Department of Psychology, University of Pittsburgh, Pittsburgh, USA.
Department of Psychology, Arizona State University, Tempe, AZ, USA.
Prev Sci. 2020 May;21(4):456-466. doi: 10.1007/s11121-020-01096-5.
Child birth order (CBO) in the family has received little attention in the field of prevention science. CBO is relevant to early interventionists from a public health perspective, as the most widely disseminated home-visiting program has traditionally targeted mothers and their first-born children. The current paper revisits a previous publication by Shaw et al. (2009) on the effectiveness of the Family Check-Up (FCU) to evaluate CBO (firstborn vs. middle vs. youngest) as a moderator of treatment effects of the FCU in relation to improvements in parenting, maternal depressive symptoms, and child outcomes from ages 2 to 4 in a sample of low-income, ethnically diverse families (N = 709) with multiple children. Results suggest that the FCU elicited improvements in observed parenting from ages 2 to 3 primarily for target children who were the youngest or middle children, but not for firstborns. Findings are discussed in the context of implications for prevention science research, dissemination, and public policy.
家庭中的生育顺序（CBO）在预防科学领域很少受到关注。从公共卫生的角度来看，CBO 与早期干预者有关，因为传统上最广泛传播的家访计划针对的是母亲及其第一胎孩子。本文重新审视了 Shaw 等人（2009 年）之前关于家庭检查（FCU）有效性的出版物，以评估 CBO（头胎、二胎、三胎）作为 FCU 治疗效果的调节剂，以改善育儿、产妇抑郁症状和 2 至 4 岁儿童的结果，研究对象是来自低收入、种族多样化家庭（N=709）的多个孩子。结果表明，FCU 主要针对最小或中间的孩子，而不是头胎，从 2 岁到 3 岁提高了观察到的育儿效果。研究结果在预防科学研究、传播和公共政策方面的意义进行了讨论。
