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Sunday, November 1, 2009
Learning Objective 1: discuss health disparities of American Indians related to prematurity and identify how factors (i.e., parenting) may impact infant development.
Learning Objective 2: discuss previous findings of American Indian and African American parenting.
Introduction: American Indians experience higher rates of prematurity than Whites. Despite the high rates of prematurity in American Indians, few studies have examined American Indian mothers’ parenting of their premature infants. Parenting quality plays an important role in infant development, and it may impact the developmental outcomes experienced by these infants. Thus, the purpose of this study is to determine the parenting behaviors of Lumbee Indian mothers and their premature infants and to compare their behaviors with those of African American mothers and their premature infants at 3, 6, and 12 months corrected age. A second aim is to explore Lumbee Indian mothers’ perceived experience of the birth and hospitalization of their premature infant and their experience of parenting a premature infant.
Methods: Using a longitudinal exploratory design, mother-infant interactions will be examined in a sample of 95 biological mothers and their prematurely born infants. Thirty mothers who self-identify as Lumbee and their infants will be recruited for the study, and de-identified data on 65 African American mothers and their infants will be obtained from a previously conducted study (2001 – 2007, R01 NR05263). A sample of 30 Lumbee mothers and their premature infants was based on the number of premature births per year to Lumbee mothers at a NICU most likely to be used by them. Initial contact will be made with the Lumbee mother during the infant’s hospitalization or during an early visit to the pediatrician to collect enrollment information using the demographic questionnaire. The HOME Inventory will be administered and videotapes obtained during home visits at 3, 6, and 12 months corrected age. An audiotaped semistructured interview will be conducted during the home visit at 3 and 12 months corrected age.
Methods: Using a longitudinal exploratory design, mother-infant interactions will be examined in a sample of 95 biological mothers and their prematurely born infants. Thirty mothers who self-identify as Lumbee and their infants will be recruited for the study, and de-identified data on 65 African American mothers and their infants will be obtained from a previously conducted study (2001 – 2007, R01 NR05263). A sample of 30 Lumbee mothers and their premature infants was based on the number of premature births per year to Lumbee mothers at a NICU most likely to be used by them. Initial contact will be made with the Lumbee mother during the infant’s hospitalization or during an early visit to the pediatrician to collect enrollment information using the demographic questionnaire. The HOME Inventory will be administered and videotapes obtained during home visits at 3, 6, and 12 months corrected age. An audiotaped semistructured interview will be conducted during the home visit at 3 and 12 months corrected age.