Dworkin P H, Allen D, Geertsma A, Solkoske L, Cullina J
Pediatrics. 1987 Aug;80(2):196-202.
We conducted a prospective, controlled study to evaluate the value of discussing developmental stages with mothers while providing anticipatory guidance during health maintenance visits. Eighty-three inner city mothers and their healthy, first-born infants were recruited within three days of birth and randomly assigned to either a control or intervention group. All mother-infant pairs were seen by the same pediatric provider for health maintenance visits when the infants were 2 weeks, 2 months, 4 months, and 6 months of age. At each visit, anticipatory guidance for all mothers included discussions of such age-appropriate issues as nutrition, safety, sleep, and common problematic behaviors. For the 39 intervention group mothers, the basis for such information was explained through age-specific discussions of affective, cognitive, and physical development. Dependent variables measured after the 6-month visit included maternal-infant interaction; maternal perceptions of infant temperament, family adaptation and adjustment, and satisfaction with the infant's behavior and development; and maternal satisfaction with pediatric services. Analyses of variance demonstrated no significant effect of treatment group on any of the outcome measures. These results do not support the importance of routinely discussing developmental stages during anticipatory guidance and suggest that specific, age-appropriate issues may be discussed without emphasizing the developmental basis for such information.
我们进行了一项前瞻性对照研究，以评估在健康维护访视期间向母亲讨论发育阶段并提供预期指导的价值。83名市中心区的母亲及其健康的头胎婴儿在出生后三天内被招募，并随机分为对照组或干预组。当婴儿2周、2个月、4个月和6个月大时，所有母婴对均由同一名儿科医生进行健康维护访视。每次访视时，对所有母亲的预期指导包括讨论营养、安全、睡眠和常见问题行为等适合该年龄段的问题。对于39名干预组母亲，通过针对情感、认知和身体发育的特定年龄讨论来解释此类信息的依据。6个月访视后测量的因变量包括母婴互动；母亲对婴儿气质、家庭适应和调整的看法，以及对婴儿行为和发育的满意度；以及母亲对儿科服务的满意度。方差分析表明，治疗组对任何一项结果指标均无显著影响。这些结果不支持在预期指导期间常规讨论发育阶段的重要性，并表明可以在不强调此类信息的发育基础的情况下讨论特定的、适合年龄的问题。
