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.

项目概要 幼儿时期敏感且反应灵敏的照护互动，其特点是对 孩子的暗示，为一生中健康的情感和行为发展奠定了基础。 婴儿期是与照顾者进行这些敏感互动的特别关键时期，因为 这些相互作用对婴儿自我调节能力发展的贡献。婴儿学会自我 通过与母亲共同调节来调节；因此，支持孕产妇福祉和健康孕产妇 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变化和可改变的威胁是移动设备，它已经变得深刻 融入家庭生活的结构中，几乎得到普遍采用。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护理人员的工作 对幼儿的暗示做出敏感反应的能力。然而，这项先前的工作尚未经过审查 婴儿期综合模型母亲移动设备使用之间的潜在关联途径， 孕产妇福祉、婴儿调节以及母婴共同调节。检查这些潜在的关联 鉴于缓冲作用，对于低收入、第一次当妈妈的人及其婴儿来说可能尤其重要 敏感的母婴互动可以对抗社会心理压力和护理模式 是在向母亲过渡期间确立的。检查这些关联途径 纵向跨婴儿期将有助于确定干预的关键目标和关键的目标 对这些目标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，我们将测量母亲移动设备的使用情况、母亲的健康状况、婴儿的情况 婴儿期三个时间点的调节和母婴共同调节，以实现以下目标： 1：根据数量、应用程序类型和意图来描述母亲移动设备的使用情况。目标 2：测试 产妇移动设备使用、产妇健康、婴儿调节和产妇健康之间的关联途径 3、6 和 12 个月婴儿的母婴共同调节。目标 3：识别时间关系 母亲移动设备使用、母亲健康、婴儿调节和母婴共同调节之间的关系 涵盖 3、6 和 12 个月大的婴儿。 PI Munzer 博士是一位发育行为儿科医生，他 不断发展的研究项目旨在了解数字时代的养育方式，以及它如何对儿童的成长做出贡献 福利。在多学科导师团队的支持下，Munzer 博士将获得移动领域的经验 设备抽样；观察并报告孕产妇健康、婴儿调节和母婴关系的措施 共同监管；结构方程建模、交叉滞后分析和插补。结束时 在颁奖期间，Munzer 博士将准备开发和测试旨在促进敏感性的干预措施 数字时代的母婴互动以及健康的婴儿情绪和行为发展。