Parental Reflective Functioning and Child Outcomes

父母的反思功能和孩子的结局

• 批准号: 7942849
• 负责人: Monica Roosa Ordway
• 金额: $ 4.14万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-01 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7942849
• 关键词: 2 year old; Affect; Age; Aggressive behavior; Area; Behavior; Case Management; Characteristics; Child; Child Abuse and Neglect; Child Behavior; Child health care; Communities; Competence; Control Groups; Data; Data Analyses; Development; Education; Evaluation; Expenditure; Family; Goals; Health Care Costs; Health behavior outcomes; Healthcare; Home environment; Home visitation; House Call; Incidence; Infant; Insurance; Intervention; Interview; Life; Life Cycle Stages; Link; Literature; Longitudinal Studies; Maternal Age; Measures; Mediating; Mental Depression; Mental Health; Mothers; Outcome; Parent-Child Relations; Parenting behavior; Parents; Poverty; Prevention; Primary Health Care; Problem behavior; Psyche structure; Public Health; Public Health Nurses; Public Health Nursing; Questionnaires; Randomized Clinical Trials; Randomized Controlled Trials; Recording of previous events; Relative (related person); Reporting; Research; Resources; Role; Sampling; School Nursing; Schools; Shipping; Ships; Single Parent; Societies; Stress; Testing; Time; Translating; Translations; Unmarried; Woman; base; child bearing; cost; design; follow-up; group intervention; improved; intervention effect; intervention program; maternal depression; maternal stress; mental state; physical conditioning; post intervention; prevent; programs; prospective; reproductive; response; skills; stressor; trial comparing

DESCRIPTION (provided by applicant): The proposed study is a prospective longitudinal study based on an existing randomized clinical trial comparing a home visiting intervention with routine primary care for young first time mothers and their infants. The purpose of this study is to evaluate the intermediate term (1-3 years after trial) effects of the intervention on the relationship between mothers' reflective functioning (RF) and child outcomes. This proposed study includes previously collected data from the primary study as well as follow-up data to be collected 1-3 years after subjects complete the primary study. There is a gap in the literature regarding how parental attributes are translated to the child. One possible mechanism of translation may be RF. This study proposes to evaluate the role of RF in effective parenting by investigating the relationship between RF, parenting, and child behavior outcomes. The primary aims of the proposed study are to: 1 .Compare differences between the intervention and control groups from baseline (end of primary study) to age 3-5 years with respect to child outcomes including child behavior, and reported child abuse and neglect. 2. Examine the RF scores at the end of the primary study and child age 3- 5 years; 2.a) Evaluate differences between the two groups' RF scores at baseline (end of primary study) and at age 3-5 years; 2.b) Evaluate the interaction of the group, RF, and child outcome variables. Two exploratory aims include: 3. Examine the relationship overtime and between groups from baseline (the end of the primary study at age 2 years) to age 3-5 years with respect to key maternal variables relative to child behavior such as maternal depression, parenting competence, maternal life course, parenting stress, and maternal mastery and 4. Evaluate the relationship between RF and child behavior, independent of group. These aims will be examined through analyses of data collected in the primary study and data to be collected 1-3 years post-intervention. Many of the questionnaires and one interview that were administered to the intervention group and control group mothers at the end of the primary study will be re-administered 1-3 years post-intervention as well as an additional well validated measure for child behavior. Child behavior problems were found to have 3.5 times more cost expenditure compared to children without behavioral problems, which is of great public health concern. Multiple studies have shown relation- ships between early parenting and child behavior. The purpose of this proposal is to evaluate how parenting translates to the child by examining the intermediate effects of a home-visiting program that aims to support and enhance parenting in effort to prevent child behavioral problems and therefore lower public health costs.

描述（由申请人提供）：拟议的研究是一项基于现有的随机临床试验的前瞻性纵向研究，该试验比较了家庭访问干预措施与年轻的初次母亲及其婴儿的常规初级保健。这项研究的目的是评估干预措施对母亲反思功能（RF）与儿童结局之间关系的中等学期（试验后1 - 3年）的影响。这项拟议的研究包括先前从基本研究中收集的数据以及受试者完成基本研究1 - 3年后收集的随访数据。文献上有一个关于如何将父母属性转化为孩子的差距。一种可能的翻译机制可能是RF。这项研究建议通过研究RF，育儿和儿童行为结果之间的关系来评估RF在有效育儿中的作用。拟议的研究的主要目的是：1。分解从基线（基准研究结束）到3-5岁的对照组之间的差异，包括儿童行为，包括儿童行为以及报告的虐待和忽视儿童。 2。检查主要研究结束时的RF分数和3-5岁的儿童； 2.A）评估两组在基线（基线结束）和3-5岁时的RF分数之间的差异； 2.B）评估组，RF和子女结局变量的相互作用。两个探索性目的包括：3。研究与基线（2岁年龄段的初级研究的结束）到3-5岁之间的群体之间的关系，相对于关键的产妇变量，相对于儿童行为，例如母亲抑郁，育儿能力，孕产妇生活，育儿压力，母性压力和孕产妇的精通和4。评估RF和儿童行为之间的关系。这些目标将通过分析基本研究中收集的数据，并在干预后1 - 3年收集数据。在初级研究结束时对干预组和对照组母亲进行的许多问卷和一次访谈将在干预后1 - 3年重新管理，以及对儿童行为的额外验证措施。与没有行为问题的儿童相比，儿童行为问题的成本支出增加了3.5倍，这是很大程度上的公共卫生问题。多项研究表明，早期育儿与儿童行为之间的关系。该提案的目的是通过检查家庭访问计划的中级影响来评估育儿如何转化为儿童，该计划旨在支持和增强育儿以防止儿童行为问题，从而降低公共卫生成本。