Online Training for Resource Parents of Substance-Exposed Children

为物质暴露儿童的资源家长提供在线培训

• 批准号: 8550800
• 负责人: Richard J. Delaney
• 金额: $ 58.43万
• 依托单位: NORTHWEST MEDIA, INC.
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-30 至 2015-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8550800
• 关键词: Address; Adopted; Adoption; Affect; Area; Attitude; Awareness; Behavioral; Birth; Caring; Case Study; Child; Child Behavior; Child Development; Cicatrix; Complex; Control Groups; Custom; Drama; Drug Exposure; Drug abuse; Education; Educational Intervention; Educational workshop; Effectiveness; Emotional; Empathy; Exercise; Exposure to; Family; Feedback; Fostering; Home environment; Infant; Internet; Intervention; Knowledge; Learning; Measures; Mental Health; Online Systems; Outcome; Parent-Child Relations; Parenting behavior; Parents; Participant; Pharmaceutical Preparations; Phase; Play; Problem Solving; Problem behavior; Process; Readiness; Reading; Recipe; Research; Resources; Role; Schedule; Services; Software Design; Specialist; Staging; Strategic Planning; Substance abuse problem; Testing; Text; Time; Training; Work; adopted child; base; care systems; comparison group; design; expectation; follow-up; foster parent; improved; innovation; insight; interactive multimedia; lectures; meetings; prenatal exposure; programs; prospective; response; satisfaction; skills; theories; usability; willingness

DESCRIPTION (provided by applicant): While foster-adoptive parents receive some rudimentary training just prior to or in the early months following adoption finalization, many stil harbor unrealistic expectations about adoption and are unaware of the severe behavioral problems they may encounter, no less the role that exposure to substance abuse may play in the child's development. Our Phase II project will develop and evaluate a comprehensive self-directed online workshop designed to help foster- adoptive and kinship families better understand how to parent children who were exposed prenatally to parental substance abuse and/or grew up in a home endangered by drug abuse. The training is based on the TIES (Training, Intervention, Education, and Services) program developed at UCLA to help prepare prospective adoptive parents to understand the complex relationship of birth parent drug abuse to children's subsequent functioning; to develop greater empathy towards and cooperation with birth parents through greater understanding; and to effectively address children's ongoing emotional and behavioral issues related to parental substance abuse. The workshop consists of viewing highly interactive multimedia material and participating in collaborative workshop exercises that are flexibly scheduled. In addition to the workshop developed in Phase I on Substance-Exposed Infants, we will produce four interlinked training workshops in Phase II: The Child with Substance Exposure and Drug Endangerment, TIES Omnibus Workshop, Special Issues, and Intro to Parenting Approaches. Currently, there is no other comparable resource available for post-permanency (foster-adoptive and kinship) parents that provides proven-effective, interactive multimedia learning via the web. Post- permanency training is also inadequate for kinship parents who are characteristically undertrained and undersupported by the care system. Unfortunately, this is a recipe for the disruption or dissolution of a placement, leading to a lifetime of emotional scars for the child and family. Our approach uses the web as a training resource to deliver innovative training material about children who are substance exposed or drug endangered. The workshops are driven by a custom-designed software engine developed by Northwest Media, Inc. that automates and seamlessly integrates media components, including video, audio, text, interactive exercises, individualized response exercises, and a participant discussion board. Results in Phase I provided support for the effectiveness of the online workshop format. Parents in the treatment group made significantly greater gains from pre- to posttest in knowledge and attitudes towards substance-exposed children than either the comparison or control group; and also greater gains in preparedness, attitudes towards substance-abusing parents, and openness to fostering than the control group. User satisfaction and usability ratings were robust for the treatment group. In Phase II, we will assess changes from pre- to posttest over the entire intervention, as well as 3 months following the posttest. Phase II will assess parent knowledge, attitudes, preparedness, willingness to adopt, and parents' follow-through on adopting.

描述（由申请人提供）：虽然寄养父母在收养最终确定之前或之后的最初几个月接受了一些基本培训，但许多人仍然对收养抱有不切实际的期望，并且没有意识到他们可能遇到的严重行为问题，尤其是接触药物滥用可能对儿童的发育产生影响。我们的第二阶段项目将开发和评估一个全面的自主在线研讨会，旨在帮助寄养家庭和亲属家庭更好地了解如何养育那些在产前接触过父母药物滥用和/或在有药物滥用危险的家庭中长大的孩子。该培训以加州大学洛杉矶分校开发的 TIES（培训、干预、教育和服务）计划为基础，旨在帮助未来的养父母了解亲生父母滥用药物与儿童后续功能之间的复杂关系；通过加深理解，与亲生父母建立更多的同理心和合作；并有效解决儿童因父母滥用药物而持续出现的情绪和行为问题。该研讨会包括观看高度互动的多媒体材料和参加灵活安排的协作研讨会练习。除了第一阶段针对接触药物的婴儿举办的研讨会外，我们还将在第二阶段举办四个相互关联的培训研讨会：接触药物和药物危害的儿童、TIES 综合研讨会、特别问题和育儿方法介绍。目前，还没有其他类似的资源可以为永久（寄养和亲属）父母提供通过网络提供行之有效的交互式多媒体学习。对于亲属父母来说，永久性培训也是不够的，因为他们的特点是培训不足且得不到照料系统的支持。不幸的是，这会导致安置的中断或解散，给孩子和家庭带来终生的情感创伤。我们的方法使用网络作为培训资源，提供有关接触物质或受到毒品危害的儿童的创新培训材料。这些研讨会由 Northwest Media, Inc. 开发的定制设计软件引擎驱动，该引擎可自动且无缝集成媒体组件，包括视频、音频、文本、互动练习、个性化响应练习和参与者讨论板。第一阶段的结果为在线研讨会形式的有效性提供了支持。与比较组或对照组相比，治疗组的父母从测试前到测试后在对接触物质的儿童的知识和态度方面取得了显着更大的进步；与对照组相比，在准备工作、对滥用药物的父母的态度以及对寄养的开放性方面也取得了更大的进步。治疗组的用户满意度和可用性评级非常强劲。在第二阶段，我们将评估整个干预期间以及测试后 3 个月内测试前到测试后的变化。第二阶段将评估父母的知识、态度、准备情况、收养意愿以及父母收养的后续情况。