SOCIAL SUPPORT FOR FAMILIES OF HIGH RISK INFANTS

对高危婴儿家庭的社会支持

• 批准号: 3323072
• 负责人: Carl J Dunst
• 金额: $ 10万
• 依托单位: APPALACHIAN STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1987
• 资助国家: 美国
• 起止时间: 1987-06-01 至 1992-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3323072
• 关键词: child with disability; coping; family structure /dynamics; health behavior; human pregnant subject; human subject; labor complications; longitudinal human study; mental retardation; pregnancy disorder; premature infant human; social support network

The aims of this project are: (a) determine if the birth of a child at-risk for a poor developmental outcome (retarded, handicapped, delayed, etc.) affects the social support network of the infant's family and (b) assess the extent to which a family's response and adaptation to the birth and rearing of a child at-risk for a poor developmental outcome is influenced by the nature of support available from the family's social support network. The manner in which the birth and rearing of an "at-risk" child affects and is affected by a family's social support network will be examined in a prospective, longitudinal study of a short of 210 18- to 40- year- old women during the course of their pregnancies and following the birth of their child up to two years of age. The subjects will be families of children (1) at no risk for poor developmental outcomes, (2) at-risk due to low birth weight, (3) at-risk due to physical impairments (cerebral palsy, physical disabilities, spina bifida, etc.), (4) at-risk for retardation due to conditions known to lead to mental retardation (Down syndrome, microcephaly, hydrocephaly, etc.), (5) at-risk due to complications during pregnancy and delivery (prenatal infections, respiratory distress, etc.), and (6) at-risk due to other factors that increase the probability of poor developmental outcomes. (Approximately 500- 600 pregnant women will be studied up to 1 to 6 months following the child's birth until 30 subjects per group are identified.) The subjects will be seen during the second and third trimesters and at 1, 6, 12, 18, and 24 months postpartum. At each point, the subjects will be interviewed about their social networks, measures of coping and well-being administered, and data collected on parent, family, and child characteristics and functioning. The data will be analyzed using a mediational model that temporally orders parent, family, social support, and child variables in a manner that is predicted to influence a family's reactions to the birth and rearing of a child with a poor developmental outcome.

该项目的目标是：(A)确定一个孩子的出生 面临不良发展结局的风险(智障、残障、 延迟等)影响婴儿的社会支持网络 家庭和(B)评估家庭的反应和 适应贫困儿童的出生和养育 发展结果受支持性质的影响 可从家庭的社会支持网络获得。中的举止 高危儿童的出生和养育会影响和 受家庭影响的社会支持网络将在 一项前瞻性的纵向研究，对210个18到40年的短时间- 孕期及以后的老年妇女 他们的孩子出生在两岁以下。受试者将会 儿童的家庭(1)没有发育不良的风险 结果，(2)低出生体重导致的风险，(3)因 身体残疾(脑瘫、肢体残疾、脊柱 裂等)，(4)由于已知的情况而有发育迟缓的风险 导致智力低下(唐氏综合征、小头畸形、 脑积水等)，(5)因并发症而出现危险 怀孕和分娩(产前感染、呼吸窘迫、 等)，以及(6)由于其他因素增加了 发展结果不佳的可能性。(约500- 600名孕妇将在1至6个月内接受研究 直到每组确定30名受试者为止。)这个 受试者将在第二和第三个三个月期间和 产后1、6、12、18和24个月。在每个点上， 受试者将接受采访，了解他们的社交网络、措施 关于应对和福祉管理的，以及收集的数据 父母、家庭和孩子的特点和功能。这个 数据将使用临时的中介模型进行分析 对父变量、家庭变量、社会支持变量和子变量进行排序 据预测，这种方式会影响家庭对 出生和养育发育不良的孩子。