Maternal and Child Outcomes of a Prison Nursery Program

监狱托儿所计划的孕产妇和儿童成果

基本信息

批准号：
8100309
负责人：
MARY Woods BYRNE
金额：
$ 39.45万
依托单位：
COLUMBIA UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
2003
资助国家：
美国
起止时间：
2003-09-01 至 2013-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8100309
关键词：
Address Age Age-Years Area Attention Behavioral Caregivers Child Child Development Child health care Clinical Trials Design Communities Data Data Set Databases Development Developmental Delay Disorders Drug Addiction Employment Family Family Characteristics Frequencies Funding General Population Generations Goals Health Health Promotion Health Services Healthcare Imprisonment Infant Informal Social Control Informed Consent Interruption Intervention Knowledge Learning Life Longitudinal Studies Mails Mental Health Mothers Motor Nurseries Nursery Schools Nurses Outcome Parenting behavior Parents Participant Pattern Population Prisons Problem behavior Public Health Randomized Randomized Controlled Trials Recruitment Activity Research Resources Risk Factors Sampling School-Age Population Science Series Stress Telephone Testing Toddler Trust United States National Institutes of Health Woman age group base brief intervention child mental development cohort comparative depressive symptoms design disorder prevention drug relapse health disparity infancy infant outcome physical conditioning prevent programs prospective psychobiologic recidivism residence scaffold social success theories

项目摘要

DESCRIPTION (provided by applicant): The broad, long-term objectives of this renewal application are to continue the pioneering contributions our series of studies are making to knowledge concerning incarcerated parents and their children, specifically the reentry outcomes of those children and women who co-reside in a prison nursery during the early infancy months. This project is relevant to the transdisciplinary and translational emphases of the NIH Roadmap and to the NINR key areas of health promotion/disease prevention and health disparities. Participants (100 dyads) are recruited from our earlier cross-sectional and longitudinal studies of prison nursery mother-baby co- residents. Following informed consent, dyads are randomly assigned to an experimental intervention or attention control. Intervention is nurse-delivered phone and mail anticipatory guidance with tailored messages to support child development and related maternal goal setting. Specific aims are to: 1. Compare frequencies and conditions for consistent versus interrupted mother-child attachment during toddler, preschool, and school age years for infants raised in a prison nursery. 2. Using a randomized controlled trial design, test the impact of a nurse delivered parenting support intervention implemented in mail/phone format during continued reentry years on: maternal reentry success and child development during the toddler, preschool, and early school-age years. 3. Identify longer-term criminal recidivism of women with previous prison nursery incarceration compared with general population inmates. 4. Use our prospective database with national large datasets to compare developmental outcomes and related maternal and family characteristics between children raised as infants by mother in a prison nursery and community children separated from mother by incarceration or having other relevant risk factors for insecure attachment and sub-optimal development. Attachment theory, self-regulation within the psychobiological developmental perspective, and the grounded theory that emerged in the previous study with this population, "Choosing the Parenting Self," provide a cohesive theoretical scaffold from which hypotheses are tested. Mixed design approaches are necessitated by the current and proposed aims and dictated by the tentative state of the science for children with incarcerated parents. The design combines a randomized controlled trial of a previously tested intervention extended to a new age group; descriptive analysis of maternal and family variables, child development, and criminal recidivism in later reentry years; and comparative descriptive analyses for prison-raised and community-raised children using secondary analysis of four large datasets and the prospective database produced by this study. A mixed longitudinal approach is used to optimize the amount of data that can be collected across developmental ages and years of reentry. PUBLIC HEALTH RELEVANCE: This research is relevant to the public health because it continues to identify and address the broad health needs of previously incarcerated women and the children they have raised in a prison nursery, a dyad population with multiple risk factors for whom scant longitudinal data are available. Following an established cohort is important over the short-term to learn how to optimize the earlier resources invested in them and to determine under what conditions healthy life patterns can be established during the critical reentry transition period. Deeper knowledge of this population and testing a brief intervention to support parenting and healthy development make this research important over the long-term because of the potential to prevent or interrupt cycles of mental and physical health problems, drug addiction and criminal recidivism across two generations.

描述（由申请人提供）：这种更新申请的广泛，长期的目标是继续我们的一系列研究对被监禁的父母及其子女的知识做出的开创性贡献，尤其是早期婴儿幼儿园在监狱托儿所中共同居住的儿童和妇女的重新成果。该项目与NIH路线图的跨学科和翻译重点有关，以及健康促进/疾病预防和健康差异的忍者关键领域。参与者（100个二元组）是从我们较早对监狱托儿所母亲居民的横断面和纵向研究中招募的。遵循知情同意，将二元组随机分配到实验干预或注意力控制中。干预是由护士交付的电话和邮件预期指导，并提供量身定制的消息，以支持儿童发展和相关的产妇目标设定。具体目的是：1。比较在幼儿园中抚养的婴儿，在幼儿，学龄前和学龄期间的频率和条件与中断的母子依恋。 2。使用随机对照试验设计，测试在持续重新进入期间以邮件/电话格式实施的护士提供的育儿支持干预措施的影响：孕产妇在学会，学前班和早期学龄期间的孕产妇再入成功和儿童发展。 3。与普通囚犯相比，确定先前监禁育儿的妇女的长期刑事犯罪犯罪主义。 4.使用我们的前瞻性数据库与国家大型数据集使用母亲在监狱托儿所中抚养作为婴儿的儿童与母亲与母亲相关的儿童之间的发展结果以及与母亲相关的儿童之间的相关孕产妇和家庭特征，或者具有其他相关的危险因素，以造成不安全的依恋依恋和次优的发展。依恋理论，心理生物学发育的观点中的自我调节以及先前研究中与该人群的“选择育儿自我”的基础理论提供了一个有凝聚力的理论支架，从中检验了假设。当前和拟议的目的是必要的混合设计方法，并由被监禁父母的儿童的暂定科学状态决定。该设计结合了一项随机对照试验，该试验的先前测试干预措施扩展到了新年组；后来再入几年的母亲和家庭变量，儿童发展和刑事累犯的描述性分析；对本研究产生的四个大型数据集和前瞻性数据库的二级分析以及本研究产生的前瞻性数据库进行了对监狱培养和社区培养的儿童的比较描述性分析。混合的纵向方法用于优化可以在发育年龄和多年重新进入的过程中收集的数据量。公共卫生相关性：这项研究与公共卫生有关，因为它继续识别并满足先前被监禁的妇女和他们在监狱托儿所抚养的孩子的广泛健康需求，这是一个有多个危险因素的二元人口，为此提供了很少的纵向数据。在短期内，遵循建立的队列非常重要，以学习如何优化投资于其中的早期资源，并确定在哪些条件下可以在关键的重新进入过渡期内建立健康的生活模式。对该人群的更深入了解并测试了一项简短的干预措施以支持育儿和健康的发展，这项研究长期很重要，因为有可能预防或中断两代人的精神和身体健康问题，药物成瘾和犯罪累犯的周期。