Strengthening Families Program Online for Teens and Families

青少年和家庭在线加强家庭计划

• 批准号: 10157194
• 负责人: KAROL L. KUMPFER
• 金额: $ 68.21万
• 依托单位: STRENGTHENING FAMILIES PROGRAM, LLC
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-04-01 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10157194
• 关键词: Address; Adherence; Behavior; Behavioral; Benchmarking; Child; Child Rearing; Cognitive; Communication; Comprehension; Computers; Control Groups; Cost Savings; Cultural Diversity; Data Analyses; Decision Making; Development; Drug Prevention Program; Drug Targeting; E-learning; Educational Curriculum; Effectiveness; Ensure; Environment; Family; Feedback; Focus Groups; Food; Fostering; Goals; Home; Human Resources; Instruction; Internet; Interview; Learning; Logistics; Marketing; Measures; Mediating; Methods; Modeling; Monitor; Online Systems; Outcome; Parents; Participant; Peer Pressure; Performance; Pharmaceutical Preparations; Phase; Plague; Prevention; Primary Prevention; Problem Solving; Production; Program Effectiveness; Provider; Public Health; Randomized; Randomized Controlled Trials; Recipe; Research; Resources; Risk Factors; Rural; Scientist; Services; Small Business Innovation Research Grant; Social Interaction; Systems Theory; Techniques; Technology; Teenagers; Testing; Time; Training; Training Programs; Waiting Lists; Youth; adolescent alcohol and drug use; attentional control; base; behavior change; cognitive testing; commercialization; community based participatory research; control trial; cost; cost effective; design; digital; efficacy testing; evidence base; flexibility; follow-up; formative assessment; implementation fidelity; informant; insight; interactive multimedia; next generation; novel; online course; online version; preservation; program costs; programs; prototype; randomized trial; recruit; remote delivery; scaffold; skills; skills training; social; social skills; stress reduction; theories; trial comparing; usability; web site; web-accessible

ABSTRACT In this Phase II SBIR we provide an integrated platform of research and commercialization activities to develop, implement, and evaluate a 10-session entertaining web-based family skills training and youth drug prevention program derived from the evidence-based Strengthening Families Program (SFP Online). The proposed research builds off of Phase I mixed-methods formative evaluation that led to the development of a single session prototype. In Phase II we extend these efforts to develop a scalable, accessible and affordable skills training program with wider reach that can be remotely delivered to families. Traditional facilitator-led group programs are costly and labor intensive; and research consistently documents numerous barriers to their widespread availability. Making family skills training programs affordable and providing alternative delivery mechanisms is required for wide spread dissemination of effective primary prevention efforts. Computer- mediated ‘digital’ environments provide alternative means of program delivery when they can preserve implementation fidelity of the program’s active ingredients, avoid program drift, and ensure high adherence. This was the main goal of our Phase I activities and a major concern in the alpha prototype development. Toward this end, we engaged participatory action research conducting focus groups with targeted consumers (parents and youth), key informant interviews conducted with family service agency providers who would champion the program, and interviewed experts in e-learning and prevention scientists. We then used this information to produce a novel interactive, multimedia web-based version of SFP. We also conducted extensive post-production usability testing. In Phase II we propose to test the full beta version of SFP Online with all 10 sessions, using a mini module format (multiple sessions delivered weekly) in a longitudinal three- condition randomized control trial (SFP Online, attention control Home-use DVD/videos, and wait-listed minimal-contact control condition). We will conduct extensive cognitive pretesting of the online curriculum materials for ease of comprehension, acceptance, engagement, gaming attractiveness, and cultural diversity. We also propose testing durable effects using a short-longitudinal 3-month follow-up. Additional analyses will examine moderators of program outcomes including measures of engagement (i.e., session exposure, performance criteria, and usage metrics), to determine factors that facilitate or inhibit program effectiveness. Using a three-condition non-inferiority trial, we will then contrast SFP Online program outcomes with (1) attention control Home-use DVD/videos outcomes and, (2) traditional 14-session group-classroom facilitator- led program outcomes. Comparison of the effect sizes between the three conditions can yield important information about whether interactivity achieves superior program outcomes. The long-range goals of this proposal are to create a viable commercialization platform to extend the reach of family-based skills training, while also bringing an affordable product to those in greatest need.

抽象的 在第二阶段 SBIR 中，我们提供了一个研究和商业化活动的综合平台 开发、实施和评估为期 10 节的娱乐性网络家庭技能培训和青少年毒品培训 预防计划源自循证强化家庭计划（SFP Online）。 拟议的研究建立在第一阶段混合方法形成性评估的基础上，该评估导致了 在第二阶段，我们扩展了这些努力，以开发可扩展的、可访问的和负担得起的。 覆盖范围更广的技能培训计划，可以远程向家庭提供传统辅导员主导的培训计划。 团体项目成本高昂且劳动强度大；并且研究记录了其实施过程中存在的诸多障碍。 广泛提供家庭技能培训计划并提供替代性培训 需要建立机制来广泛传播有效的初级预防工作。 当媒介“数字”环境能够保存时，它们提供了替代的节目交付方式 程序有效成分的执行保真度，避免程序漂移，并确保高依从性。 这是我们第一阶段活动的主要目标，也是 alpha 原型开发的主要关注点。 为此，我们进行了参与式行动研究，与目标消费者进行焦点小组讨论 （父母和青少年），与家庭服务机构提供者进行的关键知情人访谈，他们将 支持该计划，并采访了电子学习专家和预防科学家，然后我们使用了该计划。 我们还利用信息来制作新颖的交互式多媒体网络版本的 SFP。 在第二阶段，我们建议测试 SFP Online 的完整测试版。 所有 10 个课程，使用迷你模块格式（每周提供多个课程），纵向三- 条件随机对照试验（SFP Online、注意力控制家用 DVD/视频和等候名单 最小接触控制条件）我们将对在线课程进行广泛的认知预测试。 易于理解、接受、参与、游戏吸引力和文化多样性的材料。 我们还建议使用为期 3 个月的短期纵向随访来测试持久效果。 检查计划成果的调节因素，包括参与程度（即会议曝光度、 性能标准和使用指标），以确定促进或抑制计划有效性的因素。 然后，我们将使用三条件非劣效性试验，将 SFP Online 计划结果与 (1) 进行对比 注意力控制 家用 DVD/视频成果以及 (2) 传统的 14 节课小组课堂辅导员 比较这三种情况的效果大小可以产生重要的结果。 有关交互性是否实现卓越计划成果的信息。 建议创建一个可行的商业化平台，以扩大基于家庭的技能培训的范围， 同时还为最需要的人提供价格实惠的产品。