BABIES CANT WAIT--PROGRAM EVALUATION

描述（改编自研究者摘要）： 项目是评估社区教育的有效性， 干预，婴儿不能等待，在影响母亲的行为， 在婴儿18个月大时改善婴儿的预后。 家庭 访问的重点是针对婴儿年龄和儿童需要的活动。 家庭，包括：（1）教母亲互动和刺激 她的婴儿，与语言刺激的强烈强调; 2）教母亲 关于婴儿正常发育的知识; 3）通过 访问者的角色模型; 4）审查儿童安全问题; 5）审查 免疫接种时间表和良好儿童护理的重要性;以及，6） 提供适合年龄的书籍和玩具。 该计划的目的是 降低婴儿死亡率和发病率，提高入学准备。 一 病例对照设计，包括80名婴儿的母亲参加了 婴儿不能等待和80个控制，从同一个社区招募， 匹配母亲教育和医疗补助状况，以及婴儿性别和年龄 采用了 研究人员将评估1）父母婴儿的素质 母婴二元体的相互作用; 2）认知和社会，语言和 婴儿的身体发育; 3）家庭环境的质量 婴儿使用标准化的仪器，通常用于评估早期 干预方案，NCATS，HOME，ELMS，BINS，沿着人口和 拟人数据 使用多变量分析，研究人员预计 发现婴儿不能等待的参与者会有更好的结果 这些措施比控制。 此外，在区域范围之外， 允许调查人员计划跟踪这两组儿童， 5岁就准备上学。 从项目中获得的知识将 为进一步的早期干预研究和改善 可以推广到其他美国社区的计划。

DESCRIPTION (Adapted from the Investigator's Abstract): The goal of the project is the evaluate the effectiveness of a community based educational intervention, Babies Can't Wait, in effecting mothers' behaviors and improving infant outcomes when the infants are 18 months old. The home visits focus on activities specific to the age of the infant and needs of the family, including: 1) teaching mothers to interact with and stimulate her infant, with a strong emphasis on verbal stimulation; 2) teach mother about normal infant development; 3) teach parenting skills to mother by the role modeling of the visitor; 4) review childhood safety issues; 5) review immunization schedules and the importance of well child care; and, 6) provide age appropriate books and toys. The intent of the program is to reduce infant mortality and morbidity and improve readiness for school. A case control design that includes 80 infants whose mothers enrolled in Babies Can't Wait and 80 controls, recruited from the same community, matched on maternal education and Medicaid status, and infant gender and age is used. The investigators will assess 1) qualities of parent infant interaction of maternal infant dyads; 2) cognitive and social, language and physical development of infants; and, 3) qualities of the home environment of infants using standardized instruments commonly used in evaluating early intervention programs, NCATS, HOME, ELMS, BINS, along with demographic and anthropomorphic data. Using multivariate analysis, the investigators expect to find that participants in Babies Can't Wait will have better outcomes on these measures than the controls. In addition, beyond the scope the AREA grant the investigators plan to follow both groups of children and assess readiness for school at age 5. The knowledge obtained from the project will provide a base for further early intervention research and for improved programs that can be generalized to other U.S. communities.