Online Post-Placement Training for Special Needs Adoptive and Kinship Parents

为特殊需要的收养和亲属父母提供在线安置后培训

• 批准号: 8451335
• 负责人: Richard J. Delaney
• 金额: $ 54.15万
• 依托单位: NORTHWEST MEDIA, INC.
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-06 至 2016-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8451335
• 关键词: 10 year old; Address; Adopted; Adoption; Age; Area; Attitude; Behavior; Caring; Case Study; Child; Child Behavior; Cicatrix; Complex; Custom; Data; Drama; Educational process of instructing; Educational workshop; Effectiveness; Emotional; Exercise; Failure; Family; Feedback; Feeling; Fostering; Internet; Intervention; Knowledge; Lead; Learning; Measures; Mental Health; Online Systems; Outcome; Outcome Measure; Parent-Child Relations; Parenting behavior; Parents; Participant; Phase; Polishes; Population Study; Problem Solving; Problem behavior; Process; Questionnaires; Randomized; Reading; Recipe; Recommendation; Recording of previous events; Relative (related person); Research; Resources; Risk; Role; Sampling; Series; Software Design; Specialist; Staging; Strategic Planning; Stress; Testing; Text; Time; Training; Training Support; Trauma; Work; adopted child; base; clinical practice; design; expectation; experience; externalizing behavior; follow-up; foster child; foster parent; improved; innovation; insight; interactive multimedia; lectures; maltreated children; meetings; patient home care; programs; psychologic; response; severe behavior problem; skills; sound; stem; success; theories

DESCRIPTION (provided by applicant): In this revised Phase II, the project will develop and evaluate a set of five online training workshops designed to help foster-adoptive and kinship parents safely and empathically understand and reduce externalized behavior problems of children ages 3-10 in their care, following and throughout their placement. The training incorporates emerging theory about complex trauma and its relationship to the cardinal behavior problems of maltreated children in kinship and adoptive families. The proposed training series will address these issues by combining recommendations for intervention by the National Child Trauma Stress Network with a proven-effective approach titled Nurturing Parent Program. Each workshop uses an externalized behavior problem as a portal for parents to explore the historical and psychological basis of their child's problem; to examine and alter their non-empathic, unrealistic parent attitudes and expectations; and to learn how to effectively parent the child. The workshops are driven by a custom-designed software engine developed in Phase I that incorporates "serious game" features and 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 interactive multimedia format for the parent workshop. Parents made significant gains in knowledge and confidence from pre- to post-test, and the gains were maintained at the 3-month follow-up assessment. Many adoptive and kinship parents find themselves feeling isolated, abandoned, and challenged by a child with severe behavior problems. Unfortunately, this is a recipe for the dissolution, disruption, or displacement of the adoption, along with a lifetime of emotional scars for the child and family. Children's behavioral problems also place them at risk of re-abuse in out-of-home care. Unlike any comparable resource, the proposed workshops have the potential of creating a paradigmatic shift in clinical practice by providing innovative online training and support specifically designed for post-placement families with children with special needs. Each workshop will be individually evaluated with a sample of post-placement families. Core outcome measures are a standardized part of the Nurturing Parent Program. In addition, we will assess changes in child externalized behavior problems. Outcomes will also be assessed at a 3-month follow-up.

描述（由申请人提供）：在修订后的第二阶段，该项目将开发和评估一组五个在线培训研讨会，旨在帮助寄养和亲属父母安全、同理心地理解和减少 3-10 岁儿童的外在行为问题在他们的照顾、安置之后以及整个安置过程中。该培训结合了有关复杂创伤及其与亲属和收养家庭中受虐待儿童的主要行为问题的关系的新兴理论。拟议的培训系列将通过将国家儿童创伤压力网络的干预建议与名为“培育家长计划”的行之有效的方法相结合来解决这些问题。每个工作坊都以外化的行为问题作为家长探索孩子问题的历史和心理基础的门户；检查并改变他们缺乏同理心、不切实际的父母态度和期望；并学习如何有效地养育孩子。研讨会由第一阶段开发的定制设计软件引擎驱动，该引擎融合了“严肃游戏”功能，并自动无缝集成媒体组件，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。第一阶段的结果为家长研讨会的交互式多媒体格式的有效性提供了支持。从测试前到测试后，家长在知识和信心方面取得了显着的进步，并且在 3 个月的后续评估中保持了这种进步。许多养父母和亲属父母发现自己感到孤立、被遗弃，并受到有严重行为问题的孩子的挑战。不幸的是，这会导致收养关系的瓦解、破坏或流离失所，并给孩子和家庭带来终生的情感创伤。儿童的行为问题也使他们面临在家庭外护理中再次受到虐待的风险。与任何类似的资源不同，拟议的研讨会有可能通过提供专门为有特殊需要儿童的安置后家庭设计的创新在线培训和支持，在临床实践中创造范式转变。每个研讨会都将通过安置后家庭的样本进行单独评估。核心成果衡量标准是培育父母计划的标准化部分。此外，我们还将评估儿童外化行为问题的变化。还将在 3 个月的随访中评估结果。