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）：本提案寻求对 650 名儿童及其家人进行 9 年随访的支持，这些儿童及其家人参加了由专业人员和护士进行的产前和婴儿期家访随机试验；参与的家庭被分配到对照、专业人员辅助或护士到访的条件下。评估的早期阶段发现，尽管护士的影响往往更大，但护士和专业辅助人员拜访的家庭和儿童仍受益匪浅。当前阶段的随访旨在确定护士和辅助专业人员计划的影响是否能够持续并持续到 9.5 岁的儿童。 该提案围绕七个问题组织： 1. 护士和辅助专业人员家访计划是否会对以下方面产生持久影响： a) 母亲的生命历程； b) 父母为孩子提供的照顾质量； c) 儿童早发的行为问题； d) 儿童对故事主干的反应不连贯和具有攻击性/破坏性； e) 儿童的执行力、语言和智力功能以及学业成绩？ 2. 父母照顾和儿童发展项目的有益效果在多大程度上集中于那些心理资源匮乏的母亲所生的孩子？ 3. 这些计划对墨西哥裔美国人和欧洲裔美国人的母亲和儿童带来的好处在多大程度上是相同的？ 4. 反社会行为项目的影响在多大程度上集中在男孩身上？ 5. 项目效果在多大程度上受到学校和社区环境的调节？ 6. 这些项目对儿童发展的影响在多大程度上可以用这些项目对妇女产前吸烟、孕产妇生命历程、父母照顾质量以及儿童早期语言发展、执行功能和情绪调节的影响来解释？ 7. 在第一个孩子生命的前九年里，这些方案的初始成本在多大程度上通过减少其他政府服务的支出来收回？ 经济评估（目标 7）的进行、学校记录的审查以及教师儿童行为报告的评估（目标 la 和 lc 的一部分）将由其他资金来源支付，以便生活在每年 500,000 美元的范围内NIH 对 R-01 应用程序设定的直接成本限制。