Age 9 Follow-up of Preventive Intervention

9 岁预防性干预的后续行动

• 批准号: 7000301
• 负责人: DAVID L OLDS
• 金额: $ 49.07万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-02-01 至 2007-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7000301
• 关键词: Mexican Americans; behavioral /social science research tag; caucasian American; child (0-11); child behavior; child behavior disorders; clinical research; communication behavior; conduct disorder; disease /disorder prevention /control; gender difference; health care quality; health care service evaluation; health services research tag; home health care; human subject; longitudinal human study; nurse patient relations; nursing intervention; outcomes research; parent offspring interaction; patient oriented research; racial /ethnic difference

DESCRIPTION (provided by applicant): This proposal seeks support for a 9-year follow-up of 650 children and their families who were enrolled in a randomized trial of prenatal and infancy home visiting by paraprofessionals and by nurses; participating families were assigned to control, paraprofessional-, or nurse-visited conditions. Earlier phases of assessment found significant benefits for nurse- and paraprofessional-visited families and children, although the nurse effects tended to be larger. The current phase of follow-up is designed to determine whether the effects of the nurse and paraprofessional programs endure and grow through the child age 9.5. The proposal is organized around seven questions: 1. Do the programs of nurse and paraprofessional home-visiting produce enduring effects on: a) mothers' life-course; b) qualities of care parents provide to their children; c) children's early-onset behavior problems; d) children's incoherence and aggression/destruction in response to story stems; e) children's executive, language, and intellectual functioning and school achievement? 2. To what extent are the beneficial effects of the programs on parental care-giving and children's development concentrated on those born to mothers with few psychological resources? 3. To what extent are the benefits of the programs on mothers and children equivalent for Mexican- Americans and European-Americans? 4. To what extent are the effects of the programs on antisocial behavior concentrated on boys? 5. To what extent are program effects moderated by school and neighborhood contexts? 6. To what extent are the effects of the programs on children's development explained by impacts of the programs on women's prenatal smoking, maternal life-course, qualities of parental caregiving, and children's earlier language development, executive functioning, and emotional regulation? 7. To what extent are the initial costs of the programs recovered in reduced expenditures for other government services during the first nine years of the first child's life? The conduct of the economic evaluation (aim 7), the review of school records, and the assessment of teacher reports of child behavior (part of aims la and lc) will be covered by other funding sources in order to live within the $500,000 per year direct cost limitation set by NIH on R-01 applications.

描述（由申请人提供）：该提案寻求对650名儿童及其家人进行为期9年的随访，这些儿童及其家人被参与副业人士和护士访问产前和婴儿期的随机试验；参与的家庭被分配为控制，专业或护士访问的条件。较早的评估阶段发现，尽管护士效应往往更大，但对护士和专业人士访问的家庭和儿童的重大好处。当前的随访阶段旨在确定护士和专业计划的影响是否持续并成长为9.5岁的儿童。 该提案围绕七个问题组织： 1。做护士和专业家庭访问的计划会产生持久的影响：a）母亲的生活； b）父母为子女提供的护理素质； c）儿童的早期行为问题； d）儿童对故事茎的不连贯和侵略/破坏； e）儿童执行，语言和知识功能和学校成就？ 2。计划在多大程度上对父母护理和儿童发展的有益影响集中在那些心理资源很少的母亲出生的人身上？ 3。计划在多大程度上对墨西哥人和欧洲裔美国人的母亲和儿童的好处在多大程度上？ 4。该计划对反社会行为的影响集中在男孩上？ 5。课程效应在多大程度上受到学校和社区环境的调节？ 6。该计划对儿童发展的影响在多大程度上是由计划对妇女产前吸烟，母性生活，父母照顾的素质以及儿童早期的语言发展，执行功能和情感调节的影响所解释的？ 7.在第一个孩子一生的头九年中，其他政府服务的支出减少了计划的初始费用在多大程度上？ 其他资金来源将涵盖经济评估（AIM 7），对学校记录的审查以及对儿童行为的报告（AIMS LA和LC的一部分）的评估，以便在NIH在R-01上设定的每年500,000美元的直接成本限制。