Improving Access to Early Parent Education and Support

改善早期家长教育和支持的机会

• 批准号: 7108030
• 负责人: CAROL W METZLER
• 金额: $ 19.95万
• 依托单位: IRIS MEDIA, INC.
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-05-05 至 2008-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7108030
• 关键词: Internet; behavioral /social science research tag; child psychology; child rearing; clinical research; computer assisted instruction; depression; education evaluation /planning; educational resource design /development; focus groups; human subject; income; infant human (0-1 year); interactive multimedia; mother child interaction; parents; psychological stressor; quality of life; questionnaires; satisfaction; social support network; women' s health

DESCRIPTION (provided by applicant): During the first 3 years, children's long-term developmental trajectories are established, and the quality of parenting the child receives on a daily basis profoundly influences these trajectories. The transition to parenthood is a difficult one for many parents, however, and can lead to parental stress and social isolation and to lack of parenting competence and confidence. These difficulties can then interfere with optimal social, emotional, and cognitive development in the infant and can increase risk for child maltreatment. The high cost and limited reach of home visiting and group-based parenting programs for families of infants means that most new families receive no services at all. Self-administered parenting programs offer an attractive alternative for the general population of families, including those at moderate risk. They are typically low in cost, overcome barriers to attendance at parenting groups, and have shown promising effects in increasing parents' knowledge, confidence, and skill, and in reducing their stress. Little attention has been paid, however, to the potential value of low-cost, self-administered, interactive multimedia approaches for parents of infants and toddlers. We propose to develop and evaluate an interactive video email service (IVES) for parents of infants and toddlers (IVES for the First 3 Years) that integrates automated email, video streaming, and interactive website technologies to deliver frequent, ongoing parent education and support services to parents of young children. The program will involve a series of attractive email messages that provide educational content as well as links to (a) video vignettes that model targeted skills for each topic and (b) an interactive website where parents can interact with other parents for social support, self-assess, access additional home practice activities, and access archives of topics. In Phase 1, we propose to develop and evaluate the feasibility of a 3-month prototype for parents of infants (IVES for Infants). We will evaluate the feasibility (i.e. efficacy, consumer satisfaction, and usage) of this program in a randomized controlled trial with 80 mothers of first-born infants. Mothers will be randomized to receive IVES for Infants immediately or to wait 4 months. Measures of mothers' knowledge, skills, adjustment, and social support will be obtained at baseline and at post-test, as well as measures of mothers' program satisfaction and usage. We will examine the efficacy of IVES for Infants in improving mothers' parenting knowledge, skills, social support, self- efficacy, stress, and pleasure in parenting relative to the waitlist control condition, as well as potential moderators of these effects, such as child temperament, maternal depression, and income. We will also examine the degree to which mothers use the program and are satisfied with its appeal, usefulness, relevance, and usability. This innovative IVES approach has the potential to bring evidence-based parent education and support to a broad population of new parents who would otherwise receive no services, thereby potentially increasing the prevalence of family well-being.

描述（由申请人提供）：在最初的三年中，建立了儿童的长期发育轨迹，育儿的质量每天都会深刻影响这些轨迹。然而，向父母的过渡是一个困难的父母，可能导致父母的压力和社会孤立，缺乏育儿能力和信心。这些困难可能会干扰婴儿的最佳社会，情感和认知发展，并可能增加儿童虐待的风险。针对婴儿家庭的家庭访问和基于团体的育儿计划的高成本和有限的范围意味着大多数新家庭根本没有获得任何服务。自我管理的育儿计划为普通家庭（包括处于中等风险的家庭）提供了有吸引力的替代品。他们的成本通常很低，克服了出席育儿群体的障碍，并且在增加父母的知识，信心和技能以及减轻压力方面表现出了有希望的影响。但是，很少关注低成本，自我管理，交互式多媒体方法的潜在价值。我们建议为婴儿和幼儿的父母（IVES（IVES的IVES）（IVES）（IVES）（IVES）（IVES）（IVES）（IVES）（IVES）（IVES）（IVES）（IVES）（IVES）（IVES）（IVES）（IVES）（IVES）（IVES）（IVES）（将自动化的电子邮件，视频流和互动网站技术）为幼儿的父母提供频繁的父母教育和支持服务。该计划将涉及一系列有吸引力的电子邮件，这些电子邮件提供教育内容以及（a）链接（a）为每个主题定型技能的视频小插图，以及（b）互动网站，父母可以与其他父母与其他父母进行社交支持，自我评估，访问其他家庭练习活动以及访问主题档案的互动。在第1阶段，我们建议开发和评估婴儿父母（婴儿的Ives）3个月原型的可行性。我们将与80位长子婴儿的母亲一起评估该计划的可行性（即功效，消费者满意度和用法）。母亲将被随机接收我的婴儿立即接收IVES或等待4个月。母亲的知识，技能，调整和社会支持的衡量标准将在基线和测试后进行，以及母亲的计划满意度和用法的措施。我们将研究IVES对婴儿在育儿中相对于养育术语控制状况的育儿方面的养育知识，技能，社会支持，压力和愉悦感的疗效，以及这些影响的潜在主持人，例如儿童气质，母性抑郁症和收入。我们还将研究母亲使用该计划的程度，并对其吸引力，有用性，相关性和可用性感到满意。这种创新的IVES方法有可能为众多新父母提供基于证据的父母教育和支持，否则他们将不接受任何服务，从而可能提高家庭福祉的流行。