ERIC ED361967: Maternal and Child Health Research Program: Active Projects FY 1990 and FY 1991.

264 Pages·1993·4.2 MB·English

by  ERIC

DOCUMENT RESUME
ED 361 967
EC 302 437
TITLE
Maternal and Child Health Research
Program: Active
Projects FY 1990 and FY 1991.
INSTITUTION
National Center for Education in
Maternal and Child
Health, Arlington, VA.
SPONS AGENCY
Health Resources and Services Administration
(DHHS/PHS), Rockville, MD.
Bureau of Maternal and
Child Health and Resources Development.
PUB DATE
93
CONTRACT
MCU-117007
NOTE
264p.
AVAILABLE FROM
National Maternal and Child Health
Clearinghouse,
8201 Greensboro Dr., Suite 600,
McLean, VA 22102
(single copy free).
PUB TYPE
Reports
Descriptive (141)
Reference Materials
Directories/Catalogs (132)
EDRS PRICE
MF01/PC11 Plus Postage.
DESCRIPTORS
*Child Health; *Congenital
Impairments; Epidemiology;
Federal Aid; Federal Programs; Financial
Suppo:t;
Health Services; Infants; Medicine; *Perinatal
Influences; *Pregnancy; Prenatal
Influences;
Psychology; Research and Development; *Research
Projects; Toddlers; Young Children
ABSTRACT
This publication presents information
for each of the
60 research projects active
under the support of the Maternal
and
Child Health Research Program (MCHRP)
in Fiscal Years 1990 and 1991.
The variety of research topics
and objectives pursued by the 60
investigations mirrt.rs the broad
mandate of the MCHRP as well
as the
eclectic and multidisciplinary
approaches historically used by the
Maternal and Child Health Bureau.
The projects focus on applied
research in the areas of medicine,
health services, psychology, and
epidemiology. The publication is
divided into two sections--new
and
continuation projects. Information
for each research project
generally includes the grantee,
investigator, project period,
costs,
statement of the problem, research
questions or hypotheses, study
design and methods, population
description and sampling plan,
analysis plan, and (for
new projects only) pre-award evaluation
information. A grantee index
and project index conclude the
document.
(JDD)
***********************************************************************
Reproductions supplied by EDRS
are the best that can be made
from the original document.
***********************************************************************
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AND
MATERNAL
CHILD HEALTH
RESEARCH PROGRAM
Active Projects FY 1990 and
FY 1991
Supported by
Maternal and Child Health Bureau
Health Resources and Services Administration
Public Health Service
U.S. Department of Health and Human Services
Published by
National Center for Education
in Maternal and Child Health
Arlington, Virginia
s,
CITE AS
National Center for Education in Maternal and Child Health. (1993). Maternal and Child Health
Research Program: Active Projects FY 1990 and FY 1991. Arlington, VA: National Center for
Education in Maternal and Child Health.
Maternal and Child Health Research Program: Active Projects FY 1990 and FY 1991 is not
copyrighted. Readers are free to duplicate and use all or part of the information contained in this
publication. In accordance with accepted publishing standards, the National Center for Education
in Maternal and Child Health (NCEMCH) requests acknowledgment, in print, of any information
reproduced in another publication.
The National Center for Education in Maternal and Child Health provides information services,
educational materials, and technical assistance to organizations, agencies, and individuals with
maternal and child health interests. NCEMCH was established in 1982 at Georgetown University
within the Department of Obstetrics and Gynecology. NCEMCH is funded primarily by the U.S.
Department of Health and Human Services through its Maternal and Child Health Bureau.
Published by:
National Center for Education in Maternal and Child Health (NCEMCH)
2000 15th Street North, Suite 701
Arlington, Virginia 22201-2617
[phone]
Single copies of this publication are available at no cost from:
National Maternal and Child Health Clearinghouse (NMCHC)
8201 Greensboro Drive, Suite 600
McLean, Virginia 22102
[phone], exts. 254 or 265
[phone] fax
This publication has been produced ky the National Center for Education in Maternal and Child
Health under its cooperative agreement (MCU-117007) with the Maternal and Child Health Bureau,
Health Resources and Services Administration, Public Health Service, US. Department of Health and
Human Services.
II
TABLE OF CONTENTS
Preface
vii
Program Activities
ix
Maternal and Child Health Bureau Research Grants Review
Committee Roster of MembersNovember 1991
xiii
New Grants Awarded
1
Perinatal Risks and Outcomes Among Low-Income Immigrants
3
Ruben G. Rumbaut, Ph.D. & John R. Weeks, Ph.D., San Diego State University
Iron Absorption by Infants
9
Samuel J. Fomon, M.D., University of Iowa
High-Tech Home Care for Children with Chronic Health Conditions
13
Juanita W. Fleming, Ph.D., University of Kentucky
Spouse Abuse and Pregnancy Outcomes: A Prediction Study
20
Gabriel Smilkstein, M.D., University of Louisville Research Foundation
Evaluation of the Guidelines for Maternal Transport
25
Donna M. Strobino, Ph.D., Johns Hopkins University
Behavioral and Familial Predictors of Injuries in Children
31
Penelope M. Keyl, Ph.D., Johns Hopkins University
State Census of Technology-Dependent Children
35
Judith S. Palfrey, M.D., Children's Hospital
A Parent-Focused Intervention to Reduce Pain During Procedures
40
Howard Bauchner, M.D., Trustees of Health and Hospitals of the City of Boston
Predicting Teenage Pregnancy
45
0
Joel W. Ager, Ph.D., Wayne State University
Feeding Method and Fat Tolerance in Very Low Birthweight Neonates
50
Seetha Shankaran, M.D., Wayne State University
Use of High Calcium Infant Formula to Prevent Plumbism
55
James D. Sargent, M.D., Dartmouth College
Predicting Preschool Function from Contingency Intervention
61
Michael Lewis, Ph.D. & Margaret W. Sullivan, Ph.D.
University of Medicine and Dentistry of New Jersey
Robert Wood Johnson Medical School
A Self-Management Educational Program for Severely Asthmatic Children
66
Shirley Murphy, M.D., University of New Mexico School of Medicine
Young Adult Users of Services for Children with Special Health Care Needs:
Service
Utilization, Psychological Status and Development Tasks
72
Henry T. Ireys, Ph.D., Johns Hopkins University
5
77
Improved Prenatal Detection of the Fragile X Syndrome
Edmund C. Jenkins, Ph.D. & W. Ted Brown, M.D., Ph.D.
Research Foundation for Mental Hygiene, Inc.
Effects at Age Five of an Intervention Program for Low Birthweight Infants
81
Cecelia M. McCarton, M.D., Albert Einstein College of Medicine
87
Body Composition in Pregnant Women
Sally Ann Lederman, Ph.D., Columbia University
Risk Detection Using Observations of Interaction
91
Julie A. Hofheimer, Ph.D., University of North Carolina at Chapel Hill
96
Otitis Media in Children and Later Language and Learning
Joanne Erwick Roberts, Ph.D., University of North Carolina at Chapel Hill
100
Fecal Coliforms and the Risk of Diarrhea in Child Care Centers
Jonathan B. Kotch, M.D., M.P.H., University of North Carolina at Chapel Hill
Psychosocial Sequelae of Bronchopulmonary Dysplasia and Very Low Birthweight
106
Lynn T. Singer, Ph.D., Case Western Reserve University
110
Single Parents and Early Intervention Programs: Participation and Goodness of Fit
C. Wayne Jones, Ph.D. & Donald G. Unger, Ph.D.
Philadelphia Child Guidance Center
116
Adolescent Mothering and Preschool Behavior Problems
Susan J. Spieker, Ph.D. & Robert J. McMahon, Ph.D., University of Washington
Drowning Prevention Through Swimming Lessons
121
Frederick P. Rivara, M.D., M.P.H., University of Washington
Continuation Grants
127
Health and Nutrition of U.S. Hispanic Children
129
Fernando S. Mendoza, M.D., M.P.H., Stanford University School of Medicine
Maternal Pesticide Exposure and Pregnancy Outcome
1 32
Winnie 0. Willis, Sc.D., San Diego State University
Survey of Chronically III Children's Use of Time Out of School
136
Bonnie Holaday, R.N., D.N.S. & Anne Turner-Henson, R.N., D.S.N.
University of California at San Francisco
Risk-Taking Behavior in Adolescents: Impact of Puberty
140
Charles E. Irwin, Jr., M.D., University of California at San Francisco
Laboratory Evaluation of Jaundiced Newborns: A Reevaluation
143
Thomas B. Newman, M.D., M.P.H., University of California at San Francisco
Physiologic Risk Assessments to Predict Preterm Birth
146
Denise Main, M.D., California Pacific Medical Center
Evaluation of the Implementation of the Medi-Cal Comprehensive Perinatal Services
149
Carol C. Korenbrot, Ph.D., University of California at San Francisco
iv
Effectiveness of an Urban Low, Birthweight Intervention
153
Deborah L. Coates, Ph.D., The Better Babies Project, Inc.
Interaction and Support: Mothers and Deaf Infants
157
Kathryn Meadow-Orlans, Ph.D., Gallaudet University
Reducing the Nation's Pediatric Intensive Care Mortality
160
Murray M. Pollack, M.D., Children's National Medical Center
Identification of Risk for SIDS: Subsequent Siblings
163
Alfred Steinschneider, M.D., Ph.D.
American Sudden Infant Death Syndrome Institute
An Educational Behavioral Program for PKU
166
Kimberlee Michals, Ph.D., University of Illinois at Chicago
Nature, Origins, and Consequences of Conceptions of Parenting
169
Ronald L. Simmons, Ph.D., Iowa State University
Intravenous Antibiotic Therapy in Cystic Fibrosis: Home Versus Hospital
173
William W. Waring, M.D., Tulane University School of Medicine
Smoking Cessation/Relapse Prevention in Low-Income Mothers
176
Ruth R. Faden, Ph.D., M.P.H.. Johns Hopkins University
Home Intervention for Infants with Failure to Thrive
179
Maureen Black, Ph.D., University of Maryland School of Medicine
Study of Psychosocial Factors in Maternal Phenylketonuria
183
Susan E. Waisbren, Ph.D., Boston Children's Hospital
Infants of Depressed Adolescent Mothers
186
Howard C. Bauchner, M.D., Boston City Hospital
Preconceptional Vitamin Use and Neural Tube Defects
188
Allen A. Mitchell, M.D., Trustees of Boston University
Coordinated Care and Case Management for Children with Special Health Needs
192
James M. Perrin, M.D., Massachusetts General Hospital
Early Intervention Collaborative Study: Preschool Phase
195
Jack P. Shonkoff, M.D., University of Massachusetts Medical School
Improving Memory in EMR Children
199
Hilary H. Ratner, Ph.D., Wayne State University
Outcome Evaluation of a Pediatric Health Care Model
203
Jack Elinson, Ph.D.
Medical and Health Research Association of New York City, Inc.
Determinants of Adverse Outcome Among Toddlers of Adolescent Mothers
206
Gail A. Wasserman, Ph.D., Research Foundation for Mental Hygiene, Inc.
A Multidimensional Health Status Index for Infants
211
Kenneth M. McConnochie, M.D., M.P.H.
University of Rochester School of Medicine and Dentistry
7
Study of Home Visitation for Mothers and Children
215
David L. Olds, Ph.D., University of Rochester Medical Center
Maternal Smoking and Vitamin/Antioxidant Status
220
Edward P. Norkus, Ph.D., Our Lady of Mercy Medical Center
224
Simultaneous Screening for Hearing, Speech, and Language
Raymond Sturner, M.D., Duke University Medical Center
Prediction of Outcome of Early Intervention in Failure to Thrive
227
Dennis Drotar, Ph.D., Case Western Reserve University
Otitis Media in Day Care: Effects on Language/Attention
230
Lynne V. Feagans, Ph.D., Pennsylvania State University
Behavioral Intervention with 1UGR Infants
233
Cynthia Garcia Coll, Ph.D., Women and Infants Hospital of Rhode Island
Acculturation, Psychosocial Predictors, and Breastfeeding
236
David K. Rassin, Ph.D., University of Texas Medical Branch at Galveston
Uterine Activity Patterns: Definition with Home Monitor
238
Robert K. Creasy, M.D., University of Texas Health Science Center at Houston
Sickle Cell Anemia: DNA for Newborn Screening Followup
240
Edward R. B. McCabe, M.D., Ph.D., Baylor College of Medicine
Listening Partners: Psychosocial Competence and Prevention
243
Lynne A. Bond, Ph.D., University of Vermont
Epilepsy in Pregnancy: Developmental Followup of Infants
247
Mark S. Yerby, M.D., M.P.H., University of Washington
vi
PREFACE
This publication presents information for each of the 60 research projects active under
the support of the Maternal and Child Health Research Program (MCHRP) in FY 1990 and
FY 1991. The information is presented in summary form similar to that used for a
companion publication reporting on research completed in 1989, 1990, and 1991. A quick
first reading of the summaries will reveal the variety of research topics and objectives
pursued by the 60 investigations and the diversity of research traditions represented. Such
variety mirrors the broad mandate of the MCHRP as well as the eclectic and multidisciplinary
approaches that historically have been used by the Maternal and Child Health Bureau
(MCHB) to carry out its mission. An underlying characteristic of the projects, as a group, is
the applied nature of the research. This is consistent with the mandate contained in the
amendment to Title V which established the research program in the early 1960's.
This publication is broadly divided into two sectionsnew and .continuation projects.
Within each of these two sections, projects are ordered according to grant number. The first
two digits of the grant number represent the State where the grantee institution is located
(i.e., MCJ-01 = Alabama). Thus, new and continuation projects are also arranged
alphabetically according to State.
Except for the information in the pre-award evaluation, the content of the abstracts
in the two sections is similar. The specific items of information contained within the
summaries represent requests and suggestions from intended users of the inventory, both
within and outside the Federal government. Many of these intended users are concerned
with the development of discipline-specific knowledge and with the overall technical
aspects of conducting research and interpreting research findings; .hence, the
preponderance of information on the research plan, particularly as it refers to research
design, measurement approaches, sample size, and data analysis plan.
The information in the pre-award evaluation of projects is a synthesis of the written
comments of the assigned reviewers and notes taken during the discussion that precedes
the collective recommendation of the Maternal and Child Health Review Committee.
There are several reasons why this information should be made available. First, it attests
to the significance of the research questions and the technical quality of the research
plan as judged by a panel of peers under a set of procedures that minimizes bias and
promotes fairness and objectivity in the projects selected for funding. Second, the
information in the pre-award evaluation indicates the strengths as well as the weaknesses
of the proposal. This approach, it is felt, gives a more balanced view of the nature
funded research and emphasizes that, for the most part, it is always less than perfect.
Third, the pre-award assessment information also attests to the contribution of the peer
review process to the improvement of research that ultimately is. funded. While the
criticisms and suggestions for improvement made by reviewers are not binding on the
investigators unless issued as conditions of the awards, they are usually attended to and
adopted prior to conducting the research. Fourth, the information in the pre-award
evaluation is instructive for those who practice or plan to practice the research crafts,
particularly graduate students and new doctoral-level professionals seeking to establish a
foothold in an extremely competitive field.
DR.P.H.
GONTRAN LAMBERTY,
Director, MCH Research Program
May 1, 1993
vii
PROGRAM ACTIVITIES
Program Description
The Maternal and Child Health Research Program (MCHRP) is authorized by Title V,
Section 502 (a) (1) of the Social Security Act. The program is administered by the
Division of Systems, Education and Science, Maternal and Child Health Bureau (MCHB),
Health Resources and Services Administration (HRSA). HRSA is a component of the
Public Health Service (PHS), part of the U.S. Department of Health and Human Services
(DHHS). The purpose of the program is to support applied research relating to maternal
and child health services which shows promise of substantial contribution to the
advancement of such services. Findings from the research supported by the MCHRP are
expected to have reasonable potential for transfer to health care delivery programs for
mothers and children.
Other Federal entities are active in maternal and child health research. Foremost
among them are the National Institute of Child Health and Human Development
(NICHD), the National Center for Nursing Research (NCNR), the Agency for Health Care
Policy and Research (AHCPR), and the National Institute for Mental Health (NIMH).
Because of overlapping interests, these Federal agencies maintain close contact to ensure
that duplication of efforts does not occur and that new areas of concern receive adequate
attention. Frequently, funds are merged to support research that an individual entity
might not be able to adequately fund independently, or that is of mutual interest. These
joint ventures are identified in the Grant Award Information section of the project
abstract.
Research projects are selected for support by the MCHRP using a peer review system
similar to but independent of the NIH review system. The review group is called the
Maternal and Child Health Bureau Research Grants Review Committee. It is composed of
nongovernmental experts appointed for this purpose by the Secretary of Health and
Human Services. Committee members are research scientists of national stature who
are
also experienced and knowledgeable in maternal and child health
programs. They are
selected from the fields of biostatistics, developmental psychology, epidemiology,
nursing, nutrition, obstetrics, pediatrics, sociology, social work and public health. When
the volume and/or content of the applications received for review require it, special and
collateral reviewers are used to supplement the expertise of the Review Committee.
Except for not voting, special reviewers participate in the review process in the
same
manner as appointed members of the committee. Collateral reviewers, on the other hand,
submit their reviews by mail and do not otherwise participate or vote. The roster of
reviewers active in November 1991 appears as the next section (see page xiii).
Review Results
Two hundred and fifteen (215) applications were reviewed by the
program in FY
1990 and FY 1991 (see table 1). Fifty-two, or 24.2 percent, of these applications
were
non-competing (i.e., continuations) while the remaining 163, or 75.8 percent,
were
competing applications.
Of the 163 competing applications reviewed in FY 1990 and FY 1991, 159,
or 97.5
percent, were "new," a category which includes applications submitted to the Research
ACTIVE PROJECTS FY 1990 AND FY 1991
ix
1 0