spatial skills in early childhood. However, caregivers and children of low socioeconomic status (SES) tend to use less math talk than their higher-SES peers. Objective The current efficacy study tested the hypothesis...
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The goal of creating evidence-based programs is to scale them at sufficient breadth to support population-level improvements in critical outcomes. However, this promise is challenging to fulfill. One of the biggest issues for the field is the reduction in effect sizes seen when a program is taken to scale. This paper discusses an economic perspecti...
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In this study, we aimed to create a novel tool to assist providers at 2 Chicago-area Federally Qualified Health Centers in giving guidance on early cognitive and language development during well-child visits. We utilized a human-centered design (HCD) process to address specific barriers to providing this guidance and create a tool shaped by the nee...
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Socioeconomic gaps in child development open up early, with associated disparities in parental investments in children. Understanding the drivers of these disparities is key to designing effective policies. We first show that parental beliefs about the impact of early parental investments differ across socioeconomic status (SES), with parents of hi...
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Objective To determine the impact of a video intervention administered at the time of the universal newborn hearing screen on caregiver knowledge of infant cognitive and language development in low socioeconomic status English-speaking parents. Methods A parallel-group, single-blind randomized clinical trial was conducted from April to August 2016...
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Policymakers are increasingly facing the challenge of scaling empirical insights. This study provides a theoretical lens into the science of how to use science. Through a simple model, we highlight three elements of the scale‐up problem: (1) when does evidence become actionable; (2) properties of the population; and (3) properties of the situation....
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Policymakers are increasingly turning to insights gained from the experimental method as a means to inform large-scale public policies. Critics view this increased usage as premature, pointing to the fact that many experimentally tested programs fail to deliver their promise at scale. Under this view, the experimental approach drives too much publi...
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Objective: To examine the mediating role of socioeconomically disadvantaged parents' knowledge of early cognitive and language development at the first postpartum visit in the relation between education and caregiving behaviors at 9 months. Study design: Parental knowledge was assessed at the 1-week newborn visit (n = 468); anticipatory guidance...
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Objective To determine the efficacy of an interactive, home visiting curriculum tailored to low socioeconomic status families in improving parental knowledge of pediatric nutrition and healthy lifestyle Methods Parents of toddlers aged 13‐16 months living with a household income below 200% of the federal poverty line were randomized into healthy l...
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This study evaluated the efficacy of the six-month 3Ts Home Visiting (3Ts-HV) curriculum, designed to empower socioeconomically disadvantaged caregivers with evidence-based knowledge and strategies in order to enrich the home language environment for their young children's cognitive and language development. Using a matched pairs randomized control...
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Behavioral economics and field experiments within the social sciences have advanced well beyond academic curiosum. Governments around the globe as well as the most powerful firms in modern economies employ staffs of behavioralists and experimentalists to advance and test best practices. In this study, we combine behavioral economics with field expe...
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This study reported the development and initial validation of the Survey of Parent/Provider Expectations and Knowledge (SPEAK), a self-administered questionnaire assessing expectations and knowledge about early childhood cognitive and language development. Development of the SPEAK was guided by the theory emphasizing the role of language input qual...
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Economists often conduct experiments that demonstrate the benefits to individuals of modifying their behavior, such as using a new production process at work or investing in energy saving technologies. A common occurrence is for the success of the intervention in these small-scale studies to diminish substantially when applied at a larger scale, se...
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A total of 427 women (aged 18-45 years) who delivered a singleton neonate without serious medical complications were randomized to watch either an educational intervention (n = 225) or the sudden infant death syndrome (n = 202) video. Linear mixed models showed that the intervention women significantly gained knowledge over time. Knowledge gain was...
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Policymakers often consider interventions at the scale of the population, or some other large scale. One of the sources of information about the potential effects of such interventions is experimental studies conducted at a significantly smaller scale. A common occurrence is for the treatment effects detected in these small-scale studies to diminis...
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Objective: To investigate the impact of a spoken language intervention curriculum aiming to improve the language environments caregivers of low socioeconomic status (SES) provide for their D/HH children with CI & HA to support children's spoken language development. Study Design: Quasiexperimental. Setting: Tertiary. Patients: Thirty-two caregiver–...
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We designed a parent-directed home-visiting intervention targeting socioeconomic status (SES) disparities in children's early language environments. A randomized controlled trial was used to evaluate whether the intervention improved parents' knowledge of child language development and increased the amount and diversity of parent talk. Twenty-three...
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Children's early language environments are critical for their cognitive development, school readiness, and ultimate educational attainment. Significant disparities exist in these environments, with profound and lasting impacts upon children's ultimate outcomes. Children from backgrounds of low socioeconomic status experience diminished language inp...
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Importance: Obstructive sleep apnea (OSA) is a common disorder in children and can lead to important sequelae. Predictors of persistent OSA after adenotonsillectomy (T&A) in younger children are not well studied. Objective: To evaluate residual OSA in a subgroup of children younger than 3 years after T&A and identify predictors of postoperative...
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A child’s early language environment is critical to his or her life-course trajectory. Quantitative linguistic feedback utilizes the Language ENvironment Analysis (LENA) technology as a tool to analyze verbal interactions and reinforce behavior change. This exploratory pilot study evaluates the feasibility and efficacy of a novel behavior-change st...
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This pilot study explored the potential for Project ASPIRE to effect behavior change in a sample of 11 parents of children with hearing loss who were from typically underserved populations, such as families from backgrounds of low socioeconomic status or families who speak English as a second language. The study consisted of one education session,...
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Objective: Obstructive sleep apnea (OSA) is the leading reason for adenotonsillectomy in children. We aimed to evaluate polysomnographic characteristics of OSA in children under 3 years of age and, in a subset of these children who had pre- and postoperative sleep studies, potential persistence of OSA after adenotonsillectomy. Method: We performed...
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To determine the effect of intranasal corticosteroid therapy on T-regulatory cells and other inflammatory cytokines in adenoid tissues in children with obstructive sleep apnea syndrome. Randomized, prospective, exploratory study. Academic pediatric otolaryngology practice in a tertiary care children's hospital. Participants included 24 children bet...
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A national survey of pediatric cochlear implantation (PCI) audiologists was conducted with three aims: (1) to determine if PCI audiologists perceive within their clinical practice a negative effect of low socioeconomic status (SES) on postimplant speech and language outcomes; (2) to understand their perceptions of the underlying factors leading to...
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Dysphagia secondary to "tight" distal esophageal wraps are a well-known complication of Nissen fundoplication (NF). However, the literature makes no mention of distal esophageal foreign bodies (DEFB) appearing after NF. This study was undertaken to determine the occurrence of asymptomatic DEFB in children post-fundoplication. A retrospective review...
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Sialorrhea is a common clinical problem in children and adults that can have significant social and medical implications. Multiple treatments exist, with varying degrees of success. The use of intraglandular injection of botulinum toxin is a simple and effective alternative to current treatments. We present issues when considering injection and our...
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Long-segment near-complete tracheal ring deformity is a rare condition with few documented cases. We present the case of a 7-week-old male with total anomalous pulmonary venous return and long-segment near-complete tracheal rings. We discuss the presentation, evaluation, and management of near-complete and complete tracheal rings.
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To compare the proportion of community-associated, methicillin-resistant Staphylococcus aureus (MRSA) infections in pediatric head and neck abscesses between 2 study periods. Retrospective case review. Tertiary care pediatric otolaryngology practice. Patients Pediatric patients with head and neck abscesses presenting over 2 separate 2.5-year interv...
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The objective of this study was to describe improvements in pediatric swallowing after gastroesophageal reflux treatment. The authors conducted a retrospective database and chart review at two tertiary care children's hospitals. Patients (21 males, 7 females) ranged in age from 1 to 32 months. All patients had clinical evidence of gastroesophageal...
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Advances in prenatal imaging allow for early diagnosis of possible airway obstruction in fetuses. The ex utero intrapartum treatment (EXIT) procedure has been developed to aid in obtaining control of the airway at birth in an anticipated "difficult" airway. The EXIT procedure is a form of utero-placental bypass, allowing added time for the establis...
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Objectives: Chronic complicated wounds represent a major health burden and a drain on resources. In the head and neck, they can also be cosmetically and functionally disabling. Over the past decade the vacuum-assisted closure device system (VAC) has become increasingly useful in the treatment of complex and nonhealing wounds of the trunk and extrem...
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To describe an endoscopic approach for pediatric orbitofacial masses. A retrospective medical chart review. Tertiary-care children's hospital. Patients (4 boys, 7 girls) ranged in age from 6 months to 11 years. All children underwent endoscopic excision of an orbitofacial mass. A single port approach was used in all but the initial case. The scalp...
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Objective To describe an endoscopic approach for pediatric orbitofacial masses.Design A retrospective medical chart review.Setting Tertiary-care children's hospital.Participants Patients (4 boys, 7 girls) ranged in age from 6 months to 11 years. All children underwent endoscopic excision of an orbitofacial mass.Intervention A single port appro...
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To assess the safety and efficacy of intraglandular (parotid and submandibular) botulinum-A toxin (BTX-A) in the treatment of sialorrhea in children with cerebral palsy (CP). Prospective, open-label, dose-escalation study. Tertiary care Children's Hospital. Twenty-two subjects between 8 and 21 years of age with CP and significant sialorrhea. INTERV...
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Primary hyperparathyroidism (PHPT) in infants is caused by parathyroid chief cell hyperplasia. Patients present with symptoms of chronic hypercalcemia, such as failure to thrive, irritability, abdominal pain, and anorexia. Medical therapy is inadequate, often resulting in chronic hypercalcemia or death. Partial or total surgical removal of the para...
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A 15-year-old black girl had a near total resection of a malignant thyroid teratoma with bilateral nodal involvement and mediastinal extension. A predominant neuroepithelial pattern had ependymal rosettes and mitoses, stained for neuron-specific enolase, neuron-specific B tubulin, and synaptophysin. A malignant spindle cell component stained for sm...
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To determine the role of antireflux surgery in the treatment of gastroesophageal reflux-induced otolaryngologic disease (GEROD). A retrospective medical record analysis was performed. Patient demographics, otolaryngologic disease secondary to gastroesophageal reflux (GER), method of GER diagnosis, medical treatment used before antireflux surgery, a...
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Objective To determine the role of antireflux surgery in the treatment of gastroesophageal reflux–induced otolaryngologic disease (GEROD). Design A retrospective medical record analysis was performed. Patient demographics, otolaryngologic disease secondary to gastroesophageal reflux (GER), method of GER diagnosis, medical treatment used before an...
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A dermoid cyst is an ectodermal cyst that contains an epithelial lining as well as adnexal structures, and may occur in numerous areas of the body. The nasal dermoid accounts for 1% of all dermoid cysts and 3-12% of head and neck dermoid cysts. While there have been familial cases reported, a genetic inheritance for nasal dermoids has not been sugg...

Citations

... Open science can improve research reporting to promote replication of results and effective scale up [9], but only insofar as home visiting embraces a research paradigm that can answer the question, What works best, for which families, in which contexts, why and how? [10,11] For home visiting, this requires: 1) specifying and testing interventions within home visiting rather than focusing only on full models; 2) going beyond estimating average effects on outcomes by testing mediators and moderators; and 3) using innovative designs to achieve actionable results and optimize impacts across varied contexts. Such an approach, if coupled with a standard framework and language across home visiting models and studies, can accelerate improvements in models and implementation systems, and the confidence of decision-makers who rely on research to guide their policy and programming decision-making. ...
... We hypothesise an effect of the intervention of mindful parenting in strengthening parental beliefs on the importance of parental engagement in daily activities, as measured by the questionnaire we specifically designed for this purpose. The recent literature [51,52] illustrates how parental beliefs can respond to interventions in disadvantaged socioeconomic contexts. To our knowledge, our study would be the first to investigate the impact of a parenting program on parental beliefs in a developed country. ...
... Some recent reviews include Della Vigna and Linos (2020), who review the effectiveness of nudge randomised-controlled trials (RCTs) across two so-called 'nudge units;' Beshears and Kosowsky (2020) who review 174 nudge studies to evaluate the average effect size of different nudge strategies; and Jachimowicz et al. (2019), who review 58 studies specifically investigating the default option nudge to determine the effect size associated with this specific nudge. There have also been recent calls to consider experimental practices in choice-architectural design (John 2021), to consider strategies for scaling nudge interventions (Al-Ubaydli et al. 2021), and for widespread adoption of A/B testing methods (Benartzi 2017). ...
... respectively). A low level of parent knowledge regarding cognitive and language development in early childhood was associated with low adherence to nine-month visits to well-baby clinics [13]. In Europe, Moller et al. (2016) [14] reported that foreign children have a lower intake of vaccination and routine child health examinations compared to native-born children. ...
... The recent work of Al-Ubaydli et al. [20] is a cogent example of a holistic approach to scaling social science research in the real world. The model Al-Ubaydli and colleagues proposed pointed to three main barriers to scalability in small-scale, successful interventions: inference, representativeness of the population, and representativeness of the situation [20,21]. First, the authors suggest that there may be issues with the reliability of the evidence, due to the lack of replication of the effects, insufficient power in the studies, and incorrect interpretation of the p-value of results. ...
... Scalability research is in its infancy in social sciences and only recently have scholars begun to develop the theoretical tools necessary to scale up interventions in field settings. The recent work of Al-Ubaydli et al. [20] is a cogent example of a holistic approach to scaling social science research in the real world. The model Al-Ubaydli and colleagues proposed pointed to three main barriers to scalability in small-scale, successful interventions: inference, representativeness of the population, and representativeness of the situation [20,21]. ...
... Currently, six studies have examined ways to improve toddlers' PA. Of these studies, five studies were designed to encourage parents to participate in active play with their toddlers and were set within the home or primary care setting (Black et al., 2021;LoRe et al., 2019;Moir et al., 2016;Verbestel et al., 2014;Wolman et al., 2008) and one study focused on the childcare center (Benjamin Neelon et al., 2014). ...
... 'Early talk is one of the 12 most important factors shaping children's brain development during the first few years of life', https://www.lena.org/about/). In the shift from the simple message 'talk more' to a more complex directive to 'talk differently' (if not relate differently to one another), interventions have been trialled for mothers to instruct them in how to better interact with their babies, infants, and children in order to accelerate language development (Greenwood et al. 2020;Heidlage et al. 2020;Landry et al., 2008;Leung, Hernandez & Suskind, 2020;Suskind et al., 2013). Treating the family as a mechanism (Donzelot, 1979, p. 94) that can be optimised, interventions range from small intervention studies (e.g. ...
... Finally, finding that the children with CIs patterned more closely to their hearing age matches suggests that for all children, speech intelligibility improves with auditory feedback, not just physiological maturation. Therefore, pediatric guidelines, which currently encourage parents to talk to their children to facilitate phonological, lexical, and perceptual development (LoRe et al., 2018), may need to be expanded to encourage caregivers to talk to their children to elicit speech. Turn-taking between caregivers and their children, above and beyond the quantity of adult speech that children hear, may be crucial for the development of mature speech production. ...
... Most of the literature in economics on early life disadvantages has emphasized that early life adversity can have serious long-term adverse implications for health and labour market outcomes. As a result, the standard policy response has been to propose investment in early childhood education to offset these deficits (for example, see List et al., 2018). We contribute to a small literature in economics that shows that early life adversity can foster positive outcomes later in life through building resilience. ...