Interactions between Mothers and their Premature American Indian Infants

母亲和早产美洲印第安人婴儿之间的互动

基本信息

批准号：
7868048
负责人：
Jada L Brooks
金额：
$ 4.14万
依托单位：
DUKE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-07-01 至 2011-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7868048
关键词：
Affect African American Age Alaska Native American Indians Attention Behavior Birth Cherokee Indian Child Child Development Child health care Cognitive Data Data Set Development Developmental Delay Disorders Education Emotional Equipment and supply inventories Eskimo Population Ethics Exhibits Fellowship Home environment Infant Infant Care Intervention Interview Knowledge Language Length Life Longitudinal Studies Lumbee tribe Maternal and Child Health Measures Mechanical ventilation Mentorship Methods Mississippi Mother-Child Relations Mothers Neonatal Intensive Care Units Neonatal Nursing Neurologic North Carolina Not Hispanic or Latino Nurses Oklahoma Outcome Parenting behavior Parents Population Poverty Pregnancy Premature Birth Premature Infant Process Public Assistance Public Health Qualitative Methods Reporting Research Research Personnel Risk Rural Sampling Severity of illness Social Environment Socioeconomic Status Time Training Tribes base design ethnic minority population evidence base experience high risk improved lectures nursing intervention premature racial and ethnic response skills social socioeconomics tool urban Native American

项目摘要

DESCRIPTION (provided by applicant): Significance: Premature infants are high-risk for developmental delays and long-term illnesses. Prior research has shown that developmental outcomes of prematurely born infants are significantly affected by the quality of maternal-infant interactions. Nearly all studies of mother-premature infant interactions have been focused on describing Whites and African Americans. As a result, mother-infant interactions among American Indians, despite high rates of prematurity, remains poorly understood. Research that describes the interactive behaviors of American Indians mothers and their prematurely born infants would provide a basis for developing interventions to promote the development and health of these children. Training Plan: The fellowship training plan is designed to increase my knowledge and skills as a nursing researcher on issues related to maternal-child health and neonatal nursing through formal coursework, lectures, seminars, ethics training, and guided mentorship. This combination of knowledge and experience will aid in my ability to conduct evidenced-based research related to maternal-child health among American Indian populations in North Carolina. Specific Aims: To conduct a longitudinal study using mixed methods to describe the interactive behaviors of American Indian mothers and their prematurely born infants from the Lumbee tribe in southeastern North Carolina. Their interactions will be compared to a group of rural African American mothers and their prematurely born infants. This study will also explore factors affecting interactions, including Lumbee mothers' responses to having a premature infant in the Neonatal Intensive Care Unit (NICU) and their experiences in parenting their prematurely born children. Long-term Objectives: To design nursing interventions targeted at Lumbee mothers and their premature infants with poor quality interactions to reduce the likelihood of the child experiencing developmental delays and long-term illnesses. Relevance to Public Health: Findings from this study will provide nurses with much needed data regarding the quality of interactions between Lumbee mothers and their premature infants. This knowledge can be useful in designing nursing interventions that consider interactions influenced by the Lumbee culture.

描述（由申请人提供）：重要性：早产儿对于发育延迟和长期疾病是高风险。先前的研究表明，早产婴儿的发育结果受到母性相互作用的质量的显着影响。几乎所有关于母性婴儿互动的研究都集中在描述白人和非裔美国人。结果，尽管早产率很高，但美洲印第安人之间的母亲互动仍然知之甚少。描述美国印第安人母亲及其过早的婴儿的互动行为的研究将为发展干预措施促进这些孩子的发展和健康提供基础。培训计划：奖学金培训计划旨在通过正式的课程，讲座，研讨会，道德培训和指导指导的指导来提高我作为护理研究人员的知识和技能。这种知识和经验的结合将有助于我在北卡罗来纳州的美洲印第安人人口中进行与母子健康有关的基于证据的研究。具体目的：使用混合方法进行纵向研究，以描述北卡罗来纳州东南部的Lumbee部落的美洲印度母亲及其过早出生的婴儿的互动行为。他们的互动将与一群非洲裔美国母亲及其过早出生的婴儿进行比较。这项研究还将探索影响互动的因素，包括Lumbee Mothers对新生儿重症监护病房（NICU）的早产婴儿的反应以及他们在育儿过早出生的孩子方面的经历。长期目标：设计针对腰部母亲及其早产婴儿的护理干预措施质量差，以减少儿童经历发育迟缓和长期疾病的可能性。与公共卫生的相关性：这项研究的发现将为护士提供有关腰部母亲及其早产儿之间相互作用质量的急需数据。这些知识对于设计受腰部文化影响的相互作用的护理干预措施很有用。