SES-Related Disparities in Early Language Development and Child Risk for Developmental Language Disorder

早期语言发展中与 SES 相关的差异和儿童发展性语言障碍的风险

• 批准号: 10177450
• 负责人: Laura M. Justice
• 金额: $ 19.5万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-07-01 至 2021-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10177450
• 关键词: Address; Affect; African American; COVID-19; COVID-19 pandemic; Caregiver Burden; Caregivers; Cellular Phone; Characteristics; Child; Child Language; Child Rearing; Chronic; Communities; Data; Data Collection; Development; Discrimination; Distress; Economics; Environment; Exposure to; Family; Family Caregiver; Foundations; Frequencies; Goals; Grant; Growth; Health; Home environment; Household; Impairment; Individual; Inequality; Infant; Infection; Interview; Language; Language Development; Language Development Disorders; Left; Life; Longitudinal Studies; Low income; Measures; Mediating; Minority; Modeling; Occupations; Outcome Study; Parent-Child Relations; Participant; Pattern; Policies; Predisposition; Program Development; Public Health; Publishing; Recruitment Activity; Research; Resources; Risk; Sampling; Shapes; Source; Stress; Surveys; Technology; Time; Video Recording; Vulnerable Populations; base; caregiving; critical period; design; digital; disorder risk; experience; infancy; innovation; low socioeconomic status; lower income families; pandemic disease; response; social; stressor; urban area

PROJECT SUMMARY/ABSTRACT The goal of this study is to understand how the COVID-19 crisis, and related changes in caregiver distress and interactions with infants, affects infant language development over a 12- month period. We propose to gather repeated measures of survey and video-recorded interaction data from a subsample (n = 100) of SMALL Talk caregiver-infant dyads during one- year of the COVID-19 pandemic. SMALL Talk is actively recruiting and interviewing low-income caregiver-infant dyads in an urban area to study predictors of children's risk of developmental language disorder (DLD) by 54 months. DLD is particularly high among low-SES children (Norbury et al., 2016). However, there are equally important inequalities for DLD risk among low-SES children (Schwab & Lew-Williams, 2016), which may be further exacerbated by the COVID-19 pandemic. Through this supplemental project, we aim to assess, during one year of the COVID-19 pandemic: (1) COVID-19-related forms and frequency of stress and resource needs among low-income caregivers with infants; (2) caregiver-infant interactions with primary and secondary caregivers at multiple, short-term intervals; and (3) how COVID-19-related stressors, caregiver distress, and access to resources affect caregiver-infant interactions and infant language development. We will use remote smart-phone based technology to gather on- line survey data and video recordings of caregiver-infant interactions multiple times during this one-year period. Innovative aspects of this supplemental grant include collecting multiple caregiver-infant interactions, including secondary caregiver-infant interactions, and using smart- phone technology to conduct in-home assessments among vulnerable groups who are often left out of digital data collection studies, including COVID-19 studies (Lourenco & Tasimi, 2020). We will use multi-level random-effects models to assess associations among caregiver distress, features of caregiver-infant interactions (including language use and caregiving quality), and infant language development. We will share this information with key stakeholders to inform the development of programs and policies to meet immediate needs of low-income families with infants. We will also publish rapid, open-access research articles and policy briefs to share evidence of COVID-19-related instability and stress in low-income families and how they are affect caregiver-infant interactions and child language development in the short- and long-term.

项目摘要/摘要 这项研究的目的是了解COVID-19危机如何以及相关的变化 护理人员的困扰和与婴儿的互动会影响婴儿语言的发展12- 月期。我们建议收集重复的调查措施和视频记录 来自一个小型脱口秀护理人员的子样本（n = 100）的相互作用数据 19年大流行期。闲聊正在积极招募和采访低收入 城市地区的护理人员侵入二元组研究儿童发育风险的预测指标 语言障碍（DLD）54个月。在低调儿童中，DLD特别高 （Norbury等，2016）。但是，在DLD风险中同样重要的不平等 低调儿童（Schwab＆Lew-Williams，2016年），这可能会进一步加剧 2019冠状病毒病大流行。通过这个补充项目，我们旨在评估一年 19009年大流行：（1）与199号相关的形式和压力和资源的频率 低收入护理人员与婴儿的需求； （2）与主要的护理人员相互作用 以及多个短期间隔的次要护理人员； （3）如何相关19 压力源，护理人员的困扰以及资源的获取会影响护理人员的互动和 婴儿语言发展。我们将使用远程智能手机的技术来收集 - 在此期间，线条调查数据和视频记录多次 一年。补充赠款的创新方面包括收集多个 护理人员互动，包括二级护理人员互动，并使用智能 电话技术以进行经常留下的弱势群体中的家庭评估 在数字数据收集研究中，包括COVID-19研究（Lourenco＆Tasimi，2020年）。我们 将使用多层次随机效应模型来评估护理人员困扰之间的关联， 护理人员互动的功能（包括语言使用和护理质量），以及 婴儿语言发展。我们将与主要利益相关者分享此信息，以告知 制定计划和政策，以满足低收入家庭的即时需求 婴儿。我们还将发布快速，开放式的研究文章和政策摘要以分享 低收入家庭的共同19-19与19岁的不稳定和压力的证据及其如何 在短期和长期内影响护理人员的互动和儿童语言发展。