Exploring Emotional Availability During Parent-Child Interaction in Children with Developmental Delays

探索发育迟缓儿童亲子互动期间的情绪可用性

• 批准号: 10475638
• 负责人: Rebecca Molinini
• 金额: $ 4.34万
• 依托单位: VIRGINIA COMMONWEALTH UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-01 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10475638
• 关键词: Adult; Affective; Age; Agreement; Assessment tool; Behavior; Behavioral; Biological; Birth; Career Choice; Characteristics; Child; Child Development; Child Health; Child Rearing; Child Welfare; Childhood; Clinical; Clinical Trials; Clinical Trials Design; Code; Communication; Competence; Complex; Consultations; Data; Data Analyses; Decision Making; Development; Developmental Delay Disorders; Developmental Disabilities; Dimensions; Disabled Persons; Early Intervention; Education; Emotional; Enrollment; Faculty; Family; Fellowship; Fostering; Foundations; Funding; Funding Mechanisms; Future; Gender; Goals; Grief reaction; Health; Intervention; Intervention Studies; Journals; Knowledge; Learning; Life Experience; Measures; Mediating; Mental Depression; Mentorship; Methodology; Motor; Motor Activity; Motor Skills; Multi-Institutional Clinical Trial; Neurologic; Outcome; Parent-Child Relations; Parents; Participant; Pathway interactions; Peer Review; Perception; Personal Satisfaction; Physical therapy; Play; Population; Postdoctoral Fellow; Principal Investigator; Process; Publishing; Race; Rehabilitation therapy; Research; Resources; Risk; Risk Factors; Role; Sampling; Scholarship; Services; Signal Transduction; Site; Social Environment; Social Sciences; Socialization; Socioeconomic Status; Statistical Models; Stress; Structure; Therapeutic Intervention; Time; Training; Treatment Efficacy; age difference; career; clinical application; contextual factors; disability; efficacy evaluation; emotional factor; improved; innovation; knowledge base; model development; motor behavior; motor impairment; novel; programs; rate of change; research study; secondary analysis; service intervention; skill acquisition; skills; social; social adversity; standard of care; success; therapy design; training opportunity

Emotional Availability (EA), the synchrony between parents and children's affective and behavioral states, is grounded in children's developmental abilities. Young children use motor behaviors to communicate their wants and needs and parents use these observable motor behaviors to guide their interaction behaviors. As development becomes more advanced, children and parents are able to interact with one another in new and more complex ways, thus fostering global development. The proposed study builds on EA research in children with typical development which highlights that children's linear change in EA over young childhood is mediated by developmental abilities and that social adversities present challenges to adult and child EA. EA predicts adaptive development, moderates adverse developmental outcomes in the presence of early adverse life experiences, and guides intervention aimed at optimizing parents and children's health and well-being. Evidence of EA in clinical populations is very scarce, with available studies having limitations in methodology and findings are not yet replicated. Early intervention rehabilitation professionals working with children with developmental delays often lack the training, resources, and support to assess and target EA as part of their standard of care. The objective of this study is to advance the body of knowledge on the impact of motor skills on the development of EA in young children with diverse motor abilities. Identifying delayed motor skills as a risk factor for EA will highlight the need to assess and target EA as part of early intervention. Results from this study will support the applicants long term career goals of creating research which optimizes children's development, familial well-being and early intervention efficacy. The proposed study is a secondary analysis and enhancement of prior collected data and includes 134 children with motor delays (7-16 months at baseline) and 37 children with typical motor development (5-7 months at baseline) enrolled at the emergence of sitting. Aim 1 will quantify the impact of motor skills on adult and child EA interaction behaviors. Aim 2 will compare the impact of age vs. motor skills on EA in skill matched participants. Aim 3 will identify the predictive relationship between baseline EA and the trajectory of children's motor development over 12 months. Post-hoc analyses of each aim will describe the findings within the context of children's gender, socio-economic status and race. Findings will provide foundational knowledge on constructs and behaviors which foster or impede development of EA. This knowledge will be immediately informative in guiding therapists' decision-making in practice and will inform future studies on developing clinically applicable assessment tools and designing clinical trials that target EA as a pathway to enhance program efficacy. The fellowship proposal offers the applicant training opportunities to execute a research study as principal investigator, expand current knowledge base on parenting and complex statistical modeling, and increase scholarship by publishing in competitive interdisciplinary peer-reviewed journals.

情绪可用性（Emotional Availability，EA）是指父母与子女情感和行为状态之间的同步性， 基于儿童的发展能力。幼儿使用运动行为来交流他们的 父母用这些可观察到的运动行为来指导他们的互动行为。作为 发展变得更加先进，儿童和父母能够在新的和 更复杂的方式，从而促进全球发展。拟议的研究建立在儿童EA研究的基础上 典型的发展，突出了儿童的线性变化，EA在幼儿期是介导的 社会逆境对成人和儿童的EA提出了挑战。EA预测 适应性发展，在早期不利生活的存在下，缓和不利的发展结果 这些经验和指导旨在优化父母和儿童健康和福祉的干预措施。 临床人群中EA的证据非常缺乏，现有研究在方法学上存在局限性 研究结果还没有被复制。从事儿童早期干预康复工作的专业人员 发展迟缓往往缺乏培训，资源和支持，以评估和目标EA的一部分， 护理标准。本研究的目的是推进对运动技能影响的知识体系 在不同运动能力的幼儿中EA的发展。将延迟的运动技能识别为 EA的风险因素将突出需要评估和目标EA作为早期干预的一部分。结果从这个 研究将支持申请人的长期职业目标，创造研究，优化儿童的 发展，家庭幸福和早期干预的有效性。拟议的研究是一项二次分析 和增强先前收集的数据，包括134名运动迟缓儿童（7-16个月， 37名具有典型运动发育的儿童（基线时为5-7个月） 坐着。目标1将量化运动技能对成人和儿童EA互动行为的影响。目标2将 比较年龄与运动技能对技能匹配参与者EA的影响。目标3将确定预测 基线EA与12个月内儿童运动发育轨迹之间的关系。事后 对每个目标的分析将在儿童的性别、社会经济地位、 和种族。调查结果将提供有关促进或阻碍的结构和行为的基础知识 EA的发展。这些知识将立即指导治疗师的决策， 实践，并将告知未来的研究开发临床适用的评估工具和设计 临床试验，目标EA作为一种途径，以提高程序的效力。研究金提案提供了 申请人培训机会，以作为主要研究者执行研究，扩大当前 知识基础上养育和复杂的统计建模，并增加奖学金，出版在 具有竞争力的跨学科同行评审期刊。