Parent training for parents of toddlers born very premature: A factorial design to test web delivery and telephone coaching

针对早产儿父母的家长培训：测试网络交付和电话辅导的析因设计

基本信息

批准号：
10307289
负责人：
Susan M Breitenstein
金额：
$ 67.42万
依托单位：
OHIO STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-01 至 2026-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10307289
关键词：
2 year old Address Adolescence Adult Age Aggressive behavior Area Attention Behavior Behavioral Birth Brain Brain region COVID-19 pandemic Caring Chicago Child Child Behavior Child Rearing Childhood Clinic Data Development Developmental Delay Disorders Discipline Dose Early Intervention Educational Intervention Effectiveness Emotional Environmental Risk Factor Exhibits Family Frequencies Gestational Age Goals Gold Health Promotion Hybrids Impairment Individual Infant Internet Interruption Intervention Learning Literature Logistics Medical Mental Health Methods Midwestern United States National Institute of Child Health and Human Development Neonatal Intensive Care Outcome Parents Persons Population Prefrontal Cortex Premature Birth Prevention Problem behavior Randomized Regulation Reporting Research Research Design Research Priority Resources Risk Self Efficacy Services Social Functioning Sum System Technology Telephone Testing Time Toddler Training Training Programs Transportation Waiting Lists acceptability and feasibility active control aged base behavioral health behavioral outcome design digital digital delivery digital mental health effective therapy evidence base experience follow-up high risk improved improved functioning non-compliance novel peer personalized approach premature preventive intervention programs psychologic psychosocial adjustment public health priorities recruit response service delivery skills social social factors socioeconomics telephone coaching

项目摘要

PROJECT SUMMARY/ABSTRACT Childhood behavior problems are a top mental and public health priority. Problem behavior such as aggression, defiance, and noncompliance emerge as early as 2 years of age and can persist through adolescence and adulthood leading to long term functional and psychological maladjustment. Children born very premature (VPT; gestational age at birth < 32 weeks) are twice as likely to demonstrate behavioral problems as their peers. Despite the risk and occurrence of behavior problems in the VPT population, early intervention tends to focus on treatment of developmental delays with very few resources for parents to manage behavior issues. Behavioral parent training (BPT) is an effective treatment for families of children with problem behaviors. However, little is known about the use of BPT programs for former VPT infants with their unique medical, developmental, and psychological risk profiles. In addition, system and individual barriers effect parent access and engagement in BPT. In an effort to address tailored needs of these families and service barriers, BPT delivery via digital applications and engagement strategies like telephone coaching calls can provide accessible and tailored approaches to support parents of young children. Currently, there is no effective, accessible BPT intervention for former VPT infants. The purpose of the study, “Parent training for parents of toddlers born very premature: A factorial design to test web delivery and telephone coaching” is to develop a new, accessible and effective form of BPT delivery to address the unmet and unique needs of parents of VPT children. The BPT program proposed in this study is an adaptation of the evidence-based based Chicago Parent Program (CPP) called the ezParent. The study design is a factorial design to test a hybrid approach of digital ezParent and telephone coaching calls. Coaching calls are meant to reinforce parent learning and support tailoring strategies to their child’s developmental level and needs. Parent and child (aged 20-30 months corrected) dyads will be recruited from two Midwest NICU follow up clinics within Chicago, IL and Columbus, OH. Parents (n=220) will be randomized to one of four conditions: (1) ezParent+coach, (2) ezParent, (3) Active Control+coach, or (4) Active Control. We will test the independent and combined effects of ezParent and coaching calls on parent and child outcomes. We will evaluate the differences in ezParent dose and engagement with and without coaching calls. Parent and child data will be assessed at baseline, and 3-, 6- and 12-months post baseline. Providing low intensity, digitally delivered interventions has the potential for influencing engagement and address challenges in service delivery for parents of VPT children at higher risk for behavioral problems and with elevated behavior problems.

项目概要/摘要儿童行为问题是首要的心理和公共卫生问题，例如问题行为。攻击性、反抗和不服从早在 2 岁时就已出现，并可能持续到青春期和成年期导致长期功能和心理失调的儿童。极早产（VPT；出生胎龄 < 32 周）表现出行为问题的可能性是其两倍尽管 VPT 人群存在行为问题的风险和发生，但早期干预往往侧重于发育迟缓的治疗，而父母却很少有资源管理行为问题的家长培训 (BPT) 是治疗患有此类疾病的儿童家庭的有效方法。然而，对于以前 VPT 婴儿及其行为的 BPT 计划的使用知之甚少。独特的医疗、发育和心理风险状况此外，还有系统和个人障碍。影响家长参与 BPT，努力满足这些家庭的具体需求和服务障碍、通过数字应用程序提供 BPT 以及电话辅导等参与策略可以提供方便且量身定制的方法来支持幼儿的父母。为以前的 VPT 婴儿提供有效、方便的 BPT 干预本研究的目的是“针对 VPT 的家长进行培训”。早产儿的父母：测试网络交付和电话辅导的析因设计”是开发一种新的、可访问的和有效的 BPT 交付形式，以满足未满足的和独特的需求 VPT 儿童的父母。本研究中提出的 BPT 计划是基于证据的芝加哥家长的改编名为 ezParent 的计划（CPP）是一种析因设计，旨在测试数字化混合方法。 ezParent 和电话辅导电话辅导电话旨在加强家长的学习和支持。根据孩子的发展水平和需求定制策略。父母和孩子（20-30 个月大）已更正）将从伊利诺伊州芝加哥和哥伦布的两个中西部 NICU 随访诊所招募双人组，哦。家长 (n=220) 将被随机分配到以下四种情况之一：(1) ezParent+coach，(2) ezParent，(3) Active Control+coach，或（4）Active Control 我们将测试ezParent和组合的效果。我们将评估 ezParent 剂量和儿童结果的差异。将在基线、3、6 和 3 小时评估家长和孩子的参与度。基线后 12 个月。提供低强度、数字化的干预措施有可能影响参与度和解决为行为问题风险较高的 VPT 儿童父母提供服务的挑战，行为问题增多。