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: 10646221
• 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/10646221
• 关键词: Address; Adolescent; Adoption; Adult; Age; Anxiety; Award; Behavioral; Buffers; Caregivers; Categories; 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 Care; Infant Development; Internet; Intervention; Knowledge; Learning; Life; Longevity; Low income; Measures; Mediating; Mentors; Methods; Modeling; Mothers; Nature; Parent-Child Relations; Parents; Participant; Pathway interactions; Pattern; Patterns of Care; 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; maternal wellbeing; 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.

项目总结 儿童早期的敏感和响应性照看互动，其特征是对 儿童的暗示，为一生中健康的情绪和行为发展提供了基础。 婴儿期对于这些与照顾者的敏感互动来说是一个特别关键的时期，因为 这些相互作用对婴儿自我调节能力的发展做出了贡献。婴儿学会了自我 通过与母亲共同监管来进行监管；因此，支持产妇的福祉和健康的产妇-- 婴幼儿共同调节是促进情绪和行为发育的重要策略。一 对这些敏感互动不断演变和改变的威胁是移动设备，它已经变得非常 与家庭生活交织在一起，几乎被普遍采用。越来越多的证据表明 由于其引人入胜的设计和便携性，移动设备可能会独特地干扰照顾者的 对孩子的暗示做出敏感反应的能力。然而，这项先前的工作并没有在 在婴儿期，母亲使用移动设备， 母体福祉、婴儿调节和母婴共同调节。检查这些潜在的关联 在低收入人群中，考虑到缓冲作用，第一次怀孕的母亲和她们的婴儿可能特别重要 敏感的母婴互动可以对抗心理社会压力和照顾模式 在过渡到母亲的过程中建立起来的。考察这些联系的途径 纵向跨越婴儿期将允许识别关键的干预目标和关键的 对这些目标进行干预的发育期。因此，在230名低收入者中， 第一次母婴双胞胎，我们将测量母亲移动设备的使用，母亲的幸福感，婴儿 在婴儿期的三个时间点进行监管和母婴共同监管，以实现以下目标：目标 1：从数量、APP类型和意图方面描述母亲使用移动设备的特征。目标2：测试 母体移动设备使用、母体幸福感、婴儿监管和 婴儿3个月、6个月和12个月时的母婴共同调节。目标3：确定时间关系 母体移动设备使用、母体幸福感、婴儿调节和母婴共同调节之间的关系 横跨3个月、6个月和12个月的婴儿。这位名为芒泽博士的私家侦探是一名发育行为儿科医生，他 成长研究计划试图了解数字时代的育儿方式，以及它是如何对孩子的 幸福。在多学科导师团队的支持下，芒泽博士将获得移动领域的经验 设备取样.观察和报告的母体健康、婴儿调节和母婴的测量 共同调节；以及结构方程建模、交叉滞后分析和归因。在……结束时 在获奖期间，芒泽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的婴儿情绪和行为发展。