混合研究方法による子どもの可能性を最大化する新たな母子健康手帳の開発

开发新的母婴健康手册，利用混合研究方法最大限度地发挥儿童的潜力

• 批准号: 16K21667
• 负责人: ダグワドルジ アマル
• 金额: $ 2.41万
• 依托单位: National Center for Child Health and Development
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Young Scientists (B)
• 财政年份: 2016
• 资助国家: 日本
• 起止时间: 2016-04-01 至 2017-03-31
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-16K21667/
• 关键词: MCH Handbook; Mongolia; Child development; Cognitive development; Developing country; Cluster RCT; 発達; 子育て; 母子保健

The study entitled “Maximizing child potential through the Maternal and Child Health handbook: a mixed methods study” is a longitudinal cohort study, which was planned to have two steps using quantitative and qualitative mixed methods.As a first step, we conducted quantitative investigation of two previously collected datasets in longitudinal form and subsequent analysis. It provided a general understanding of problems relating to MCH handbook utilization. As there were two data points but complex variable interconnections, generalized estimated equation method was used to model the MCH handbook effect by estimating the difference between outcome measures for both the treated observations and the controls (those who did not receive the MCH handbook). As a result of this study, MCH handbook was shown effective for child cognitive development. In addition, recording of infant check-ups and growth curves was higher in the MCH handbooks of children with no risk of cognitive development impairment. Moreover, mothers who read the antenatal check-up record, delivery record, and developmental milestones had fewer children at risk of cognitive delay. Currently, this study is accepted to Acta Paediatrica in print.

本研究题为“通过母婴健康手册最大化儿童潜力：混合方法研究”，是一项纵向队列研究，计划采用定量和定性混合方法进行两个步骤。作为第一步，我们以纵向形式对先前收集的两个数据集进行定量调查，然后进行分析。 它使人们对有关妇幼保健手册使用的问题有了一般性的了解。由于有两个数据点，但变量相互关联复杂，因此使用广义估计方程法通过估计治疗观察和对照（未接受MCH手册的患者）结局指标之间的差异来模拟MCH手册效应。本研究的结果显示，妇幼保健手册对儿童认知发展是有效的。此外，在没有认知发育障碍风险的儿童的妇幼保健手册中，婴儿检查和生长曲线的记录更高。此外，阅读产前检查记录，分娩记录和发育里程碑的母亲有更少的孩子有认知延迟的风险。目前，这项研究已被《儿科学报》接受。

项目成果

National University of Medical Sciences(Mongolia)

国立医科大学（蒙古）