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December 2021 (Volume 99)
Quarterly Article
Original Scholarship Child Health Social determinants of health
Jeff Niederdeppe
Liana B. Winett
Yiwei Xu
Erika Franklin Fowler
Sarah E. Gollust
March 2022
March 2021
Back to The Milbank Quarterly
Policy Points:
Context: Early childhood education (ECE) programs enhance the health and social well-being of children and families. This preregistered, randomized, controlled study tested the effectiveness of communication strategies to increase public support for state investments in affordable, accessible, and high-quality childcare for all.
Methods: At time 1 (August-September 2019), we randomly assigned members of an online research panel (n = 4,363) to read one of four messages promoting state investment in childcare policies and programs, or to a no-exposure control group. Messages included an argument-based message (“simple pro-policy”), a message preparing audiences for encountering and building resistance to opposing messages (“inoculation”), a story illustrating the structural nature of the problem and solution (“narrative”), and both inoculation and narrative messages (“combined”). At time 2 (two weeks later) a subset of respondents (n = 1,436) read an oppositional anti-policy message and, in two conditions, another narrative or inoculation message. Ordinary least squares regression compared groups’ levels of support for state investment in childcare policies and programs.
Findings: As hypothesized, respondents who read the narrative message had higher support for state investment in childcare policies than those who read the inoculation message or those in the no-exposure control group at time 1. Among respondents who were initially opposed to such investments, those who read the narrative had greater support than respondents who read the simple pro-policy message. Those who received the inoculation message at time 2 were more resistant to the anti-policy message than respondents who did not receive such a message, but effects from exposures to strategic messages at time 1 did not persist at follow-up.
Conclusions: Results offer guidance for policy advocates seeking to increase public support for early childhood policies and programs and could inform broader efforts to promote high-value policies with potential to improve population health.
Keywords: persuasive communication, education, early childhood, public policy, health policy, public opinion.
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