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Using Baby Books to Promote Maternal and Child Health

用婴儿读物促进母婴健康

基本信息

批准号：
7347557
负责人：
Leonard Bickman
金额：
$ 43.82万
依托单位：
VANDERBILT UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-04-01 至 2010-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7347557
关键词：
Absenteeism Academy Accident and Emergency department Accidents Adherence Affect American Behavior Belief Books Breast Feeding Caring Child Child Development Child Nutrition Child health care Childhood Injury Cognitive Communication Cost Savings Coupled Data Collection Development Direct Costs Early treatment Economic Burden Educational Intervention Educational process of instructing Emotional Environment Family Food Growth Happiness Health Health education Home environment Hour Immunization Infant Infant Food Injury Intervention Joints Knowledge Life Linguistics Maternal and Child Health Medical Mental Depression Methods Mother-Child Relations Mothers Newborn Infant Nutritional Outcome Parent-Child Relations Parenting behavior Parents Pediatrics Perception Performance at work Primary Health Care Procedures Process Productivity Quality of life Randomized Reaction Reading Recruitment Activity Research Research Personnel Safety Savings Schedule Self Efficacy Services Solid Stress Techniques Testing Text Third Pregnancy Trimester Time Translating Visit Wages Work Writing base comparison group cost effectiveness depressive symptoms design expectation improved injured interest knowledge of results maternal stress pediatrician prenatal prevent safety practice scale up skills social

项目摘要

DESCRIPTION (provided by applicant): This is an application to conduct a randomized study of the cost-effectiveness of providing information about child development and parenting through the use of baby books. The content of these books is based on prenatal-12 month anticipatory guidance recommended by the American Academy of Pediatrics. It is expected that this information, embedded in the text of baby books, will increase the mother's knowledge of typical child development, child safety, and effective parenting. Additionally, the process of book sharing, coupled with realistic perceptions of development, is expected to improve parent-child interactions. In combination, the increased knowledge and improved interactions are predicted to contribute to better child physical health (e.g. immunization adherence, typical growth, reduced accidents/ emergency room visits, increased cognitive/linguistic development), improved maternal outcomes (e.g. reduced stress, increased self-efficacy and enjoyment), and increased level of stimulation and appropriateness of the environment. Through the utilization of a three group randomized design, we will compare child and maternal outcomes among those who receive books with anticipatory guidance to those who receive commercial children's books without anticipatory guidance or no books at all. This will allow for analysis of the effects of the educational intervention as well as those from just reading to children. Data collection will occur in seven waves over 20 months, with first-time mothers recruited during the third trimester of pregnancy and followed until the child is 18 months old. All data collection procedures and timing will be equivalent among the three groups. We plan to use analytic techniques that compensate for differential attrition and examine differences in growth curves for the relevant hypotheses. Lastly, this study is a low-tech intervention that is easy to scale up to a national level.

描述(由申请人提供)：这是一项关于通过使用婴儿书籍提供有关儿童发展和育儿的信息的成本效益随机研究的申请。这些书籍的内容是基于美国儿科学会推荐的产前12个月预期指导。预计这些信息，嵌入在婴儿书籍的文本中，将增加母亲对典型儿童发展、儿童安全和有效育儿的知识。此外，图书共享的过程，加上对发展的现实看法，预计将改善亲子互动。知识的增加和互动的改善预计将有助于改善儿童的身体健康(例如，坚持接种疫苗，典型的发育，减少事故/急诊室就诊，增加认知/语言发展)，改善母亲的结局(例如，减少压力，提高自我效能和幸福感)，以及增加刺激水平和环境的适宜性。通过使用三组随机设计，我们将比较那些接受预期指导的书籍的人和那些接受商业儿童书籍而没有预期指导或根本没有书籍的人的儿童和母亲结局。这将有助于分析教育干预的影响，以及仅仅为儿童朗读的影响。数据收集将在20个月内分七次进行，第一次怀孕的母亲在怀孕第三个月期间被招募，并一直跟踪到孩子18个月大。三个小组的所有数据收集程序和时间将是相同的。我们计划使用分析技术来补偿不同的自然减员，并检查相关假设在增长曲线上的差异。最后，这项研究是一项低技术干预，很容易扩大到国家层面。