Using Baby Books to Promote Maternal and Child Health

描述（由申请人提供）：这是一项申请，旨在进行一项随机研究，研究通过使用婴儿书籍提供有关儿童发育和育儿信息的成本效益。这些书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，将增加母亲的知识，典型的儿童发展，儿童安全和有效的养育。此外，图书分享的过程，加上现实的发展观，预计将改善亲子互动。结合起来，增加的知识和改善的互动预计将有助于改善儿童的身体健康（如免疫接种的坚持，典型的增长，减少事故/急诊室访问，增加认知/语言发展），改善产妇的结果（如减少压力，增加自我效能和享受），并增加刺激和环境的适当性。 通过利用三组随机设计，我们将比较儿童和母亲的结果之间的那些谁收到预期的指导书籍，那些谁收到商业儿童书籍没有预期的指导或根本没有书籍。这将允许分析教育干预的效果以及从仅仅阅读到儿童的效果。数据收集将在20个月内分7波进行，首次怀孕的母亲在怀孕的第三个月被招募，并一直跟踪到孩子18个月大。三组之间的所有数据收集程序和时间均相同。我们计划使用分析技术来补偿差异损耗，并检查相关假设的增长曲线差异。最后，这项研究是一项低技术干预，很容易扩大到国家一级。

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.