Predicting and Preventing Neglect in Teen Mothers

预测和防止青少年母亲受到忽视

• 批准号: 6536214
• 负责人: JOHN G BORKOWSKI
• 金额: $ 124.95万
• 依托单位: UNIVERSITY OF NOTRE DAME
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-09-18 至 2006-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6536214
• 关键词: adolescence (12-20); age at pregnancy; behavior prediction; behavior test; behavioral /social science research tag; child abuse; child rearing; clinical research; female; human subject; interview; mother child interaction; prevention

DESCRIPTION (provided by applicant): Over 2 million cases of child maltreatment are reported each year. Of these, child neglect remains the largest single category. The major focus of this project is the clarification of neglect as a construct and its importance in determining child development in multiple domains. The project involves faculty and staff from the University of Notre Dame, the University of Alabama at Birmingham, the University of Kansas, and Georgetown University. We plan to identify a representative sample of 560 adolescent mothers (140/site) and 180 adult mothers (45/site) during the last trimester of their pregnancies. The adolescent sample will be recruited from specified geographic catchment areas associated with each locale. The adult sample will provide baseline data concerning patterns of neglect and child development. Measures of prenatal maternal predictors (e.g., substance abuse, depression, cognitive readiness to parent, etc.), neglectful parenting, demographic information, (e.g., education and jobs; marital status; etc.), maternal socioemotional characteristics, and the appropriate and timely use of medical care will be gathered during a 3 year period. Assessments of children's intellectual, linguistic, and socioemotional development will occur at 1, 2, and 3 years of age. A unique methodological feature in this project is the use of a Multi-Method, Multi- Informant approach to study neglect as a construct. The use of cell phones-- 1 of 5 measurement approaches -- allows us to maintain contact with participants as well as gather data on the frequency and nature of contacts between the teens and local service agencies as well as mother-child contacts, the absence of which defines neglect. Pilot data has demonstrated the feasibility, reliability, and utility of this method of assessing parenting. Other measures of neglect include mother-child observations, monitoring nighttime patterns of parenting, self-reports, and professional evaluations. Our objectives are to clarify the meaning of neglect by evaluating and refining a series of assessment tools using multiple assessments; predict neglect through the use of prenatal risk factors (i.e., substance abuse and dependence); document growth and change in both mothers and their children over the first 3 years of life to determine whether different developmental patterns are systematically associated with early maternal neglect; assess the importance of community-based programs in preventing or reducing neglectful behavior; and, finally, test the generality and usefulness of a recently developed conceptual model of adolescent parenting that relates neglect to prenatal antecedent variables and to child outcomes, using structural equation modeling. A refined model of neglect will inform future intervention efforts.

描述（由申请人提供）：超过200万例儿童 每年都有虐待的报告。 其中，忽视儿童仍然是 最大的单一类别。 该项目的主要重点是澄清 忽视作为一种结构及其在决定儿童发展方面的重要性 在多个领域。 该项目涉及教师和工作人员从 圣母大学、伯明翰的亚拉巴马大学、 堪萨斯大学和乔治敦大学。 我们计划找出一个 560名青少年母亲（140名/研究中心）和180名成年人的代表性样本 妊娠最后三个月的母亲（45例/研究中心）。 的 青少年样本将从指定的地理集水区招募 与每一个地方相关联。成人样本将提供基线数据 关于忽视和儿童发展的模式。 产前措施 母体预测因子（例如，物质滥用，抑郁症，认知准备， 父母等），疏忽的养育，人口统计信息，（例如，教育 工作;婚姻状况;等等），母亲的社会情感特征，以及 适当和及时地使用医疗保健将在一个 3年期间。 评估儿童的智力、语言和 社会情绪发展将发生在1岁，2岁和3岁。 一个独特 该项目的方法学特征是使用多方法，多 将忽视作为一种结构进行研究的知情人方法。 手机的使用 5种测量方法之一--使我们能够与 并收集有关接触频率和性质的数据 青少年和当地服务机构以及母亲和孩子之间的联系， 缺乏这一点就定义为忽视。 试点数据表明， 可行性，可靠性和实用性，这种方法来评估养育。 其他忽视措施包括母婴观察、监测 夜间养育模式、自我报告和专业评估。 我们的目标是通过评估和评估， 使用多种评估改进一系列评估工具;预测 通过使用产前风险因素（即，药物滥用和 依赖）;记录母亲及其子女的成长和变化 在生命的前3年，以确定是否有不同的发展 模式与早期母亲忽视有系统的关联;评估 以社区为基础的方案在预防或减少忽视 行为;最后，测试最近的通用性和实用性 发展概念模型的青少年养育，涉及忽视， 产前前因变量和儿童结局，使用结构方程 建模 一个完善的忽视模型将为未来的干预工作提供信息。