Life course effects and pathways of extended early childhood intervention

生命历程的影响和长期儿童早期干预的途径

• 批准号: 10840237
• 负责人: ARTHUR J REYNOLDS
• 金额: $ 22.88万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-03 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10840237
• 关键词: Achievement; Address; Adult Children; Affect; Age; Area; Black Populations; Black race; Censuses; Chicago; Child; Chronic; Cohort Studies; Collaborations; Communities; Data; Data Set; Development; Discrimination; Disparity; Economics; Education; Educational Assessment; Elements; Employment; Enrollment; Family; Generations; Goals; Health; Health Benefit; Health behavior; Hispanic; Income; Individual; Inequality; Inequity; Institutional Racism; Insurance; Intervention; Investments; Knowledge; Length; Life; Life Cycle Stages; Link; Longitudinal Studies; Longitudinal cohort study; Low income; Maps; Medicare/Medicaid; Midwestern United States; Modeling; Neighborhoods; Nursery Schools; Onset of illness; Outcome; Parents; Participant; Pathway interactions; Personal Satisfaction; Persons; Population; Poverty; Prevention Research; Process; Program Effectiveness; Program Sustainability; Quasi-experiment; Recording of previous events; Records; Reporting; Research; Resources; Risk; Running; Sampling; Schools; Services; Sex Differences; Socioeconomic Status; Source; Subgroup; Surveys; Testing; Time; Underemployment; United States Centers for Medicare and Medicaid Services; United States National Institutes of Health; United States Social Security Administration; cardiovascular health; career; cohort; comparison group; cost; cost effectiveness; data centers; disability; disparity reduction; early childhood; economic cost; economic evaluation; family support; health data; health disparity; health record; high school; innovation; intergenerational; longitudinal, prospective study; member; middle age; mortality; next generation; offspring; pandemic disease; physical conditioning; programs; racial discrimination; racism; retention rate; scale up; sex; social; success; third grade; young adult

Project Summary This study will investigate links between participation in a large-scale established ECP and life course outcomes across generations of the Chicago Longitudinal Study (CLS) cohort up to age 48 and the current Midwest Longitudinal Study (MLS) scale up of the program by age 19. The central purpose is to determine if CPC participation for different lengths of time affects well-being in three cohorts: CLS participants’ physical and economic well-being in midlife, the educational well-being of participant’s children, and impacts in the present context for a 2012-2013 preschool cohort (MLS). Federal earnings and health data will be analyzed in collaboration with federal agencies. The key outcomes are cardiovascular health, socioeconomic status and career success, and school achievement, attainments, and health for the younger cohorts. Mechanisms of change also are assessed. Among the major questions are (1) Is participation in the CPC program associated with better well-being by age 48, including physical health (e.g., disease onset, mortality), economic and career success, and health behavior?, (2) Does participation affect the educational and economic well-being of CLS offspring in the 20s?, (3) Are effects in the MLS through high school similar to the CLS, and (4) What mechanisms of change from individual to community contexts of inequality contribute to long-term impacts and by sex and early family risk? By expanding the CLS to age 48 and intergenerationally, the study will assess for the first time the full impact and cost-effectiveness across generations of this continuing large-scale program. Prospective longitudinal studies beginning early in life and continuing into midlife remain very rare, especially for low-income Black children in urban contexts. No studies of sustained ECPs have continued through midlife. In addition to having a large sample with high rates of retention (91% for 1,400 program and comparison individuals [93% Black]), CLS members also enrolled in K-3 services thus enabling an assessment of the added value. The importance of assessing long-run and intergenerational impacts is elevated by the increasing priority on ECPs in the context of the pandemic and systemic racism and structural inequality. Given the expansion of programs and evidence that the quality and continuity of most are not sufficient for sustained gains, evidence in the MLS (N = 1985 in Chicago) is needed more than ever. In the next five years, we will collect, obtain, and analyze a comprehensive set of data for the three across- generation cohorts, with the MLS children followed through high school. In collaboration with the Census Bureau and Centers for Medicare and Medicaid, we will assess for the first time the impact of CPC for a complete profile of SES and health outcomes, and changes over time. Mechanisms of change also are probed. A CLS offspring survey for over 700 young adults will assess impacts on education and health. Generalizability of the MLS to current practice is assessed. New knowledge will strengthen scale up of early childhood investments. CLS is the largest and longest- running ECP study. The project is not only unique in following existing cohorts but is resource efficient. Only by integrating long-term and intergenerational data will a complete understanding of ECP benefits be achieved.

项目摘要 这项研究将调查参与大规模既定的ECP与生活课程的联系 遍布芝加哥纵向研究（CLS）的几代人，直到48岁 按年龄为19岁的纵向研究（MLS）扩大了该计划的规模。中心目的是确定CPC是否参与 对于不同的时间，会影响三个队列中的幸福感：CLS参与者的身体和经济福祉 在中年，参与者的孩子的教育福祉，并在2012 - 2013年的现有背景下产生影响 学前班队（MLS）。联邦收益和健康数据将与联邦机构合作分析。 关键结果是心血管健康，社会经济地位和职业成功以及学校成就， 成就和对年轻队列的健康。还评估了变化的机制。在主要问题中 是（1）是参加与48岁的CPC计划有关的CPC计划，包括身体健康 （例如，疾病发作，死亡率），经济和职业成功以及健康行为吗？（2）参与会影响 CLS后代在20年代的教育和经济福祉？（3）MLS在高中的影响是否 与CLS类似，以及（4）从个人到社区不平等环境的变化机制 促进长期影响，性别和早期家庭风险？ 通过将CLS扩展到48岁，并从代数上扩展，该研究将首次评估全部影响 以及这个持续的大规模计划的几代人的成本效益。前瞻性纵向研究 从生命的早期开始，继续进入中年仍然很少见，尤其是对于城市的低收入黑人儿童 上下文。没有对持续ECP的研究一直持续到中年。除了拥有高样本 保留率（1,400个计划和比较个体的91％[93％黑色]），CLS成员也参加了 K-3服务因此可以评估附加值。评估的重要性长期和 在大流行和系统性的背景下，ECP的优先级提高了代际影响 种族主义和结构性不平等。鉴于计划的扩展和证据表明 大多数人不足以持续增长，比以往任何时候都需要MLS中的证据（芝加哥n = 1985）。 在接下来的五年中，我们将收集，获取和分析三个跨性别的一组全面数据 一代人队列，与MLS的孩子们一起读高中。与人口普查局合作 Medicare和Medicaid中心，我们将首次评估CPC对SES的完整概况的影响 和健康成果，随着时间的流逝而变化。还探测了变化的机制。 CLS后代调查 700名年轻人将评估对教育和健康的影响。 MLS对当前实践的概括性是 评估。新知识将加强幼儿投资的规模。 CLS是最大，最长的 运行ECP研究。该项目不仅在遵循现有同类群体方面是独一无二的，而且是资源效率的。仅由 整合长期和代际数据将完全了解ECP的利益。