Graff J Carolyn, Bush Andrew J, Palmer Frederick B, Murphy Laura E, Whitaker Toni M, Tylavsky Frances A
Professor, College of Nursing, Chief of Nursing, Boling Center for Developmental Disabilities, University of Tennessee Health Science Center 711 Jefferson Avenue, Memphis, TN 38105.
Professor Emeritus, Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, TN.
Res Nurs Health. 2017 Aug;40(4):323-340. doi: 10.1002/nur.21798. Epub 2017 Apr 18.
Mothers' interactions with their young children have predicted later child development, behavior, and health, but evidence has been developed mainly in at-risk clinical samples. An economically and racially diverse sample of pregnant women who were not experiencing a high-risk pregnancy were recruited to participate in a community-based, longitudinal study of factors associated with child cognitive and social-emotional development during the first 3 years. The purpose of the present analysis was to identify associations between the characteristics of 1125 mothers and their 1-year-olds and the mothers' and children's scores on the Nursing Child Assessment Teaching Scale (NCATS). A multivariable approach was used to identify maternal and child characteristics associated with NCATS scores and to develop prediction models for NCATS total and subscale scores of mothers and children. Child expressive and receptive communication and maternal IQ, marital status, age, and insurance predicted NCATS Mother total score, accounting for 28% of the score variance. Child expressive communication and birth weight predicted the NCATS Child total score, accounting for 4% of variance. Child's expressive communication and mother's IQ and marital status predicted NCATS mother-child total scores. While these findings were similar to reports of NCATS scores in at-risk populations, no previous teams examined all of the mother and child characteristics included in this analysis. These findings support the utility of the NCATS for assessing mother-child interaction and predicting child outcomes in community-based, non-clinical populations. © 2017 Wiley Periodicals, Inc.
母亲与幼儿的互动能够预测孩子日后的发育、行为和健康状况,但相关证据主要来自处于风险中的临床样本。我们招募了经济和种族背景各异、未经历高危妊娠的孕妇样本,参与一项基于社区的纵向研究,该研究关注孩子出生后头3年里与认知和社会情感发展相关的因素。本分析的目的是确定1125名母亲及其1岁孩子的特征与母亲和孩子在《护理儿童评估教学量表》(NCATS)上的得分之间的关联。我们采用多变量方法来确定与NCATS得分相关的母婴特征,并为母亲和孩子的NCATS总分及分量表得分建立预测模型。孩子的表达性和接受性沟通能力以及母亲的智商、婚姻状况、年龄和保险类型能够预测NCATS母亲总分,解释了得分方差的28%。孩子的表达性沟通能力和出生体重能够预测NCATS儿童总分,解释了4%的方差。孩子的表达性沟通能力以及母亲的智商和婚姻状况能够预测NCATS母子总分。虽然这些发现与处于风险人群中NCATS得分的报告相似,但之前没有团队考察过本分析中包含的所有母婴特征。这些发现支持了NCATS在评估社区非临床人群中母婴互动及预测孩子结局方面的效用。© 2017威利期刊公司