Using Baby Books to Promote Maternal and Child Health

用婴儿读物促进母婴健康

• 批准号: 6924830
• 负责人: Leonard Bickman
• 金额: $ 36.52万
• 依托单位: VANDERBILT UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-04-01 至 2009-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6924830
• 关键词: behavioral /social science research tag; books; child physical development; child psychology; child rearing; clinical research; cost effectiveness; developmental nutrition; education evaluation /planning; health care cost /financing; health education; human subject; injury prevention; mother child interaction; patient oriented research; psychological stressor; quality of life; questionnaires; videotape /videodisc

DESCRIPTION (provided by applicant): This is an application to conduct a randomized study of the cost-effectiveness of providing information about child development and parenting through the use of baby books. The content of these books is based on prenatal-12 month anticipatory guidance recommended by the American Academy of Pediatrics. It is expected that this information, embedded in the text of baby books, will increase the mother's knowledge of typical child development, child safety, and effective parenting. Additionally, the process of book sharing, coupled with realistic perceptions of development, is expected to improve parent-child interactions. In combination, the increased knowledge and improved interactions are predicted to contribute to better child physical health (e.g. immunization adherence, typical growth, reduced accidents/ emergency room visits, increased cognitive/linguistic development), improved maternal outcomes (e.g. reduced stress, increased self-efficacy and enjoyment), and increased level of stimulation and appropriateness of the environment. Through the utilization of a three group randomized design, we will compare child and maternal outcomes among those who receive books with anticipatory guidance to those who receive commercial children's books without anticipatory guidance or no books at all. This will allow for analysis of the effects of the educational intervention as well as those from just reading to children. Data collection will occur in seven waves over 20 months, with first-time mothers recruited during the third trimester of pregnancy and followed until the child is 18 months old. All data collection procedures and timing will be equivalent among the three groups. We plan to use analytic techniques that compensate for differential attrition and examine differences in growth curves for the relevant hypotheses. Lastly, this study is a low-tech intervention that is easy to scale up to a national level.

描述（由申请人提供）：这是一项随机研究的申请，旨在研究通过使用婴儿书籍提供有关儿童发展和育儿的信息的成本效益。这些书籍的内容基于美国儿科学会推荐的产前 12 个月预期指导。预计这些信息嵌入婴儿书籍的文本中，将增加母亲对典型儿童发展、儿童安全和有效养育的知识。此外，书籍分享的过程加上对发展的现实看法，有望改善亲子互动。总而言之，知识的增加和互动的改善预计将有助于改善儿童的身体健康（例如，免疫接种依从性、典型生长、减少事故/急诊室就诊、提高认知/语言发展）、改善孕产妇结局（例如，减轻压力、提高自我意识）。 -功效和享受），并提高刺激水平和环境的适宜性。 通过采用三组随机设计，我们将比较那些接受有预期指导的书籍的儿童和那些接受没有预期指导或根本没有书籍的商业儿童书籍的儿童和母亲的结果。这将允许分析教育干预的效果以及仅对儿童阅读的效果。数据收集将在 20 个月内分七次进行，首次母亲在妊娠晚期进行招募，并进行跟踪直至孩子 18 个月大。三组中的所有数据收集程序和时间安排都是相同的。我们计划使用分析技术来补偿差异磨损，并检查相关假设的增长曲线差异。最后，这项研究是一项低技术含量的干预措施，很容易扩展到国家层面。