Testing cross-generational effects of the Raising Healthy Children intervention

测试“养育健康儿童”干预措施的跨代效应

基本信息

批准号：
10653123
负责人：
JENNIFER A BAILEY
金额：
$ 30.69万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-07-15 至 2024-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10653123
关键词：
21 year old Academic skills Acceleration Achievement Adult Adult Children Age Area Biological Caregivers Characteristics Child Child Rearing Childhood Control Groups Costs and Benefits Data Data Collection Developmental Delay Disorders Economics Education Enrollment Exhibits Family Generations Health Heavy Drinking Intervention Link Long-Term Effects Longterm Follow-up Mate Selections Mediation Mediator Mental Health Modeling Parents Participant Pediatrics Performance Personal Satisfaction Problem behavior Public Health Publishing Quasi-experiment Reporting Research Personnel Schools Social Development Testing Time Violence Youth antisocial behavior anxiety symptoms comparison control depressive symptoms early pregnancy elementary school experience follow-up graduate school group intervention high school improved intergenerational intervention effect intervention participants longitudinal design next generation novel offspring parent project positive youth development preventive intervention prospective reduced substance use substance use teacher universal prevention young adult

项目摘要

In recent decades, researchers have developed an array of tested-effective and promising universal, school- and family-based preventive interventions, such as Raising Healthy Children (RHC), that reduce substance use and other problem behaviors and promote positive youth development. The Seattle Social Development Project (SSDP) is a quasi-experimental test of RHC, a school-based, universal preventive intervention delivered in elementary school (Grades 1 – 6). SSDP has followed participants (n = 808) from elementary school through age 39 (1985 – 2014; 15 data collections; 88% retention). Follow-up data show that the RHC intervention demonstrated long-term benefits for participants' health and well-being into adulthood, including lowered rates of mental health problems, heavy alcohol use, antisocial behavior, and early pregnancy, as well as higher educational attainment. Many youth who experienced the RHC preventive intervention as part of the SSDP later became parents. Known associations exist between parental mental health, substance use, antisocial behavior, and academic attainment and their children's functioning. The fact that RHC showed long-term benefits in these areas raises the exciting possibility that benefits experienced by intervention participants may echo into the next generation. This three year R01 project will analyze existing prospective data linking 2 generations from SSDP and SSDP-The Intergenerational Project (SSDP-TIP), which followed up SSDP participants and their children. SSDP-TIP began in 2002 when SSDP participants were about 27 years old, and included those SSDP participants who had become parents, the oldest biological child with whom they had regular contact, and a second caregiver who shared responsibility for raising the child, when present. New families were enrolled in the study as SSDP participants became parents for the first time. SSDP-TIP data were collected repeatedly between 2002 and 2018 (10 data collections, n = 426 families). Offspring ranged between ages 4 and 29 years (M = 17.2, SD = 6.1) in 2018. Of the SSDP parents participating in TIP, 79 received the RHC intervention in grades 1-6 (full intervention), 141 received the intervention in grades 5-6 only (late intervention), and 121 were in the control group. Prior analyses published in JAMA: Pediatrics demonstrated cross-generational intervention effects. The offspring of RHC intervention participants in the full intervention group were less likely to exhibit a range of developmental delays at ages 1- 5, had lower levels of teacher-rated behavior problems and higher levels of teacher-rated academic skills and performance (ages 6-18), and were less likely to report substance use by age 18. The proposed project will expand on these groundbreaking findings by (Aim 1) testing long-term effects of the RHC intervention on parenting practices and mate selection, (Aim 2) testing cross-generational effects of the intervention among young adult offspring (ages 18-25), and (Aim 3) testing hypothesized mechanisms of long-term and cross- generational intervention effects.

近几十年来，研究人员开发了一系列经过测试的有效和有望普遍的学校和家庭的预防干预措施，例如抚养健康的孩子（RHC），以减少用途和其他问题行为并促进青年积极发展。西雅图社交开发项目（SSDP）是对RHC的准实验测试，这是一项基于学校的普遍预防性在小学（1 - 6年级）进行的干预措施。 SSDP跟随参与者（n = 808）至39岁的小学（1985 - 2014年； 15个数据收集；保留88％）。后续数据显示 RHC干预措施表现出对参与者的健康和福祉的长期利益，包括降低的心理健康问题率，大量饮酒，反社会行为和早期怀孕以及高等教育。许多经历了RHC预防性的青年干预作为SSDP的一部分，后来成为父母。父母心理之间存在已知的联想健康，药物使用，反社会行为和学术成就以及他们的孩子的功能。 RHC在这些领域表现出长期的好处，这增加了令人兴奋的可能性干预参与者可能会回应下一代。这个三年R01项目将分析现有从SSDP和SSDP链接2代的前瞻性数据 - 代际项目（SSDP-TIP），跟进SSDP参与者及其子女。 SSDP-TIP始于2002年SSDP参与者大约27岁，包括那些成为父母的SSDP参与者，是最古老的亲生孩子与他们定期联系的人和第二个负责抚养孩子责任的看护人，在场时。当SSDP参与者首次成为父母时，新家庭入学了。在2002年至2018年之间反复收集了SSDP-TIP数据（10个数据收集，n = 426个家庭）。后代在2018年的4至29岁之间（M = 17.2，SD = 6.1）。参与提示，有79在1 - 6年级的RHC干预（完整干预）中，141收到了对照组的干预仅为5 - 6年级（晚期干预）和121年。事先发表的分析在JAMA中：儿科表现出跨代干预效果。 RHC干预的后代全面干预组的参与者不太可能在1--年龄表现出一系列发育延迟。 5，教师等级的行为问题较低，教师评价的学术技能较高，并且绩效（6-18岁），不太可能在18岁之前报告物质使用。拟议的项目将通过（AIM 1）测试RHC干预对这些开创性发现的结果扩展育儿实践和伴侣的选择，（目标2）测试干预措施的跨代作用年轻的成人后代（18-25岁），以及（目标3）测试长期和跨度的假设机制世代干预效果。