Preventing Child Neglect in High-Risk Mothers

防止高危母亲忽视儿童

• 批准号: 6801149
• 负责人: JOHN G BORKOWSKI
• 金额: $ 163万
• 依托单位: UNIVERSITY OF NOTRE DAME
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-12 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6801149
• 关键词: adolescence (12-20); age at pregnancy; behavioral /social science research tag; child abuse; child psychology; child rearing; clinical research; decision making; education evaluation /planning; emotional adjustment; health behavior; health care referral /consultation; health education; human subject; human therapy evaluation; interview; language development; longitudinal human study; massage therapy; mental health services; patient oriented research; social support network; socioeconomics; videotape /videodisc; women' s health; young adult human (21-34)

DESCRIPTION (provided by applicant): The proposed project is designed to reduce the incidence of child maltreatment, in terms of neglect and abuse, in high-risk mothers by helping them to create new mental models of parenting and new parenting styles and practices; 400 mothers will participate at 4 research sites. High-risk primaparous, pregnant teenage mothers, ages 15-18, and adult mothers without a high school degree (ages 22 to 35), will be recruited and randomly assigned to one of two groups: Treatment Group 1 (T1) will receive several enhanced services, such as referrals to mental health services or job training opportunities, referred to as "enabling conditions"; T1 serves as a "minimal intervention control" for assessing the effects of T2 on parenting and neglect. In addition, T2 will receive the Direct Intervention, which consists of 2 parenting modules: The My Baby U program, developed and tested by Melanie Brown, and the I 0-session PALS program, developed by Susan Landry. My Baby U has been shown to change maternal attitudes and health care behaviors; we will supplement this module with parent training in massage therapy. The second module, PALS, is designed to teach responsive parenting with families from low SES backgrounds; it makes use of extensive "training scripts" and in-home videotapes that help shape responsive and sensitive parenting practices between 6 and 12 months. A companion module, PALS lI (the Toddler Program), will be introduced at 18 months and continue to 24 months; this module will focus on language stimulation, play activities, and appropriate methods of discipline. Modules on decision making, health and safety, and strengthening social support networks will also be presented. The effects of the intervention will be measured at 1, 2, and 3 years across several domains of maternal and child development, especially parenting attributable to the intervention styles and practices, neglectful-abuse behaviors, maternal socioemotional adjustment, and substance abuse. In the child, the focus will be on attachment, language, and mental development. A unique feature of this intervention program is the measurement of "low levels" of psycho-social neglect, using a newly constructed phone interview technique as well as more standard measures of child maltreatment, including each mother's own personal history of maltreatment. Cross-sectional and longitudinal analyses will be used to demonstrate treatment effectiveness (including a reduction in neglectful-abusive parenting) and to show that changes in maternal behaviors are strongly linked to children's developmental trajectories. In short, our goals are to develop more sensitive and responsive parents (the antithesis of neglect and abuse), who are aware of the importance of stimulating in-home enrichments and the roles they can play in helping children achieve important developmental milestones.

描述（由申请人提供）：拟议的项目旨在通过帮助高风险母亲创建新的育儿模式和新的育儿方式和做法，减少儿童虐待的发生率，包括忽视和虐待; 400名母亲将在4个研究地点参加。15-18岁的高危初产妇、怀孕少女母亲和没有高中学历的成年母亲（22至35岁），将被招募并随机分配到两组之一：治疗组1（T1）将接受几项强化服务，如转介精神卫生服务或就业培训机会，称为“有利条件”; T1作为一个“最小干预控制”，用于评估T2对养育和忽视的影响。此外，T2将接受直接干预，其中包括2个育儿模块：由Melanie Brown开发和测试的My Baby U计划，以及由Susan Landry开发的I 0-session帕尔斯计划。My Baby U已被证明可以改变母亲的态度和医疗保健行为;我们将通过按摩疗法的父母培训来补充本模块。第二个模块，帕尔斯，旨在向来自社会经济地位低的家庭教授反应灵敏的育儿方法;它利用广泛的“培训脚本”和家庭录像带，帮助在6至12个月之间形成反应灵敏和敏感的育儿方法。 一个同伴模块，帕尔斯lI（幼儿计划），将在18个月，并继续到24个月，这个模块将侧重于语言刺激，游戏活动，和适当的纪律方法。还将介绍关于决策、健康和安全以及加强社会支持网络的模块。干预的效果将在1，2和3年的孕产妇和儿童发展的几个领域进行测量，特别是归因于干预方式和做法，忽视虐待行为，产妇社会情绪调整和药物滥用的养育。在孩子身上，重点将放在依恋，语言和智力发展上。这一干预方案的一个独特之处是，利用新建立的电话访谈技术以及更标准的虐待儿童措施，包括每个母亲自己的虐待史，衡量“低水平”的心理社会忽视。横断面和纵向分析将被用来证明治疗的有效性（包括减少忽视虐待的父母），并表明母亲行为的变化与儿童的发展轨迹密切相关。简而言之，我们的目标是培养更敏感和更负责任的父母（忽视和虐待的对立面），他们意识到刺激家庭丰富的重要性以及他们在帮助孩子实现重要发展里程碑方面可以发挥的作用。