EARLY CARRYING OF PREMATURES - A PREVENTIVE INTERVENTION

早产儿的早期怀——预防性干预

• 批准号: 3470020
• 负责人: ELIZABETH M ANISFELD
• 金额: $ 8.38万
• 依托单位: COLUMBIA UNIV NEW YORK MORNINGSIDE
• 依托单位国家: 美国
• 财政年份: 1988
• 资助国家: 美国
• 起止时间: 1988-09-01 至 1993-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3470020
• 关键词: child psychology; cognition; female; human subject; mother child interaction; premature infant human; social psychology

The objective of the research is to compare the relative effectiveness of two interventions in preventing psychosocial disorders in premature infants and in promoting more optimum development. The aspects of development to be examined are: social-emotional, mother-infant responsiveness, physical growth, cognition, quality of infant attachment to mother, and infant competence. Mother-infant pairs will be randomly assigned to one of two interventions: rocking or carrying. In the rocking condition the infant will be rocked by the mother in a rocking infant seat. In the carrying condition the mother will carry her baby around in a soft baby carrier. The mothers will be expected to follow the intervention protocol for a minimum of one hour a day while the baby is in the hospital and will be encouraged to continue with the program after the baby is discharged. Before the intervention groups are recruited and again after, a control group will be enrolled in order to establish baseline data. The mothers will be treated as all mothers currently are and will be followed up with the same measures as the intervention groups. There will thus be three groups, with 40 infants in each. The target population for the study is infants weighing between 1000 and 2000 grams at birth. The mothers come from the low- income population using the hospital's public facilities. For both biological and environmental reasons, these infants are at risk for developmental difficulties and delays, and for maltreatment. Follow-up data will be gathered in the hospital, on the day before discharge, and at 7, 12, and 24 months corrected age. Standardized developmental tests (Bayley, Denver) and videotapes of mother-infant interaction (including the Ainsworth Strange Situation) will be used to assess infant cognitive, motor and social-emotional development. It is expected that the mothers who carried their infants will develop a more responsive relationship with them and consequently the infants will exhibit a secure attachment relationship. It is also expected that the infants will exhibit more competence on age relevant tasks at 24 months. If the present experimental study shows a beneficial effect of early carrying, the use of a soft baby carrier could be instituted on a larger scale as a preventive intervention. This intervention has the advantage of being inexpensive, requiring ongoing supervision, and being easily disseminated.

研究的目的是比较亲戚 两种干预措施在预防社会心理方面的有效性 早产儿和提升最佳的疾病 发展。 要研究的发展方面是： 社会情感，母亲的响应能力，身体成长， 认知，婴儿对母亲的依恋质量和婴儿 权限。 母亲对将随机分配给两个 干预措施：摇摆或携带。 在摇摆状态下 婴儿将被母亲摇晃在一个摇摇欲坠的婴儿座椅上。 在 母亲会带着婴儿在一个携带状态 软婴儿载体。 期望母亲遵循 干预协议至少每天一小时 婴儿在医院，并鼓励继续 婴儿出院后的程序。 在招募干预组之前，然后再次 将招募对照组以建立基线数据。 母亲将被视为目前所有母亲 随后采取与干预组相同的措施。 因此，将有三组，每组有40个婴儿。 该研究的目标人群是婴儿在 出生时1000和2000克。 母亲来自低点 收入人口使用医院的公共设施。 两者 生物学和环境原因，这些婴儿有 发展困难和延误，以及虐待。 后续数据将在前一天收集到医院 出院，并在7、12和24个月的校正年龄。 标准化的发展测试（丹佛Bayley）和录像带 母亲互动（包括Ainsworth Strange 情况）将用于评估婴儿的认知，运动和 社会情感发展。 预计母亲 携带婴儿的人会发展出更大的反应 与他们的关系，因此婴儿将表现出 安全依恋关系。 还期望 婴儿将在24岁时对年龄相关任务表现出更多的能力 月份。 如果本实验研究显示 早期携带，可以建立柔软的婴儿载体的使用 作为预防性干预，大规模的规模更大。 这种干预 具有便宜的优势，需要持续 监督，并容易被传播。