This study will explore the transition to motherhood in urban adolescent mothers attending a large urban high school with a parent support program and a school-based child care center. The first study aim is to examine the relationships among maternal variables including personal resources of the student-mothers, perceived environmental sources of stress and support, and outcome variables, including student-mothers' parental competence and child health and developmental outcomes. The second study aim is to compare maternal outcomes (student-mothers' school attendance, grades, patterns of continued enrollment or graduation from high school, and repeat childbearing) between a group of student-mothers with children enrolled in the school- based child care center and a group of student-mothers with children receiving other forms of child care. A volunteer paid convenience sample of 25-30 student mothers with children enrolled in the center and 25-30 student mothers with children not enrolled in the center will be recruited to join the study. Infants' maternal grandmothers will also be enrolled in the study. Associations will be tested, using a multi-variate transition to motherhood model similar to that proposed by Belsky (1984) between maternal independent variables including personal resources (Beck Depression Inventory and Rosenberg Self Esteem Scale), environmental variables (Norbeck Social Support Questionnaire and Life Event Questionnaire, involvement and use of the school-based child care center or child care provided by other sources, and involvement and self esteem [Rosenberg Self Esteem Scale] of the infant's maternal grandmother), and outcome variables including parental competence (Maternal Self Report Inventory, Parenting Daily Hassles Scale, Ages and Stages Questionnaire, Nursing and Child Assessment Teaching Scale) and child developmental and health outcomes (Bayley Scales of Infant Development and pediatric health record review). The two groups will be compared with respect to school attendance, grades, school continuation or completion, repeat child bearing patterns, and health status of the children. This preliminary study will allow for determination of effects and calculation of effect size in variables in the model, and may also begin to demonstrate the effectiveness of school-based child care centers in providing child care, and in enhancing parental competence and school success of adolescents who become mothers during their high school years.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Academic Research Enhancement Awards (AREA) (R15)
Project #
1R15HD039170-01
Application #
6159191
Study Section
Nursing Research Study Section (NURS)
Program Officer
Bachrach, Christine
Project Start
2000-08-01
Project End
2003-07-31
Budget Start
2000-08-01
Budget End
2003-07-31
Support Year
1
Fiscal Year
2000
Total Cost
$163,500
Indirect Cost
Name
Yale University
Department
Type
Schools of Nursing
DUNS #
082359691
City
New Haven
State
CT
Country
United States
Zip Code
06520
Meadows-Oliver, Mikki; Sadler, Lois S (2010) Depression among adolescent mothers enrolled in a high school parenting program. J Psychosoc Nurs Ment Health Serv 48:34-41
Ryan-Krause, Patricia; Meadows-Oliver, Mikki; Sadler, Lois et al. (2009) Developmental status of children of teen mothers: contrasting objective assessments with maternal reports. J Pediatr Health Care 23:303-9
Meadows-Oliver, Mikki; Sadler, Lois S; Swartz, Martha K et al. (2007) Sources of stress and support and maternal resources of homeless teenage mothers. J Child Adolesc Psychiatr Nurs 20:116-25
Sadler, Lois S; Swartz, Martha K; Ryan-Krause, Patricia et al. (2007) Promising outcomes in teen mothers enrolled in a school-based parent support program and child care center. J Sch Health 77:121-30
Sadler, Lois S; Swartz, Martha K; Ryan-Krause, Patricia (2003) Supporting adolescent mothers and their children through a high school-based child care center and parent support program. J Pediatr Health Care 17:109-17