Testing cross-generational effects of the Raising Healthy Children intervention

测试“养育健康儿童”干预措施的跨代效应

• 批准号: 10316511
• 负责人: JENNIFER A BAILEY
• 金额: $ 31.21万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-07-15 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10316511
• 关键词: 21 year old; Academic skills; Achievement; Adult; Adult Children; Age; Area; Biological; Caregivers; Characteristics; Child; Child Rearing; Childhood; Cohort Effect; Control Groups; Costs and Benefits; Data; Data Collection; Developmental Delay Disorders; Economics; Enrollment; Exhibits; Family; Generations; Health; Heavy Drinking; Intervention; Light; Link; Long-Term Effects; Longterm Follow-up; Mate Selections; Mediation; Mediator of activation protein; Mental Health; Modeling; Parents; Participant; Pediatrics; Performance; Personal Satisfaction; Problem behavior; Public Health; Publishing; Reporting; Research Personnel; Schools; Social Development; Testing; Time; Violence; Youth; antisocial behavior; anxiety symptoms; base; depressive symptoms; early pregnancy; elementary school; experience; follow-up; group intervention; high school; improved; intergenerational; intervention effect; intervention participants; longitudinal design; next generation; novel; offspring; parent project; positive youth development; preventive intervention; prospective; reduced substance use; substance use; teacher; universal prevention; young adult

In recent decades, researchers have developed an array of tested-effective and promising universal, school- and family-based preventive interventions, such as Raising Healthy Children (RHC), that reduce substance use and other problem behaviors and promote positive youth development. The Seattle Social Development Project (SSDP) is a quasi-experimental test of RHC, a school-based, universal preventive intervention delivered in elementary school (Grades 1 – 6). SSDP has followed participants (n = 808) from elementary school through age 39 (1985 – 2014; 15 data collections; 88% retention). Follow-up data show that the RHC intervention demonstrated long-term benefits for participants' health and well-being into adulthood, including lowered rates of mental health problems, heavy alcohol use, antisocial behavior, and early pregnancy, as well as higher educational attainment. Many youth who experienced the RHC preventive intervention as part of the SSDP later became parents. Known associations exist between parental mental health, substance use, antisocial behavior, and academic attainment and their children's functioning. The fact that RHC showed long-term benefits in these areas raises the exciting possibility that benefits experienced by intervention participants may echo into the next generation. This three year R01 project will analyze existing prospective data linking 2 generations from SSDP and SSDP-The Intergenerational Project (SSDP-TIP), which followed up SSDP participants and their children. SSDP-TIP began in 2002 when SSDP participants were about 27 years old, and included those SSDP participants who had become parents, the oldest biological child with whom they had regular contact, and a second caregiver who shared responsibility for raising the child, when present. New families were enrolled in the study as SSDP participants became parents for the first time. SSDP-TIP data were collected repeatedly between 2002 and 2018 (10 data collections, n = 426 families). Offspring ranged between ages 4 and 29 years (M = 17.2, SD = 6.1) in 2018. Of the SSDP parents participating in TIP, 79 received the RHC intervention in grades 1-6 (full intervention), 141 received the intervention in grades 5-6 only (late intervention), and 121 were in the control group. Prior analyses published in JAMA: Pediatrics demonstrated cross-generational intervention effects. The offspring of RHC intervention participants in the full intervention group were less likely to exhibit a range of developmental delays at ages 1- 5, had lower levels of teacher-rated behavior problems and higher levels of teacher-rated academic skills and performance (ages 6-18), and were less likely to report substance use by age 18. The proposed project will expand on these groundbreaking findings by (Aim 1) testing long-term effects of the RHC intervention on parenting practices and mate selection, (Aim 2) testing cross-generational effects of the intervention among young adult offspring (ages 18-25), and (Aim 3) testing hypothesized mechanisms of long-term and cross- generational intervention effects.

近几十年来，研究人员已经开发出一系列经过测试的有效和有前途的通用， 以学校和家庭为基础的预防性干预措施，如养育健康儿童， 并促进青年人积极发展。西雅图社交 发展项目（SSDP）是RHC的准实验性测试，RHC是一种以学校为基础的普遍预防性 在小学（1 - 6年级）进行干预。SSDP对参与者（n = 808）进行了随访， 小学到39岁（1985 - 2014; 15个数据收集; 88%保留）。随访数据显示， RHC干预证明了对参与者的健康和幸福到成年的长期益处， 包括降低心理健康问题、酗酒、反社会行为和早期 怀孕，以及更高的教育程度。许多年轻人经历了RHC预防性 干预作为SSDP的一部分，后来成为父母。已知的关联存在于父母的心理 健康，物质使用，反社会行为，学术成就和他们孩子的功能。的事实 RHC在这些领域显示出长期效益，这提出了一种令人兴奋的可能性， 干预参与者可能会影响下一代。这个为期三年的R 01项目将分析现有的 将SSDP和SSDP-代际项目（SSDP-TIP）的两代人联系起来的前瞻性数据， 跟踪SSDP参与者及其子女。SSDP-TIP始于2002年，当时SSDP参与者 大约27岁，包括那些已经成为父母的SSDP参与者， 与他们有定期联系的人，以及分担抚养孩子责任的第二个照顾者， 当存在时。随着SSDP参与者首次成为父母，新的家庭被纳入研究。 SSDP-TIP数据在2002年至2018年期间重复收集（10次数据收集，n = 426个家庭）。 2018年，后代的年龄范围为4至29岁（M = 17.2，SD = 6.1）。SSDP的父母 参与TIP，79人在1-6年级接受了RHC干预（完全干预），141人接受了 仅对5-6年级学生进行干预（后期干预），对照组121人。发表的既往分析 儿科学证明了跨代干预效应。RHC干预的后代 完全干预组的参与者在1岁时表现出一系列发育迟缓的可能性较小， 5、教师评定的行为问题水平较低，教师评定的学业技能水平较高， 在18岁之前报告使用药物的可能性较小。拟议项目将 通过（目标1）测试RHC干预的长期影响， 父母的做法和择偶，（目的2）测试跨代的干预效果， 年轻的成年后代（18-25岁），和（目标3）测试假设的长期和交叉机制， 代际干预效应。