First-Time Parent Interactive Parenting Intervention

首次家长互动育儿干预

• 批准号: 7035423
• 负责人: EDWARD GUSTAV FEIL
• 金额: $ 30.13万
• 依托单位: OREGON RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-03-10 至 2008-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7035423
• 关键词: Internet; behavior therapy; behavioral /social science research tag; child abuse; child psychology; child rearing; clinical research; clinical trials; drug abuse prevention; early /brief intervention /therapy; educationally disadvantaged; health care service availability; human subject; infant human (0-1 year); interview; low socioeconomic status; maternal behavior; mental disorder prevention; mental health counseling; method development; mother child interaction; patient oriented research; personality; psychosocial service; rural health; social support network; telecommunications; therapy design /development; training; violence prevention

DESCRIPTION (provided by applicant): Parents of infants living in poverty are at significantly elevated risk of a host of detrimental outcomes, including the development of child behavior problems, neglect and abuse of children, child learning problems and parental substance abuse. Research has found that early interventions to improve parenting practices were effective to ameliorate these outcomes. Yet, there exist major obstacles to the effective delivery of mental health services, particularly in rural areas. The need of rural families for mental health services is reaching crisis proportions due to the dearth of trained professionals. In addition, the meteoric rise of Internet use has created a new avenue for people to communicate and share ideas. These two trends are helping fuel the demand for mental health services and on-line support. Internet programs can be interactive and provide social support from peers and professionals. Through the use of recent advances in multimedia technology and software as well as the rise of computer networking via the Internet, there now exists an opportunity to provide such monitoring of outcomes and remote contact for rural locations This R34 proposal aims to adapt and pilot test an existing empirically proven parenting program, for delivery via the Internet, enhanced with weekly professional contact. This exploratory research project will provide parents of infants 3.5 to 7 months (at enrollment) with a computer, "eyeball" computer camera, Internet connection, and technical training/support for 6 months to evaluate the digital translation. This system would enable Parent Coaches to make treatment decisions with objective data, as well as provide outcomes assessment from remote research sites. Using an experimental design we will evaluate the impact of the interactive Internet parent training intervention as compared to usual-care (control). After recruiting from Early Head Start program in rural Oregon and Kansas, 40 families will be randomized to either the intervention or computer-control conditions. Parent coaches will make weekly, phone calls and email to assist parents with the use of the computer and questions/concerns about the program. Parenting practices will serve as the primary outcome. The proposed design will provide important practical information about the feasibility and effectiveness of an Internet parenting intervention in effecting parenting behavior. Relevance: This innovative interactive Internet-based parent education intervention will help serve to promote the social-emotional development and communication skills of infants to decrease the chances of psychopathology and increase school readiness of children from low-income families.

描述（由申请人提供）：生活在贫困中的婴儿父母的危害率显着升高，包括发展儿童行为问题，忽视和虐待儿童，儿童学习问题和父母的药物滥用的风险。研究发现，改善育儿实践的早期干预措施可有效改善这些结果。然而，有效提供精神卫生服务，特别是在农村地区，存在着主要的障碍。由于训练有素的专业人员的缺乏，农村家庭对精神卫生服务的需求处于危机比例。此外，互联网使用的快速崛起为人们提供了新的途径，以供人们交流和分享想法。这两个趋势正在帮助推动对心理健康服务和在线支持的需求。互联网程序可以是互动的，并提供同行和专业人士的社会支持。通过使用多媒体技术和软件的最新进展，以及通过互联网的计算机网络的兴起，现在有机会提供对结果的监控和农村地区的远程联系，该R34提案旨在调整和飞行员测试现有的经验证明的育儿计划，通过互联网进行交付，并通过每周专业的专业接触增强。该探索性研究项目将为婴儿的父母提供3.5至7个月（在入学率上），“眼球”计算机摄像头，互联网连接以及6个月的技术培训/支持，以评估数字翻译。该系统将使家长教练能够通过客观数据做出治疗决策，并提供远程研究站点的结果评估。使用实验设计，我们将评估与常规护理（对照）相比，交互式互联网父母培训干预措施的影响。从俄勒冈州农村和堪萨斯州农村的早期开始计划招募后，将有40个家庭随机分配给干预措施或计算机控制条件。家长教练将每周拨打电话和电子邮件，以协助父母使用计算机，并提出有关该程序的问题/疑虑。育儿实践将作为主要结果。拟议的设计将提供有关互联网育儿干预对育儿行为的可行性和有效性的重要实用信息。相关性：这种创新的基于互联网的互联网父母教育干预措施将有助于促进婴儿的社会情感发展和沟通能力，以减少心理病理学的机会并增加低收入家庭的儿童的学校准备。