Intervening during the Prenatal Period with Women Exposed to Intimate Partner Violence to Improve Maternal Functioning and Infant Adjustment

对遭受亲密伴侣暴力的妇女进行产前干预，以改善母亲功能和婴儿适应

• 批准号: 10676047
• 负责人: Kathryn H Howell
• 金额: $ 12.16万
• 依托单位: UNIVERSITY OF NOTRE DAME
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-08-26 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10676047
• 关键词: 1 year old; Address; Aftercare; Basic Science; Breastfed infant; Caring; Centers for Disease Control and Prevention (U.S.); Child; Child Rearing; Clinical; Clinical Trials Design; Cognitive; Collaborations; Communities; Control Groups; Corrosives; Data; Data Collection; Development; Discipline of obstetrics; Effectiveness; Elements; Empirical Research; Equation; Evaluation; Evidence based intervention; Exhibits; Exposure to; Family; Focus Groups; Future; Goals; Health; Hour; Infant; Infant Development; Interruption; Intervention; Intervention Studies; Interview; Knowledge; Language; Language Development; Lead; Mediating; Mediation; Mental Depression; Mental Health; Methods; Modeling; Mothers; Outcome; Participant; Personal Satisfaction; Pilot Projects; Plant Roots; Population; Post-Traumatic Stress Disorders; Postpartum Depression; Postpartum Period; Pregnancy; Pregnant Women; Prevalence; Process; Psychopathology; Public Health; Quality of life; Randomized Clinical Trials; Recording of previous events; Research; Resources; Sample Size; Site; Social Change; Social support; Stress; Structure; Survivors; Testing; Time; Translational Research; Victimization; Violence; Vulnerable Populations; Woman; Women' s Health; Work; active control; base; behavioral health; brief intervention; cognitive development; design; effective intervention; efficacy evaluation; empowerment; evidence base; high risk; improved; infant outcome; innovation; intergenerational; intervention program; intimate partner violence; perinatal intervention; perinatal period; physical conditioning; post-traumatic stress; pregnant; prenatal; programs; psychological violence; recruit; resilience; response; sexual violence; social; stress resilience; theories; treatment effect; unborn child; violence exposure; violence perpetration; violence victimization

PROJECT SUMMARY Intimate partner violence (IPV) occurs at alarmingly high rates, with the highest risk of IPV exposure during pregnancy. IPV during this critical juncture is associated with postpartum depression, posttraumatic stress, disruption to the mother-infant relationship, and poor infant outcomes. There is also emerging evidence suggesting that the COVID-19 pandemic is exacerbating the prevalence of IPV. Paired with other, on-going pandemic-related stressors, women with a history of IPV, especially those in the perinatal period, may be particularly vulnerable to the negative ramifications of COVID-19. A critical need therefore exists for longitudinal research investigating the effects of the pandemic on IPV-exposed women and their young children. Given that the conditions of the pandemic fluctuate significantly across persons and time, intensive longitudinal methods that are able to capture dynamic change are likely to provide valuable insights into risk and resilience in these families. This urgent competitive revision seeks to address these pressing questions, leveraging the existing strengths of an ongoing NICHD-funded study of a theoretically-driven intervention program with pregnant, IPV-exposed women, the Pregnant Moms’ Empowerment Program (PMEP; MPIs Miller-Graff & Howell, R01HD098092). The specific aims of the parent proposal are to (1) evaluate the efficacy of the PMEP for women’s mental health, resilience and IPV victimization across the perinatal period, (2) evaluate the efficacy of the PMEP in promoting infant development and (3) test process models for treatment change for women and infants in the context of a two-site. The parent project includes assessments at 4 time points (2 prenatal, 3 months postpartum, 1 year postpartum). Currently (n=67) women of a targeted N=230 have enrolled in the parent project, and the project has fully adapted to telehealth delivery and assessments, allowing us to maintain excellent participant retention throughout the pandemic. The project proposed for the competitive revision will add monthly assessments of pandemic-related stressors and the collection of a 30-day daily diary on stress, mood, and mother-child relational quality immediately following the final assessment wave (i.e., 1 year postpartum), to address three unique and timely aims: (1) evaluating the indirect effects of intervention on pandemic-related stressors, (2) examining the moderating effect of social and instrumental supports, and (3) analyzing dynamic associations in daily maternal mood, perceived stress, and mother-child relational quality. Analyses will be conducted using multilevel and structural equation modeling. This project is innovative – not just in the context of the pandemic – but also in the field of IPV research more generally for its multi-time scale, multi-method design. Further, the specific aims address pressing questions relative to the social and behavioral impacts of COVID-19 on children and families, providing valuable information for the public health response that is informed by the needs of individuals most significantly affected by the pandemic.

项目摘要 亲密的伴侣暴力（IPV）以令人震惊的高率发生，在IPV暴露风险最高的情况下 怀孕期间的IPV。 对母亲关系的破坏和婴儿的不良结果。 表明COVID-19大流行正在加剧IPV的患病率。 与大流行有关的压力源，具有IPV史的女性，尤其是在围绕期的妇女，可能是 尤其是Covid-19的负面影响。 纵向研究调查了大流行对IPV暴露妇女及其年轻人的影响 孩子们。 能够捕获动态变化的纵向方法可能会为风险提供宝贵的见解 这些家庭的韧性。 利用正在进行的NICHD资助的研究的现有优势 与怀孕的女性，怀孕的妈妈的授权计划（PMEP； MPIS）的计划 Miller-Graff＆Howell，R01HD098092）。 妇女心理健康，韧性和IPV受害的PMEP在整个围绕期；（2） 评估PMEP在促进婴儿发育方面的功效和（3）信任测试过程模型 在两个站点的背景下，妇女和婴儿的变化包括4次评估 积分（产后3个月，产后1年）。 已注册了家长项目，并且该项目已完全适应了Teleharealth的交付和评估， 使我们能够保持出色的特殊性大流行。 竞争性修订将增加对大流行相关压力源的每月评估，并收集30天 最终的评估后，每天都在压力，情绪和母子关系质量上进行日记 浪（即产后1年），以解决三个独特的雄性和及时的AM：（1）评估间接的偏见 干预与发病相关的压力源，（2）检查社会和工具的调节作用 支持，以及（3）分析日常孕产妇情绪，感知压力和母子中的动态关联 关系质量将使用多级和结构方程式建模 创新的 - 不仅是在大流行的背景下 - 在IPV研究领域，更富于IST。 多时间量表，多种方法设计。 COVID-19对儿童和家庭的社会和行为影响，为他们提供各种各样的信息 受到大流行影响最大的个人需求所告知的公共卫生反应。