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Moderation of adverse childhood experiences with support for protective child experiences


Our study is a secondary data analysis of The Family Map Inventory (FMI) linked to Arkansas All-Payer Claims (APCD) health insurance data. The FMI is a validated survey system designed to strengthen parent-provider relationships in ECE serving children birth to age 5 years. The FMI includes items that have been validated as an early screen for ACEs (FMI- ACEs). The FMI includes an array of candidate items for the development of an FMI-PCEs scale using the Health Outcomes for Positive Experiences (HOPE) framework. FMI items represent 3 of the 4 HOPE categories: supportive relationships; safe/stable environment; and social integration.

Our objective is to construct FMI-PCEs as productive targets for ECE intervention. For the proposed study, using 15 years FMI data, we will examine the association of FMI-ACEs and FMI-PCEs with healthcare utilization and chronic conditions (e.g., asthma and ADHD) among EHS/HS children. Our central hypotheses are that PCEs reduce the risk of ACEs; ACEs elevates the risk of adverse health outcomes; and PCEs moderate the adverse health risks of ACEs. (author abstract)

Resource Type:
Administration for Children and Families/OPRE Projects
Principal Investigator(s):
United States
State(s)/Territories/Tribal Nation(s):

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