The relationship between pets and multiple child health indicators

宠物与多项儿童健康指标的关系

• 批准号: 8232914
• 负责人: ANNE M GADOMSKI
• 金额: $ 7.6万
• 依托单位: MARY IMOGENE BASSETT HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-04-01 至 2014-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8232914
• 关键词: Address; Adolescence; Affect; Age; Animals; Anxiety; Apple; Arousal; Autistic Disorder; Behavioral; Benefits and Risks; Body mass index; Canis familiaris; Caring; Child; Child Mental Health; Child health care; Childhood; Clinic; Clinical; Cohort Studies; Cross-Sectional Studies; Data Analyses; Data Collection; Development; Diagnosis; Disease; Dose; Early treatment; Elderly; Emotional; Environment; Equilibrium; Evaluation; Evolution; Exposure to; Family; Future; Goals; Health; Health Personnel; Height; Home environment; Human; Intervention; Investigation; Lead; Linear Regressions; Link; Measures; Mental Health; Mental disorders; Methods; Modeling; Multivariate Analysis; Obesity; Online Systems; Overweight; Ownership; Parents; Physical activity; Pilot Projects; Preventive; Preventive Intervention; Primary Health Care; Problem behavior; Provider; Psyche structure; Psychopathology; Public Health; Qualitative Methods; Recruitment Activity; Research Design; Review Literature; Risk; Rural; ST14 gene; Safety; Sampling; School-Age Population; Screening Result; Screening procedure; Staging; Symptoms; Testing; Time; Update; Video Games; Visit; Visiting Nurse; Weight; Weights and Measures; animal-assisted therapy; base; child mental development; clinically significant; developmental disease; improved; nutrition; pet animal; physical conditioning; prevent; primary care setting; prospective; prototype; response; sex; social; therapy development; tool; tv watching

DESCRIPTION (provided by applicant): Human animal interactions have been linked to positive effects on child development, mental and emotional health as well as to increased physical activity if the pet is a dog. Our long-term goal is to measure how pets, particularly dogs affect children's mental health (emotional and behavioral problems) and physical health (mitigation of obesity and screen time). The objective of this RO-3 application is to adapt a recently developed pre-visit screening tool to include pet related questions that will enable a cross sectional analysis of the relationship between pets and child mental and physical health indicators while controlling for extraneous variables. The screening tool, called the DartScreen, is web-based and accessed in our Pediatric clinic using an Apple iPad. For annual visits, the nurse who rooms the child enters measured weight and height, body mass index (BMI), age, sex on the initial screen. Screening questions are then completed by parents and address nutrition, physical activity, total "screen" time (total amount of time the child spends in front o a screen viewing TV, video games, etc.) and safety related issues commonly addressed during well child visits. The DartScreen also includes detailed mental health screening questions that pertain to ever being diagnosed with a mental health disorder, mental health function and anxiety and includes the Pediatric Symptom Checklist. We propose to incorporate and pilot test a pet related module for the DartScreen that inquires about pet ownership and branches to more detailed questions if the family has a pet, specifically a dog. We will then screen 500 children ages 4 to 10 presenting to the clinic for annual visits. We will analyze the screening results in order to describe the distribution and correlation between independent variables (pet related) and dependent variables (mental health, BMI, screen time) and establish how socio-demographic covariates affect these relationships. For dog owners, we will analyze the relationship between the child's exposure to the dog (time spent, attachment level, etc.) with the child's BMI, screen time and mental health scores. Using linear regression modeling, we will determine if a dose response relationship exists between dog-related exposure variables and these child indicators. Multivariate analysis will be performed to control for significant covariats in bivariate analysis. An embedded qualitative study will then use these results, combined with a literature review, to develop an intervention for pediatric health care providers to use with parents that imparts a balanced appraisal of the risks and benefits of routine pet ownership for children ages 4 to 10 years. The strengths of this study are: 1) it utilizes a real world setting fr data collection, 2) adapts a cutting edge tool for data collection that expedites data analysis and 3) enables a more comprehensive analysis of the relationship between pet exposure (focusing on dogs) and child health while adjusting for several covariates. This study will also produce an intervention prototype for primary care providers to use to guide parents in a discussion of the risks and benefits of routine dog ownership for their children. PUBLIC HEALTH RELEVANCE: The proposed study focuses on the relationship between human animal interaction and child health indicators for children ages 4 to 10 years being seen for annual visits in a pediatric clinic. This project is applicable to the prevention or early intervention of emotional, behavioral and weight related problems of children. This study will set the stage for future investigations on the effects of HAI in children with emotional and behavioral problems detected in primary care settings.

描述（由申请人提供）：人类动物相互作用与对儿童发育，心理和情绪健康以及如果宠物是狗的身体活动的积极影响有关。我们的长期目标是衡量宠物，尤其是狗如何影响儿童的心理健康（情绪和行为问题）和身体健康（减轻肥胖和筛查时间）。此RO-3应用的目的是调整最近开发的Visit筛查工具，包括与PET相关的问题，该问题将对宠物与儿童心理和身体健康指标之间的关系进行横截面分析，同时控制外部变量。称为Dartscreen的筛查工具基于网络，并使用Apple iPad在我们的儿科诊所中访问。对于年度访问，使孩子进入测量重量和身高，体重指数（BMI），年龄和性别的护士在初始屏幕上。然后，父母完成筛查问题，并解决营养，体育锻炼，总“屏幕”时间（孩子在屏幕上观看电视，视频游戏等的总时间）以及在儿童探访期间通常解决的安全问题。 DARTSCREEN还包括详细的心理健康筛查问题，这些问题与被诊断出患有精神健康障碍，心理健康功能和焦虑的问题有关，并包括小儿症状清单。我们建议将与宠物相关的模块合并和试点测试，以询问宠物所有权和分支机构，以提出更详细的问题，以便家庭是否有宠物，特别是狗。然后，我们将筛选500名4至10岁的儿童向诊所进行年度访问。我们将分析筛选结果，以描述自变量（PET相关）和因变量（心理健康，BMI，屏幕时间）之间的分布和相关性，并确定社会人口统计协变量如何影响这些关系。对于狗主人，我们将与孩子的BMI，屏幕时间和心理健康分数分析孩子接触狗（花费时间，依恋水平等）之间的关系。使用线性回归建模，我们将确定与狗有关的暴露变量和这些儿童指标之间是否存在剂量反应关系。将进行多变量分析以控制双变量分析中的重要协变量。然后，一项嵌入式定性研究将使用这些结果，再加上文献综述，为儿科医疗保健提供者提供干预措施，与父母使用，以平衡评估4至10岁儿童常规宠物所有权的风险和收益。这项研究的优势是：1）它利用现实世界设置FR数据收集，2）调整了尖端的数据收集工具，以加快数据分析和 3）对宠物暴露（专注于狗）与儿童健康之间的关系进行更全面的分析，同时调整几个协变量。这项研究还将为初级保健提供者提供干预原型，以指导父母讨论对孩子的常规狗所有权的风险和利益。 公共卫生相关性：拟议的研究重点是在儿科诊所每年观看4至10岁儿童的人类动物互动与儿童健康指标之间的关系。该项目适用于儿童情绪，行为和体重相关问题的预防或早期干预。这项研究将为未来对HAI影响的调查奠定舞台 在初级保健环境中发现的问题。