BB2: Using Baby Books to Improve Maternal and Paternal Parenting and Child Outcomes

BB2：使用婴儿书籍改善母亲和父亲的养育方式以及儿童的成果

• 批准号: 9251833
• 负责人: Natasha J Cabrera
• 金额: $ 59.24万
• 依托单位: UNIVERSITY OF CALIFORNIA-IRVINE
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-05-05 至 2020-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9251833
• 关键词: Address; Belief; Books; California; Child; Child Development; Child Language; Child Rearing; Child health care; Childhood; Childhood Injury; Cognitive; Country; Data; Data Collection; Discipline; Dose; Family; Fathers; Funding; Geographic Locations; Growth; Health; Home environment; ICAM1 gene; Immunization; Infant; Informal Social Control; Injury; Intervention; Interview; Knowledge; Language; Language Development; Linguistics; Link; Low income; Maternal and Child Health; Measures; Mediating; Mediation; Mediator of activation protein; Medical; Methods; Modeling; Monitor; Morbidity - disease rate; Mothers; Outcome; Parents; Perception; Phonation; Physicians; Punishment; Randomized; Readiness; Reading; Safety; Schedule; Schools; Self Efficacy; Social Development; System; Telephone; Testing; United States National Institutes of Health; Variant; Visit; Washington; Work; cognitive development; cost; depressive symptoms; design; dosage; evidence base; executive function; father child interaction; improved; injury prevention; innovation; insight; maternal stress; minority children; mortality; public health intervention; public health relevance; skills; social; social skills; stem; stress symptom; success

 DESCRIPTION (provided by applicant): The use of anticipatory guidance (AG) to educate parents about typical child development, injury prevention, and optimal parenting has had mixed effects, in part because of the way AG is delivered to parents. One notable exception is the Baby Books Project (BB1), a randomly assigned NIH-funded intervention that embedded AG into baby books, rather than the typical handouts or physician discussion, to improve maternal and child health. BB1 proved quite effective in increasing low-income, new mothers' knowledge of child development and parenting, improving maternal self-efficacy, improving parenting beliefs and practices (reading, safety, discipline), reducing maternal stress and depressive symptoms, increasing children's language skills, and reducing the number of preventable child injuries over the first 18 months (all statistically significant effect sizes, .24-.59 sd). Given te success of BB1, the proposed application (Baby Books 2 - BB2) seeks to replicate and expand on these promising findings. Although BB1 was effective in impacting mothers and their parenting behaviors, like most interventions, it did not include fathers. We aim to test whether effects are equivalent for fathers and whether the impacts of this low-cost intervention are additive or perhaps multiplicative when both mothers and fathers are targeted. Moreover, if information about co-parenting - the way parents work together to raise their children - is included in addition to the AG typically provided at well-child visits, will the books impact the quality of the co-parenting relationship and subsequently benefit parents and their children? It is reasonable to expect that a family system intervention could have more enduring effects on children's outcomes than one focused solely on mothers. Further, providing AG through 24 months and following children to 30 months enables assessment of impacts on physical, cognitive, language, and social development that BB1 could not measure. Lastly, BB1 was provided in one region and exclusively in English. Testing the intervention in two geographical regions, in English and Spanish, allows for consideration of cultural variation in the impact of th educational baby books and increases the external validity of the findings. In the proposed project we will randomly assign 240 two-parent families to one of 4 conditions: educational books provided to (1) mothers only, (2) fathers only, or (3) both parents; and (4) non-educational books provided to both parents. In-home data collection will occur at 6-9 months (baseline) and at 18, 24, and 30 months, with supplemental phone interviews when children are 12, 15, and 21 months. Using a 4-group randomized design, this project (BB2) will test the impact of educational baby books on mothers only, fathers only, and mothers and fathers together in comparison to non-educational (i.e., visually similar but lacking educational content) baby books. With 7 waves of data collection using interviews, observations, and a retrospective medical chart audit, this project is one of the first to test differential and multiplicative effecs of targeting both parents and will provide valuable insight into a low-cost and easy-to-implement intervention for low-income children.

 描述（由适用提供）：使用预期指导（AG）来教育父母有关典型的儿童发展，预防伤害和最佳育儿的效果，部分原因是AG交付给父母。一个值得注意的例外是Baby Books Project（BB1），这是一种随机分配的NIH资助的干预措施，将AG嵌入婴儿书籍中，而不是典型的讲义或身体讨论，以改善孕产妇和儿童健康。 BB1在增加低收入，新妈妈对儿童发展和育儿的了解，提高了遗产自我效能，改善育儿信念和实践（阅读，安全，学科），减少孕产妇压力和抑郁症状，增加儿童的语言技能以及在最初的18个月内可预防的儿童受伤数量（所有统计意义上的效应）（所有统计学上的效果），。鉴于BB1的成功，拟议的应用程序（婴儿书2 -BB2）试图在这些承诺发现上复制和扩展。尽管BB1像大多数干预措施一样有效地影响了母亲及其育儿行为，但它不包括父亲。我们旨在测试父亲的影响是否等效，以及当母亲和父亲的目标是目标时，这种低成本干预的影响是否具有添加剂或乘法。此外，如果关于共同育儿的信息 - 父母共同努力抚养子女的方式 - 除了通常在孩子拜访时提供的AG之外，这些书籍是否会影响共同父母的关系的质量，并随后对父母及其子女有益？这是 合理地期望家庭系统干预对儿童的成果产生比仅关注母亲的持久影响更大。此外，在24个月内提供AG，并在儿童到30个月后能够评估BB1无法衡量的物理，认知，语言和社会发展的影响。最后，BB1在一个地区提供，仅英文提供。用英语和西班牙语测试两个地理区域的干预措施，可以考虑在教育婴儿书籍的影响中进行文化差异，并提高调查结果的外部有效性。在拟议的项目中，我们将随机分配240个两父母家庭为4个条件之一：仅向（1）母亲提供的教育书籍，仅（2）父亲，或（3）父母双方； （4）向父母提供的非教育书籍。家庭数据收集将在6-9个月（基线）和18、24和30个月发生，并在儿童为12、15和21个月时进行补充电话采访。使用4组随机设计，该项目（BB2）将仅与非教育（即视觉上相似但缺乏教育内容）婴儿书籍相比，只能测试教育婴儿书籍对母亲，仅父亲和父亲的影响。通过使用访谈，观察和回顾性医学图表审核的7个数据浪潮，该项目是最早针对父母瞄准父母的差异和乘法效应的项目之一，并将为低收入儿童提供低成本且易于实现的干预措施的宝贵见解。