Exploring Emotional Availability During Parent-Child Interaction in Children with Developmental Delays

探索发育迟缓儿童亲子互动期间的情绪可用性

基本信息

批准号：
10315719
负责人：
Rebecca Molinini
金额：
$ 4.26万
依托单位：
VIRGINIA COMMONWEALTH UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-08-01 至 2024-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10315719
关键词：
Adult Affective Age Agreement Assessment tool Behavior Behavioral Biological Birth Career Choice Characteristics Child Child Development Child Health Child Rearing Child Welfare Childhood Clinical Clinical Trials Clinical Trials Design Code Communication Competence Complex Consultations Data Data Analyses Decision Making Development Developmental Delay Disorders Developmental Disabilities Dimensions Disabled Persons Early Intervention Education Emotional Enrollment Faculty Family Fellowship Fostering Foundations Funding Funding Mechanisms Future Gender Goals Grief reaction Health Intervention Intervention Studies Journals Knowledge Learning Life Experience Measures Mediating Mental Depression Mentorship Methodology Motor Motor Activity Motor Skills Multi-Institutional Clinical Trial Neurologic Outcome Parent-Child Relations Parents Participant Pathway interactions Peer Review Perception Personal Satisfaction Physical therapy Play Population Postdoctoral Fellow Principal Investigator Process Publishing Race Rehabilitation therapy Research Resources Risk Risk Factors Role Sampling Scholarship Services Signal Transduction Site Social Environment Social Sciences Socialization Socioeconomic Status Statistical Models Stress Structure Therapeutic Intervention Time Training Treatment Efficacy age difference career clinical application contextual factors disability efficacy evaluation emotional factor improved innovation knowledge base model development motor behavior motor impairment novel programs rate of change research study secondary analysis service intervention skill acquisition skills social standard of care success therapy design training opportunity

项目摘要

Emotional Availability (EA), the synchrony between parents and children's affective and behavioral states, is grounded in children's developmental abilities. Young children use motor behaviors to communicate their wants and needs and parents use these observable motor behaviors to guide their interaction behaviors. As development becomes more advanced, children and parents are able to interact with one another in new and more complex ways, thus fostering global development. The proposed study builds on EA research in children with typical development which highlights that children's linear change in EA over young childhood is mediated by developmental abilities and that social adversities present challenges to adult and child EA. EA predicts adaptive development, moderates adverse developmental outcomes in the presence of early adverse life experiences, and guides intervention aimed at optimizing parents and children's health and well-being. Evidence of EA in clinical populations is very scarce, with available studies having limitations in methodology and findings are not yet replicated. Early intervention rehabilitation professionals working with children with developmental delays often lack the training, resources, and support to assess and target EA as part of their standard of care. The objective of this study is to advance the body of knowledge on the impact of motor skills on the development of EA in young children with diverse motor abilities. Identifying delayed motor skills as a risk factor for EA will highlight the need to assess and target EA as part of early intervention. Results from this study will support the applicants long term career goals of creating research which optimizes children's development, familial well-being and early intervention efficacy. The proposed study is a secondary analysis and enhancement of prior collected data and includes 134 children with motor delays (7-16 months at baseline) and 37 children with typical motor development (5-7 months at baseline) enrolled at the emergence of sitting. Aim 1 will quantify the impact of motor skills on adult and child EA interaction behaviors. Aim 2 will compare the impact of age vs. motor skills on EA in skill matched participants. Aim 3 will identify the predictive relationship between baseline EA and the trajectory of children's motor development over 12 months. Post-hoc analyses of each aim will describe the findings within the context of children's gender, socio-economic status and race. Findings will provide foundational knowledge on constructs and behaviors which foster or impede development of EA. This knowledge will be immediately informative in guiding therapists' decision-making in practice and will inform future studies on developing clinically applicable assessment tools and designing clinical trials that target EA as a pathway to enhance program efficacy. The fellowship proposal offers the applicant training opportunities to execute a research study as principal investigator, expand current knowledge base on parenting and complex statistical modeling, and increase scholarship by publishing in competitive interdisciplinary peer-reviewed journals.

情绪可用性（EA），即父母和孩子的情感和行为状态之间的同步性，以儿童的发展能力为基础。年幼的孩子使用运动行为来表达他们的想法想要和需要，父母使用这些可观察到的运动行为来指导他们的互动行为。作为发展变得更加先进，孩子和父母能够以新的方式互动更复杂的方式，从而促进全球发展。拟议的研究以儿童 EA 研究为基础具有典型的发展特征，强调儿童 EA 在幼儿期的线性变化是被调节的发展能力以及社会逆境对成人和儿童 EA 提出了挑战。 EA 预测适应性发展，在早期不利生活的情况下缓和不利的发展结果经验，并指导旨在优化父母和儿童健康和福祉的干预措施。临床人群中 EA 的证据非常稀少，现有研究在方法论上存在局限性并且研究结果尚未得到重复。与患有以下疾病的儿童一起工作的早期干预康复专业人员发育迟缓往往缺乏培训、资源和支持来评估和确定 EA 作为他们的一部分护理标准。本研究的目的是增进对运动技能影响的知识体系具有不同运动能力的幼儿的 EA 发展。将迟缓的运动技能识别为 EA 的风险因素将凸显评估和针对 EA 作为早期干预的一部分的必要性。结果由此研究将支持申请人的长期职业目标，即进行优化儿童的研究发展、家庭福祉和早期干预效果。拟议的研究是二次分析并增强了之前收集的数据，包括 134 名患有运动迟缓的儿童（7-16 个月）基线）和 37 名具有典型运动发育（基线 5-7 个月）的儿童在出现时入组坐的。目标 1 将量化运动技能对成人和儿童 EA 互动行为的影响。目标2将比较年龄与运动技能对技能匹配参与者的 EA 的影响。目标 3 将确定预测基线 EA 与 12 个月内儿童运动发育轨迹之间的关系。事后对每个目标的分析将在儿童性别、社会经济地位的背景下描述研究结果和比赛。研究结果将提供有关促进或阻碍的结构和行为的基础知识 EA的开发。这些知识将立即为指导治疗师的决策提供信息。实践并将为未来开发临床适用的评估工具和设计的研究提供信息将 EA 作为提高项目功效的途径的临床试验。该奖学金提案提供了申请人作为首席研究员执行研究的培训机会，扩大当前的育儿和复杂统计模型的知识库，并通过在有竞争力的跨学科同行评审期刊。