Crossman Morgan K, Warfield Marji Erickson, Kotelchuck Milton, Hauser-Cram Penny, Parish Susan L
General Academic Pediatrics, Massachusetts General Hospital for Children and Harvard Medical School, 125 Nashua St - Suite #860, Boston, MA, USA.
Nathan and Toby Starr Center on Intellectual and Developmental Disabilities, Heller School for Social Policy and Management, Brandeis University, Waltham, MA, USA.
Matern Child Health J. 2018 Apr;22(4):599-607. doi: 10.1007/s10995-018-2429-x.
Objectives To examine the association between intensity of home visits in early intervention (EI), perceived helpfulness of home visits in EI, and positive family relationships as predictors of maternal competence at age 3, as well as moderating effects of predictors, controlling for child characteristics, family demographics, and negative life events. Methods Data were drawn from the Early Intervention Collaborative Study (EICS), a 24-year longitudinal investigation of approximately 190 families of children with developmental disabilities who participated in EI programs in Massachusetts and New Hampshire. The primary analytic strategy was multivariable regression modeling. Each independent predictor was tested individually and then all together to build the final model. Interactions between independent predictors were also examined. Results After controlling for child and family characteristics and negative life events, the intensity of home visits was not significantly associated with maternal competence at age 3. However, the helpfulness of home visits (β = 2.94, S.E. = 1.12, p < .01) and positive family relationships (β = 5.11, S.E. = 1.08, p < .001) were associated with higher maternal competence when the child was 3 years old. Conclusions for Practice Recommendations for programs and policy include collecting life course data on families, particularly on their family relationships and experiences in EI and home visiting, assessing family relationships at the beginning of EI using a strengths-based perspective, and closely monitoring the quality of services.
研究早期干预（EI）中家访强度、EI 家访的感知帮助程度以及积极的家庭关系作为 3 岁时母亲能力预测因素之间的关联，以及预测因素的调节作用，同时控制儿童特征、家庭人口统计学和负面生活事件。方法：数据来自早期干预协作研究（EICS），这是一项对马萨诸塞州和新罕布什尔州约 190 个发育障碍儿童家庭进行的为期 24 年的纵向调查，这些家庭参与了 EI 项目。主要分析策略是多变量回归建模。每个独立预测因素先单独测试，然后一起测试以构建最终模型。还检查了独立预测因素之间的相互作用。结果：在控制儿童和家庭特征以及负面生活事件后，家访强度与 3 岁时的母亲能力无显著关联。然而，家访的帮助程度（β = 2.94，标准误 = 1.12，p <.01）和积极的家庭关系（β = 5.11，标准误 = 1.08，p <.001）与孩子 3 岁时母亲更高的能力相关。实践结论：对项目和政策的建议包括收集家庭的生命历程数据，特别是关于他们在 EI 和家访中的家庭关系和经历，从基于优势的角度在 EI 开始时评估家庭关系，并密切监测服务质量。
