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有效且前景看好的通用、 以学校和家庭为基础的预防干预措施，如养育健康儿童(RHC)，减少 药物使用和其他问题行为，促进青年的积极发展。《西雅图社会报》 开发项目(SSDP)是RHC的准实验测试，RHC是一种以学校为基础的通用预防措施 在小学(1-6年级)实施干预。SSDP跟踪了参与者(n=808) 从小学到39岁(1985-2014年；收集15次数据；88%保留)。后续数据显示， RHC干预显示了对参与者成年后的健康和福祉的长期好处， 包括精神健康问题、酗酒、反社会行为和早期 怀孕以及更高的教育程度。许多经历过RHC预防的青年 作为SSDP的一部分，干预后来成为了父母。已知的父母心理之间存在联系 健康、药物使用、反社会行为、学业成就及其子女的功能。事实是 RHC在这些领域显示了长期的好处，这增加了以下令人兴奋的可能性： 干预参与者可能会对下一代产生共鸣。这个为期三年的R01项目将分析现有的 来自SSDP和SSDP的连接两代的预期数据-代际项目(SSDP-TIP)， 对SSDP参与者及其子女进行跟踪调查。SSDP-TIP始于2002年，当时SSDP参与者 大约27岁，包括那些已经为人父母的SSDP参与者，他们是最年长的亲生子女 与他们有定期联系的人，以及分担抚养孩子责任的第二名照顾者， 如果存在的话。随着SSDP参与者第一次成为父母，新的家庭加入了这项研究。 2002年至2018年重复收集SSDP-TIP数据(10个数据收集，n=426个家庭)。 2018年的后代年龄在4岁到29岁之间(M=17.2，SD=6.1)。社民党的父母 参加TIP的79人接受了1-6年级的RHC干预(完全干预)，141人接受了 只对5-6年级进行干预(晚期干预)，121名为对照组。先前发表的分析报告 在《美国医学会杂志》上：儿科显示了跨代干预效果。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，有较低水平的教师评价的行为问题和较高水平的教师评价的学习技能和 表现(6-18岁)，而且在18岁之前报告药物使用的可能性较小。 通过(目标1)测试RHC干预对以下方面的长期影响来扩展这些开创性的发现 父母养育实践和配偶选择，(目标2)测试干预的跨代影响 年轻成年后代(年龄18-25岁)，以及(目标3)检验长期和交叉反应的假设机制。 代际干预效应。