Web-based Parenting Intervention for Mothers of Infants At-Risk for Maltreatment

针对面临虐待风险的婴儿母亲的基于网络的育儿干预

• 批准号: 8042418
• 负责人: Kathleen M Baggett
• 金额: $ 63.22万
• 依托单位: OREGON RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-28 至 2014-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8042418
• 关键词: Address; Attention; Attitude; Behavioral; Budgets; Child; Child Abuse and Neglect; Child Behavior; Clinical Trials Design; Communication; Communities; Comprehension; Computer software; Computers; Conflict (Psychology); Cost Analysis; Cost-Benefit Analysis; Development; Drug usage; Early treatment; Economics; Educational Intervention; Effectiveness; Electronic Mail; Electronics; Emotional; Enrollment; Ethnic Origin; Evaluation; Evidence based intervention; Experimental Designs; Face; Failure; Family; Foundations; Funding; Grant; Head Start Program; Income; Infant; Infant Behavior; Infant Development; Internet; Intervention; Kansas; Knowledge; Language; Language Tests; Latino; Learning; Life; Linguistics; Location; Low income; Maintenance; Maternal Behavior; Measures; Mental Health; Mental Health Services; Monitor; Mono-S; Mothers; Multimedia; Online Systems; Oregon; Outcome; Parent-Child Relations; Parenting Education; Parenting behavior; Parents; Participant; Policies; Population; Population Heterogeneity; Poverty; Process Measure; Psychopathology; Randomized; Randomized Controlled Trials; Readiness; Recruitment Activity; Relative (related person); Research; Risk; Rural; Sampling; Schools; Services; Social support; Special Education; Substance abuse problem; Technology; Telephone; Testing; Time; Training; Training Programs; Training Support; Translations; Variant; Video Recording; Work; abstracting; arm; base; cohort; computer network; computer program; cost; depressive symptoms; digital; early childhood; experience; family structure; follow-up; improved; infancy; innovation; intervention effect; laptop; maltreatment; member; peer; primary outcome; programs; response; rural area; satisfaction; skills; social; tool; trend

DESCRIPTION (provided by applicant): Web-based Parenting Intervention for Mothers of Infants at Risk for Maltreatment Project Summary/Abstract 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. Prior developmental R34 research ("Infant Net") successfully adapted and pilot tested an existing empirically proven parenting program, for delivery via the Internet, enhanced with weekly professional contact. This research provided 40 mothers of infants 3.5 to 7 months (at enrollment) with a computer, computer camera, Internet connection, and technical training/support for 6 months to evaluate the digital translation. Mother-infant dyads were randomized to Experimental or Computer/Control conditions. Results found significant change with infant-behavioral and positive trends were demonstrated in parenting behaviors. Mothers rated the both computer program and interaction with coaches to be very high. These encouraging developmental research results provide a very good empirical base for a fully powered randomized control trial to test effectiveness. In its developmental current form, Infant Net successfully delivered the PALS program to mothers in English. In the current study, we seek to broaden our scope to include monolingual Spanish-speaking Latino families. Using the existing Spanish-language translation of the PALS program as a foundation, we will develop a culturally and linguistically appropriate Infant Net-Spanish intervention delivery tool. In this proposed application using an experimental design, we will evaluate the impact of the interactive Internet parent training intervention as compared to control. After recruiting from Early Head Start program in rural and urban Oregon and Kansas, 200 English- and Spanish-speaking mothers (in 4 cohorts) 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 randomized control trial design will test the effectiveness of an Internet parenting intervention in effecting parenting behavior. PUBLIC HEALTH 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 child maltreatment in low-income, culturally diverse, families.

描述（由申请人提供）：针对患有虐待项目的婴儿的母亲的基于Web的育儿干预措施摘要/居住在贫困的婴儿的摘要父母大大增加了许多有害后果的风险，包括儿童行为问题的发展，忽视和虐待儿童，儿童学习，童年的学习问题和父母的药物问题。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Internet的计算机网络的兴起，现在有机会对农村地区的结果和远程联系进行此类监控。事先发展的R34研究（“婴儿网”）成功适应并进行了试验测试了现有的经验证明的育儿计划，以通过互联网交付，并通过每周的专业联系增强。这项研究为40个婴儿母亲提供了3.5至7个月（在入学率上），并提供了6个月的计算机，计算机相机，互联网连接和技术培训/支持，以评估数字翻译。母亲二元组被随机分配到实验或计算机/对照条件下。结果发现，在育儿行为中证明了婴儿行为和积极趋势的显着变化。母亲将计算机计划和与教练的互动评为很高。这些令人鼓舞的发展研究结果为一项完全动力的随机控制试验提供了一个很好的经验基础，以测试有效性。婴儿网络以其发育当前的形式成功地将PALS计划交付给了母亲的英语。在当前的研究中，我们试图扩大范围，以包括说西班牙语的拉丁裔家庭。我们将使用现有的西班牙语译本作为基础，我们将在文化和语言上开发适合婴儿的净 - 西班牙净干预工具。在使用实验设计的拟议应用程序中，我们将评估与对照相比的交互式互联网父母培训干预措施的影响。从俄勒冈州农村和俄勒冈州和堪萨斯州的Urban and Thear招募的招聘后，有200名说英语和西班牙语的母亲（以4个同龄人为单位）将被随机分为干预或计算机控制条件。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。拟议的随机控制试验设计将测试互联网育儿干预对育儿行为的有效性。 公共卫生相关性：这种创新的基于互联网的家长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，以减少低收入，文化多样的家庭中儿童虐待的机会。