Research
How school readiness for children with low birth weight can be improved
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Freya Lucas
Mar 13, 2025
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New research from Boston Medical Center (BMC) has offered insights into how families can support the early child development of children with low birth weight, getting them more ready for school.
School readiness is important not only for child wellbeing, but also for its role in predicting academic, economic and health outcomes in the long term.The BMC research has uncovered a concerning gap in school readiness for children with low birth weight, with only one-third of these children being on track for school readiness — lower than reported for the general pediatric population.
Thankfully the study also revealed five key protective factors that can support children, especially those with low birth weight, in reaching developmental milestones and being prepared for school.
Neighbourhood amenities, better parental mental health, emotional support networks, regular reading or bedtime routines, and limiting screen time to one hour or less each day are all associated with improved school readiness, according to findings published recently in Academic Pediatrics.
Using data from the 2016-2019 National Survey of Children’s Health, the BMC research team explored developmentally sound and emotionally supportive early life experiences that can improve school readiness.
“Our findings underscore the critical role that family routines and parental supports play in shaping early child development. By fostering predictability, such as through consistent household routines and spending dedicated time together, parents can create an environment that supports their child’s readiness for school,” lead author Dr Gen Guyol said.
The study highlights the importance of emotional support for not only children, but also parents and caregivers. Having someone to turn to for guidance and reassurance can be a vital resource for families as they navigate the complexities of raising a young child, Dr. Guyol added.
“It’s essential to recognize that the support of parents and caregivers is a protective factor. When parents feel supported, they are better equipped to create an environment that promotes positive developmental outcomes for their children.”
This research contributes to a growing body of evidence that emphasises the importance of early, accessible interventions and supportive environments in fostering school readiness, particularly for vulnerable populations like children with low birth weight.
“Investing in school readiness has far-reaching effects that extend well beyond the classroom,” Dr Guyol noted.
“By supporting parents and creating environments that foster early development, we are not only helping children thrive in school but also setting the foundation for lifelong success and well-being.”
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