Table 6Summary GRADE table (Head start programme vs care as usual)

OutcomeSample sizeEffect size (95% CI)QualityInterpretation of effecta
Association between being in the intervention group and assessor-rated pre-academic skills composite score at 1 year (Woodcock-Johnson III subscales)253β 0.16 (0.02 to 0.30)Very LowIntervention was associated with a more favourable outcome
Association between being in the intervention group and teacher-rated teacher-child relationship at 1 year (student-teacher relationship scale)253β 0.30 (0.12 to 0.48)Very LowIntervention was associated with a more favourable outcome
Association between being in the intervention group and teacher/caregiver-reported behaviour problems at 1 year (Achenback Child Behaviour Checklist)253β −0.18 (−0.36 to 0.00)Very LowIntervention was associated with a more favourable outcome
Maths score at 5–6 years of age: assessed by the Woodcock-Johnson III Tests of Achievement, Math Reasoning (for girls)162MD 4.40 (3.48 to 5.32)Very LowEffect favours intervention group
Maths score at 5–6 years of age: assessed by the Woodcock-Johnson III Tests of Achievement, Math Reasoning (for boys)162MD −8.40 (−9.23 to −7.57)Very LowEffect favours control group
Reading score at 4–6 years of age: assessed by the Woodcock-Johnson III Tests of Achievement, Oral Comprehension (for girls)162MD 4.80 (4.18 to 5.42)Very LowEffect favours intervention group
Reading score at 4–6 years of age: assessed by the Woodcock-Johnson III Tests of Achievement, Oral Comprehension (for boys)162MD −3.20 (−3.95 to −2.45)Very LowEffect favours control group
Association between being in the intervention group and child-teacher relationship at 5 – 6 years of age (modified Robert Pianta scale)162β −0.30 (−1.01 to 0.41)Very LowNo association was observed between intervention and outcome
Association between being in the intervention group and caregiver-rated positive approach to learning at 5 – 6 years of age (Achenbach /Edelbrock/Howell score)162β 0.11 (−0.01 to 0.23)Very LowNo association was observed between intervention and outcome
Association between being in the intervention group and teacher-rated aggressive score at 5 – 6 years of age (Adjustment Scales for Preschool Intervention)162β −1.57 (−1.41 to 4.55)Very LowNo association was observed between intervention and outcome
Association between being in the intervention group and teacher-rated hyperactive score at 5 – 6 years of age (Adjustment Scales for Preschool Intervention)162β −3.28 (−6.26 to −0.30)Very LowIntervention was associated with a more favourable outcome
(a)

No meaningful difference: crosses line of no effect but not line of MID; Could not differentiate: crosses line of no effect and line of MID; May favour: confidence intervals do not cross line of no effect but cross MID; Favours: confidence intervals do not cross line of no effect or MID

From: Interventions to support readiness for school in looked-after children and young people

Cover of Interventions to support readiness for school in looked-after children and young people
Interventions to support readiness for school in looked-after children and young people: Looked-After Children and Young People: Evidence review H.
NICE Guideline, No. 205.
Copyright © NICE 2021.

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