Clinical Research Directory

Inclusion Criteria: * Parent or caregiver is 18 years of age or older with no intellectual disability and can speak and understand Spanish and/or English. Participants unable to read will be eligible as data will be verbally collected by bilingual research staff. * Child is between 3 and 4 years of age at enrollment and receives primary care at a study site. * Child is from a low-income household on Medicaid insurance. * Child has no significant developmental disability or serious medical condition that limits communication with the Kinder Coach. Children with mild developmental delays including speech delay, gross motor delay, autism spectrum disorder, mild cerebral palsy, and ADHD will be included to capture a heterogenous, real-world sample from primary care. Exclusion Criteria: * Parent or child with significant intellectual disability. * Teen parents under the age of 18. * Child is in foster care or other situation in which consent cannot be obtained from a legal guardian. * Child with a significant developmental disability that limits participation including cerebral palsy, non-verbal autism spectrum disorder, Down's syndrome, global developmental delay, or other serious medical condition impacting ability to participate in a Kinder Coaching visit. Developmental conditions will be defined as children who screen negative on the Children with Special Health Care Needs (CSHCN) screener for developmental and/or behavioral special needs "above and beyond what would be expected" for a child of that age.