Longitudinal associations of maternal mobile device use and maternal-infant wellbeing

母亲移动设备使用与母婴健康的纵向关联

• 批准号: 10446049
• 负责人: Tiffany Grace-Chung Munzer
• 金额: $ 16.74万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-01 至 2027-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10446049
• 关键词: Address; Adolescent; Adoption; Adult; Age; Anxiety; Award; Behavioral; Buffers; Caregivers; Cellular Phone; Characteristics; Child; Child Health; Child Rearing; Child Welfare; Communication; Cross-Sectional Studies; Cues; Development; Devices; Electronic Mail; Emotional; Equation; Exhibits; Exposure to; Face; Facebook; Family; Foundations; Frequencies; Goals; Growth; Habits; Health Promotion; High Prevalence; Hormonal; Infant; Infant Behavior; Infant Development; Internet; Intervention; Knowledge; Learning; Life; Longevity; Low income; Measures; Mediating; Mentors; Methods; Modeling; Mothers; Nature; Newborn Infant; Parent-Child Relations; Parents; Participant; Pathway interactions; Pattern; Personal Satisfaction; Phenotype; Postpartum Depression; Psychosocial Stress; Recreation; Regulation; Reporting; Research; Role; Sampling; Shapes; Stress; Testing; Textiles; Time; Toddler; Well in self; Work; adaptive devices; aged; caregiving; cohort; coping mechanism; critical developmental period; critical period; depressive symptoms; design; digital; digital media; distraction; early childhood; emotion regulation; experience; externalizing behavior; handheld mobile device; improved; infancy; invention; lower income families; motherhood; multidisciplinary; negative affect; pediatrician; portability; programs; response; social; social media; therapy design; university student

PROJECT SUMMARY Sensitive and responsive caregiving interactions in early childhood, characterized by appropriate responses to a child’s cues, provide the foundation for healthy emotional and behavioral development across the lifespan. Infancy is a particularly critical period for these sensitive interactions with caregivers, given the important contribution of these interactions to the development of infants’ ability to self-regulate. Infants learn to self- regulate through co-regulation with the mother; therefore, supporting maternal wellbeing and healthy maternal- infant co-regulation is an important strategy for promoting emotional and behavioral development. One evolving and modifiable threat to these sensitive interactions is the mobile device, which has become deeply interwoven into the fabric of family life, with nearly universal adoption. A growing body of evidence suggests that due to their engaging design and portability, mobile devices may uniquely interfere with a caregiver’s ability to sensitively respond to their young children’s cues. This prior work, however, has not examined in a comprehensive model during infancy potential pathways of association between maternal mobile device use, maternal wellbeing, infant regulation, and maternal-infant co-regulation. Examining these potential associations among low-income, first-time mothers and their infants may be especially important, given the buffering role that sensitive maternal-infant interactions can have against psychosocial stress and the patterns of caregiving that become established during the transition to motherhood. Examining these pathways of association longitudinally across infancy would allow for identification of both key targets for intervention and the critical developmental periods during which to intervene upon these targets. Therefore, in a cohort of 230 low-income, first-time mother-infant dyads, we will measure maternal mobile device use, maternal wellbeing, infant regulation, and maternal-infant co-regulation at three time points in infancy to address the following aims: Aim 1: To characterize maternal mobile device use with regard to quantity, type of app, and intent. Aim 2: To test pathways of association between maternal mobile device use, maternal wellbeing, infant regulation, and maternal-infant co-regulation at infant ages 3, 6, and 12 months. Aim 3: To identify temporal relationships between maternal mobile device use, maternal wellbeing, infant regulation, and maternal-infant co-regulation across infant ages 3, 6 and 12 months. The PI, Dr. Munzer, is a developmental-behavioral pediatrician whose growing research program seeks to understand parenting in the digital age, and how it contributes to children’s wellbeing. With the support of a multidisciplinary team of mentors, Dr. Munzer will gain experience in mobile device sampling; observed and reported measures of maternal wellbeing, infant regulation, and maternal-infant co-regulation; and structural equation modeling, cross lagged analyses, and imputation. At the conclusion of the award period, Dr. Munzer will be poised to develop and test an intervention designed to promote sensitive maternal-infant interactions and healthy infant emotional and behavioral development in the digital age.

项目摘要 幼儿期敏感和反应灵敏的互动，其特点是对以下问题作出适当反应： 孩子的暗示，为整个生命周期的健康情感和行为发展提供了基础。 婴儿期是与照顾者进行这些敏感互动的一个特别关键的时期， 这些相互作用对婴儿自我调节能力的发展的贡献。婴儿学会自我- 通过与母亲的共同调节来调节;因此，支持产妇福祉和健康的产妇- 婴儿共同调节是促进情绪和行为发展的重要策略。一 对这些敏感交互的不断发展和可修改的威胁是移动终端，它已经变得越来越深入 与家庭生活的结构交织在一起，几乎被普遍采用。越来越多的证据表明 由于其吸引人的设计和便携性，移动的设备可能唯一地干扰护理人员的 对幼儿的暗示做出敏感反应的能力。然而，这项先前的工作没有在一个 婴儿期母亲使用移动终端， 母婴健康、婴儿调节和母婴共同调节。研究这些潜在的关联 在低收入人群中，由于缓冲作用， 敏感的母婴互动可以对抗心理社会压力和分娩模式， 在向母亲过渡的过程中形成的。研究这些联系的途径 纵向跨越婴儿期将允许确定干预的关键目标和关键的 在这些目标上进行干预的发展时期。因此，在230名低收入人群中， 第一次母婴配对，我们将测量产妇移动终端使用，产妇的幸福感，婴儿 在婴儿期的三个时间点进行调节和母婴共同调节，以实现以下目标： 1：描述母亲使用移动终端的数量、应用程序类型和意图。目标2：测试 母亲使用移动终端、母亲健康、婴儿调节和 在婴儿3、6和12个月时的母婴共同调节。目标3：确定时间关系 产妇移动终端使用、产妇健康、婴儿监管和母婴共同监管之间的关系 在3个月、6个月和12个月的婴儿中。私家侦探Munzer博士是一位发展行为儿科医生， 越来越多的研究项目试图了解数字时代的育儿方式，以及它如何有助于儿童的成长。 幸福在多学科导师团队的支持下，Munzer博士将获得移动的 设备采样;观察和报告的孕产妇健康、婴儿调节和母婴关系的测量 共同监管;和结构方程建模，交叉滞后分析，和插补。结束时 在授予期间，Munzer博士将准备开发和测试一种旨在促进敏感性的干预措施。 数字时代的母婴互动和健康婴儿的情感和行为发展。