Age-17 Follow-up of Home Visiting Intervention

17 岁家访干预后续行动

• 批准号: 8266025
• 负责人: DAVID L OLDS
• 金额: $ 137.25万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-05-15 至 2015-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8266025
• 关键词: 17 year old; Achievement; Adolescence; Adolescent; Affect; African American; Age; Alcohol or Other Drugs use; Alleles; Anxiety; Behavior; Behavioral; Birth Intervals; Caring; Charge; Child; Child Care; Child Development; Child health care; Cognition; Cognitive; Control Groups; Crime; Development; Disadvantaged; Early treatment; Economics; Employment; Enrollment; Environmental Risk Factor; Exhibits; Female; Fertility; Genes; Genetic Polymorphism; Genetic Predisposition to Disease; Genetic Risk; Genotype; HIV; HIV Infections; Health; Heterozygote; Home visitation; House Call; Injury; Interpersonal Violence; Intervention; Language; Lead; Life; Life Cycle Stages; Mental Depression; Mental Health; Methaqualone; Mothers; Neighborhoods; Nurses; Outcome; Pattern; Planned Pregnancy; Pregnancy; Pregnancy Outcome; Psychopathology; Randomized Controlled Trials; Resources; Risk; Schools; Sexually Transmitted Diseases; Social Welfare; Specific qualifier value; Substance Use Disorder; Substance abuse problem; Synapses; Violence; Visiting Nurse; Woman; Work; Youth; anti social; base; cognitive function; design; disorder risk; emerging adult; executive function; follow-up; gang; high risk sexual behavior; improved; infancy; juvenile arrest; male; meetings; neural circuit; prenatal; prenatal health; programs; promoter; psychologic; relating to nervous system; serotonin transporter; stressor; success

DESCRIPTION (provided by applicant): This study is a longitudinal follow-up of 670 primarily African-American women and their 17-year-old first-born children enrolled since 1990 in a highly significant randomized controlled trial of prenatal and infancy home visiting by nurses. Nurses in this program are charged with improving pregnancy outcomes, child health and development, and maternal economic self-sufficiency. The current study is designed to determine whether earlier program effects on maternal and child functioning lead to less violent antisocial behavior, psychopathology, substance abuse, and risk for HIV; whether these effects are greater for those at both genetic and environmental risk; and whether program effects replicate those found in an earlier trial with whites. To date, the program affected women's prenatal health, fertility, partner relations, and use of welfare; children's injuries, cognition, language, achievement, depression/anxiety, and use of substances through child age 12. Hypotheses for the proposed follow-up are based upon the pattern of results found to date. Compared to control-group counterparts: 1) the program will continue to improve maternal life-course (fewer short inter-birth intervals, less use of welfare, more stable partner relations), especially for mothers with higher psychological resources; 2) the program will reduce maternal substance use disorders (SUDs) and depression, effects that will be more pronounced for a) mothers with low psychological resources, and b) those living in the most disadvantaged neighborhoods at registration; 3) the program will improve the health and development of firstborn children who will exhibit: a) superior cognitive, language, and academic functioning, and executive cognitive functioning (ECF); b) less depression and anxiety; c) fewer failed conduct grades and school disciplinary actions, d) less violent behavior and gang membership, and fewer arrests, juvenile detentions, and convictions - especially for crimes involving interpersonal violence; 4) the program will reduce children's risk for HIV infection, including a) use of substances and SUDs; b) risky sexual behaviors; c) sexually transmitted infections (STIs) and d) pregnancies; 5) program effects on children will be more pronounced for a) males, b) those born to low-resource mothers, and c) those living in the most disadvantaged neighborhoods at registration; 6) Program effects on mothers and children, in preliminary analyses, will be more pronounced for those with genetic vulnerabilities; and 7) program effects on adolescent functioning will be explained by the program's improvement in prenatal health, early care of the child, maternal life-course, and earlier child academic and behavioral functioning.

描述（由申请人提供）：本研究是对 670 名主要是非洲裔美国妇女及其 17 岁的第一个孩子的纵向随访，这些妇女自 1990 年以来参加了一项非常显着的产前和婴儿期家访随机对照试验。护士。该计划的护士负责改善妊娠结局、儿童健康和发育以及孕产妇经济自给自足。目前的研究旨在确定早期计划对孕产妇和儿童功能的影响是否会减少暴力反社会行为、精神病理学、药物滥用和艾滋病毒风险；对于那些同时面临遗传和环境风险的人来说，这些影响是否更大？以及项目效果是否复制了早期白人试验中发现的效果。迄今为止，该计划影响了妇女的产前健康、生育能力、伴侣关系和福利的使用； 12 岁之前儿童的伤害、认知、语言、成就、抑郁/焦虑和物质使用。拟议后续行动的假设基于迄今为止发现的结果模式。与对照组相比：1）该计划将继续改善母亲的生命历程（较短的生育间隔时间更少，福利使用更少，伴侣关系更稳定），特别是对于心理资源较高的母亲； 2) 该计划将减少孕产妇物质使用障碍 (SUD) 和抑郁症，这些影响对于 a) 心理资源较低的母亲和 b) 登记时居住在最弱势社区的母亲来说更为明显； 3) 该计划将改善长子的健康和发展，他们将表现出： a) 卓越的认知、语言和学术功能，以及执行认知功能 (ECF)； b) 减少抑郁和焦虑； c) 行为成绩不及格和学校纪律处分减少， d) 暴力行为和帮派成员减少，逮捕、青少年拘留和定罪减少——特别是涉及人际暴力的犯罪； 4) 该计划将降低儿童感染艾滋病毒的风险，包括 a) 使用物质和 SUD； b) 危险的性行为； c) 性传播感染 (STI) 和 d) 怀孕； 5) 计划对以下儿童的影响更为明显：a) 男性，b) 资源匮乏的母亲所生的儿童，以及 c) 登记时居住在最贫困社区的儿童； 6) 初步分析，项目对母亲和儿童的影响对于那些具有遗传脆弱性的人来说会更加明显； 7) 计划对青少年功能的影响将通过该计划在产前健康、儿童早期护理、孕产妇生命历程以及儿童早期学业和行为功能方面的改善来解释。

项目成果

African American mothers' self-described discipline strategies with young children in 1992 and 2012.

非裔美国母亲自述的 1992 年和 2012 年对幼儿的管教策略。

• DOI: 10.1016/j.pedhc.2014.05.009
• 发表时间: 2015
• 期刊: Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
• 作者: LeCuyer,ElizabethA;Christensen,JulieJ;Kreher,Donna;Kearney,MargaretH;Kitzman,HarrietJ
• 通讯作者: Kitzman,HarrietJ

Relationships among obesity, physical activity and sedentary behavior in young adolescents with and without lifetime asthma.

• DOI: 10.3109/02770903.2015.1063646
• 发表时间: 2016
• 期刊: The Journal of asthma : official journal of the Association for the Care of Asthma
• 作者: Groth SW;Rhee H;Kitzman H
• 通讯作者: Kitzman H

Projected Outcomes of Nurse-Family Partnership Home Visitation During 1996-2013, USA.

• DOI: 10.1007/s11121-015-0572-9
• 发表时间: 2015-08
• 期刊: Prevention science : the official journal of the Society for Prevention Research
• 作者: Miller TR