Nursing Support: Better Infant Outcomes in Violent Homes

护理支持：暴力家庭中婴儿的更好结局

基本信息

批准号：
7390361
负责人：
LINDA F.C. BULLOCK
金额：
$ 46.03万
依托单位：
UNIVERSITY OF MISSOURI-COLUMBIA
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-05-01 至 2011-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7390361
关键词：
Accounting Achievement Affect Age Age-Months Battered Women Behavior Birth Caregivers Caring Child Child Development Child Nutrition Clinic Cognitive Control Groups Cotinine County Cues Data Development Developmental Delay Disorders Discipline of Nursing Effectiveness Emotional Environment Exposure to Fetus Funding Goals Growth Health Health Personnel Home environment Hour Income Individual Infant Infant Development Infant Health Intervention Length Life Low income Measures Mental Depression Mental Health Missouri Mothers Newborn Infant Numbers Nurses Outcome Parent-Child Relations Parenting behavior Parents Participant Passive Smoking Patient currently pregnant Personal Satisfaction Population Poverty Pregnancy Pregnant Women Prevalence Principal Investigator Randomized Randomized Controlled Trials Rate Readability Recruitment Activity Relapse Reporting Research Research Personnel Resources Risk Risk Factors Rural Safety Sampling Schools Score Smoking Smoking Cessation Intervention Social support Standards of Weights and Measures Stress Surveys Technology Telephone Testing Time Violence Week Weight Woman Women&apos s Group base child depression day experience improved indexing infant outcome intimate partner violence maternal depression nursing intervention programs rural area sexual assault smoking cessation social sound stressor urinary violence against women violent relationship

项目摘要

DESCRIPTION (provided by applicant): Low-income women and their infants are at risk for negative health outcomes, and the alarmingly high rate of intimate partner violence (IPV) among pregnant and post-partum women further threatens both women and infants' health. We have documented high IPV rates in our current study; a NINR-funded test of whether a social support intervention known to reduce stress helps pregnant women quit smoking. This in-progress study provides an unusual and time-sensitive opportunity to test the effects of social support intervention during pregnancy and post-delivery on important health outcomes for both women and infants. Using the sample from the current study and by over sampling, the proposed study will test the efficacy of a nurse-delivered telephone social support intervention targeted toward the mother's individual needs as well as her needs as a caregiver. We believe that intervening to reduce women's stress and depression will help them be better parents and thus raise healthier children. Pregnant women in the existing trial, who were randomized to intervention or control groups, are being recruited to continue to participate in the proposed sequential randomized controlled trial along with their newborns. There will be four groups of 80 participants each: (1) Standard Care (Control) group, (2) Social Support During Pregnancy group, (3) Social Support for 2 Years Post-Delivery group, and (4) Social Support during Pregnancy and 2 Years Post-Delivery group. Dependent measures include depression (Mental Health lndex-5), parenting stress (Parenting Stress Index Short Form), maternal-infant interactions (Parent Child Interaction Program), infant weight for length, and neurodevelopmental status (Bayley Infant Neurodevelopmental Screener). Measures will be collected at 6,12, 18, and 24 months post-delivery. Results of the proposed study will provide evidence regarding the effectiveness of a nursing intervention that targets vulnerable mothers and improves their infants' social, emotional, and cognitive well-being.

描述（由申请人提供）：低收入妇女及其婴儿面临负面健康状况的风险，孕妇和产后妇女的亲密伴侣暴力（IPV）的高度高，进一步威胁着妇女和婴儿的健康。我们已经记录了当前研究中的高IPV率；一项由忍者资助的测试，对是否已知减轻压力的社会支持干预措施有助于孕妇戒烟。这项过程中的研究提供了一个异常和时间敏感的机会，可以测试怀孕期间的社会支持干预措施的影响，并在解雇后对妇女和婴儿的重要健康结果进行测试。拟议的研究使用当前研究的样本和通过过度抽样，将测试针对母亲的个人需求以及她作为照料者的需求的护士提供的电话社会支持干预措施的功效。我们认为，减轻妇女的压力和抑郁症的干预将帮助她们成为更好的父母，从而养育更健康的孩子。现有试验中的孕妇正在招募随机进行干预或对照组，以继续参加拟议的顺序随机对照试验及其新生儿。每组将有四组由80名参与者组成的组：（1）标准护理（对照）组，（2）怀孕期间的社会支持，（3）交付后2年的社会支持，以及（4）怀孕期间的社会支持和交付后2年。依赖性措施包括抑郁症（心理健康LNDEX-5），育儿压力（育儿压力指数短形式），产妇互动（父母的互动计划），长度婴儿体重和神经发育状态（Bayley婴儿神经发育筛查者）。分机后的6,12、18和24个月将收集措施。拟议研究的结果将提供有关针对脆弱母亲的护理干预措施有效性并改善婴儿的社会，情感和认知健康的有效性的证据。