cable c hild and a dolescent b ehaviors in l ong-term e volution
DESCRIPTION
CABLE C hild and A dolescent B ehaviors in L ong-term E volution. CABLE Research Team PI : Hsing-yi Chang (張新儀) Lee-Lan Yen ( 李 蘭 ) Szu-Hsien T. Lee ( 李思賢 ) Wen-Chi Wu ( 吳文琪 ) Chi-Chen Wu (吳其臻) Yi-Chen Chiang (江宜珍). Outline. Background & Purposes Study Design - PowerPoint PPT PresentationTRANSCRIPT
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CABLEChild and Adolescent Behaviors in Long-term Evolution
CABLE Research TeamPI : Hsing-yi Chang (張新儀)
Lee-Lan Yen ( 李 蘭 ) Szu-Hsien T. Lee ( 李思賢 ) Wen-Chi Wu ( 吳文琪 ) Chi-Chen Wu (吳其臻)
Yi-Chen Chiang (江宜珍)
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Outline
Background & Purposes Study Design Work Completed in 2001~2005 Work Will Be Conducted in 2006
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Background
Childhood is an important developmental stage.
Early and successful interventions can improve children’s health behaviors and health status and can reduce social cost.
A lifestyle based study following the development of children and their health related behaviors has never previously been conducted in Taiwan.
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Datasets of Child Health in Other Countries
HBSCHealth Behavior in School-Aged Children, by WHO, Europe
NLSC National Longitudinal Survey of Children, by Canada ADD National Longitudinal Study of Adolescent Health by North Carolina, Chapel Hill YRBSS Youth Risk Behavior Surveillance System, by US, CDC
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Specific Aims
To observe the change of health behavior, health status, mental health and lifestyle of children and adolescents.
To examine the determinants of change. To differentiate the typologies of
developmental trajectories.
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Study Design (1)
Cross-sectional Longitudinal Individual Family/Group Community/Society Changeability
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Study Design (2)
Grade Elementary School Junior High Senior High
Year 1 2 3 4 5 6 7 8 9 10 11 12 13
Acco
mp
lishe
d
2001 A1 B1
2002 A2 B2
2003 A3 B3
2004 A4 B4
2005 A5 B5
Continuing
2006 A6 B6
2007 A7 B7
2008 A8 B8
2009 A9 B9
2010 A10 B10
A1-A10: The 1st cohort 2001-2010, include metropolitan and rural area;B1-B10: The 2nd cohort of 2001-2010, include metropolitan and rural area.
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Study FrameworkCross-Sectional Survey
Intrapersonal Factors
Interpersonal Factors
Organizational Factors
Health Lifestyle
Health Status
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Study FrameworkLongitudinal Follow-up
Independent VariableChild & Parental Factors
Family FactorsSchool FactorsOther Factors
Intermediate VariableTime 1 → Time 2 Intrapersonal FactorsInterpersonal Factors
Organizational Factors
Dependent VariableTime 1 → Time 2
Health LifestyleHealth Status
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Study Subjects of 2001~2004
2220
27212576 2462
1858
2499 24492172
1604
2075
0
500
1000
1500
2000
2500
3000
2001 2002 2003 2004 4 years
1st Cohort 2nd Cohort
Add new participants
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Follow-up rate
Participants in 2001as denominator
Participants in 2001as denominator
Cohort 1 Cohort 2 Cohort 1 Cohort 2
2001 N=2255 N=2075
2002 N=2773 N=2545
2003
2004
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Field Survey, 2001-2006
Student name list
Inform consent
Subject name list
School survey--Student--Parent
Check name list
Cohort 1& 22001-2002
Rearrange name list
Mail survey--Student--Parent
Mail survey-Student
Cohort 22004
Cohort 22006
Rearrange name list
Cohort 1& 22001-2006
Rearrange name list
Website survey
--Student
Cohort 22005
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Study Instruments &Data Collection
Intrapersonal Factors
Interpersonal Factors
Organizational Factors
Health Lifestyle
Health Status
CABLE Questionnaires
Students+Parents +Teachers
School Health Records
School & Community Profiles
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CABEL QuestionnaireStudent Version
For 1st – 3rd graders Animal & Plant Version
For 4th graders and older students Student Version
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Contents of Student Version
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Previous Achievements (I) Development of Positive Health Behaviors
Sun protecting behavior is the lowest from 2001 to 2004 and decline annually.
For cohort 2, most behaviors have increased before 2003, but decreased at 2004.
Development of Negative Health Behaviors Staying up late, eating before sleeping, and using vulgar
language are increased annually. For cohort 2, destroying public property are increased.
Some Health Behaviors aggregated together.
(邱靜如, 2003 ;吳文琪, 2005 )
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Previous Achievements (II) Correlates of health behaviors
Student’s and parent’s characteristics, family interaction, school’s characteristics, community’s characteristics.
Correlates of suicide ideation living in Taipei, using substance frequently, higher
degree of depression, older mother, being punished frequently, lower family support, and girl with higher social loneliness
Correlates of internal mental health student’s sex, family relationship, family conflict, school
attachment
(怜燕、李蘭、吳文琪、江宜珍, 2002 ;陳如毓, 2002 ;邱靜如, 2003 ;林芳美 2003 ;江宜珍, 2003 ;陳俐婷, 2003 ; 吳其臻, 2003 ; 張弘潔, 2004 ; Szu-Hsien Lee, Lee-Lan Yen, and Li-Ting Chen, 2004 ;高啟賢, 2004 ;傅建泰 2004 ; 吳文琪, 2005 )
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Results Disseminationfrom 2001 to 2004
Annual reports Annual Report 2001 has been published Annual Report 2002 has been published Annual Report 2003-2004 has been published
2002 CABLE conference Reference for parents Application of CABLE questionnaires
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Presentations and Publications from 2001 to 2004 (I)
Conference papers 2002 ISHPA (2) 2002 APA (1 paper) 2002 TPA (1 paper) 2002-2004 APHA (8 papers) 2004 First Conference on Statistical Methodology
(1 paper) 2004 TPHA Annual Meeting (3 papers) 2005 Biennial Meeting of SRCD (1 paper)
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Paper Writing & Publishing from 2001 to 2004 (II)
Journal Article Yen LL, Chen L, Lee SH, Hsiao C, Pan LY. IUHP
E- Promotion and Education 2002; Suppl. 1: 33- 40.
Lee SH, Yen LL, Cheng LT. J Med Sci 2004; 24(4): 185-190.
江宜珍 , 吳肖琪 , 李蘭 . 台灣衛誌 2005. (printed) 3 papers submitted
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Professional Training 2001-2005
Master Doctor
2001
2002
2003
2004
2005
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CABLE’s Websitehttp://cable.nhri.org.tw/
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Data collection in 2006
Sixth graders (1st cohort) Subjects: Students + Parents Field survey at 19 primary schools in 2 area School health records transcribing
Ninth graders (2nd cohort) Subjects: Students Field survey at 27 junior high schools Mail survey and internet survey for those who
didn’t attend major those junior high schools
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Major focus of 2006
Childhood overweight/obesity Mental health Effect of physical punishment Aggressive and addictive behavior Emerging issues
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Data analysis in 2006
Cross-sectional and Longitudinal Analysis Multiple linear and logistic regression Multilevel analysis Structure equation model Latent growth curve model
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Data Released
A data-releasing guideline was drawn-up at 2003 October.
Data of 2001 & 2002 were released. 1 foreign scholar and 3 domestic researchers
are analyzing the data. The dataset of 2003 will be released in 2006.
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CABLE’s Website in 2006
Maintain CABLE website Access the effectiveness of CABLE website
for retrieving participants who didn’t be interviewed in school.
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Significance
The findings of CABLE will generate a dataset for observing the development of child and adolescent in Taiwan.
According to the evidence based information from CABLE, related agencies can develop supporting and learning programs to improve child health.