Efficacy of Family Programs for Improving Child and Family Health and Development.

家庭计划对改善儿童和家庭健康与发展的功效。

• 批准号: 9412181
• 负责人: Julia Braungart-Rieker
• 金额: $ 62.42万
• 依托单位: UNIVERSITY OF NOTRE DAME
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-01-11 至 2021-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9412181
• 关键词: Address; Affective; Age; Age-Months; Area; Behavior; Caregivers; Characteristics; Child; Child Health; Child Rearing; Clinical Trials Design; Communication; Communities; Competence; Conflict (Psychology); Couples; Development; Effectiveness; Effectiveness of Interventions; Elements; Emotional; Ethnic Origin; Evaluation; Exposure to; Family; Family Relationship; Family health status; Father-Child Relations; Fathers; Feedback; Goals; Home environment; Infant; Intervention; Link; Literature; Longitudinal Studies; Mediating; Mental Health; Modeling; Mothers; Only Child; Outcome; Parents; Pattern; Phase; Preventive Intervention; Problem behavior; Process; Public Health; Randomized; Randomized Clinical Trials; Recording of previous events; Research; Risk; Role; Sampling; Security; Stress; System; Temperament; Testing; Time; Translating; Work; anxiety symptoms; anxious; base; caregiving; conflict resolution; cost effective; depressive symptoms; early childhood; early experience; experience; family structure; foster child; improved; infancy; infant temperament; intervention program; lower income families; programs; recruit; skills; social; social skills; success; therapy design; virtual

Project Summary Preventative interventions involving video-feedback programs to promote parenting (VIPP; Juffer et al., 2008) have been shown to be successful in improving maternal sensitivity and infant-mother attachment security (Bakermans-Kranenberg et al., 2008). However, interventions might be substantially more effective if broader elements of family systems were also addressed, including father-child and inter-parental relationships, particularly given the growing body of evidence that highlights the importance of father involvement and positive engagement in children's socio-emotional development. Infancy is a particularly sensitive and vulnerable period not only for the child but also for the parents who often experience heightened daily stress, parenting demands, work-family role strain, and inter-parental discord associated with changes in the family (Feeney et al., 2001).The proposed longitudinal study addresses major gaps by testing the effectiveness of family-wide preventative interventions designed to promote healthy development and functioning in infants, mothers, and fathers, including low-income families. This three-phase study involves a rigorous randomized clinical trial (RCT) approach and will involve a demographically diverse sample of 400 families. Phase I involves a lab and home pre-test (infants 6 months of age) and 8-week intervention period; Phase II (12 months) includes an initial post-test, and Phase III (16-18 months) involves a second post-test. Families will be randomly assigned to one of four conditions: sensitivity intervention (SI), couples intervention (CI), both (SI + CI) or control. Specific aims of the study include: (1) An evaluation of the effectiveness of the SI, CI, and SI+CI interventions at improving parental sensitivity, parental efficacy, parenting stress, inter-parental conflict, infant affective development, attachment security, behavior problems, and socio-emotional competence; (2) A test of the mechanisms through which change in behavior occurs. For example, relations between SI participation in Phase I and child attachment in Phase III may be mediated by enhanced parent sensitivity in Phase II. Relations between CI participation and child outcomes may be mediated by inter-parental functioning and more effective communication skills; (3) An examination of factors that moderate the effectiveness of the interventions, determining which families benefit the most. Potential moderators include demographic characteristics, family (dis)organization, parents' own caregiving history, parents' depressive and anxious systems, and infant negative temperament; (4) Mother-father comparisons on direct effects, mediating mechanisms and moderating processes. This study builds upon past research towards increasing children's emotional security in multiple family relationships by testing new directions in preventative interventions in infancy, addressing the mother-child, father-child, and mother-father relationships. The goal is to foster children's socio-emotional development and security through cost-effective family-wide interventions in infancy that promote sensitive parent-infant interactions and improved inter-parental communication.

项目摘要 预防性干预措施涉及促进育儿的视频反馈计划（Vipp; Juffer等，2008） 已被证明在提高母体敏感性和婴儿母亲的依恋安全方面已成功 （Bakermans-Kranenberg等，2008）。但是，如果更广泛的话，干预措施可能会更有效 还解决了家庭系统的元素，包括父子和父母之间的关系， 特别是考虑到越来越多的证据强调了父亲参与的重要性和 积极参与儿童社会情感发展。婴儿期特别敏感， 脆弱的时期不仅适合孩子，而且对于经常经常遇到日常压力加重的父母， 育儿需求，工作家庭角色压力以及与家庭变化相关的父母互不和谐 （Feeney等，2001）。拟议的纵向研究通过测试的有效性解决了主要差距 旨在促进婴儿健康发展和功能的家庭范围的预防性干预措施， 母亲和父亲，包括低收入家庭。这项三相研究涉及严格的随机性 临床试验（RCT）方法，将涉及400个家庭的人口统计学样本。第一阶段 涉及实验室和家庭预测试（婴儿6个月大）和8周的干预期；第二阶段（12 几个月）包括初始测试后，第三阶段（16-18个月）涉及第二次测试。家庭会 随机分配给四个条件之一：灵敏度干预（SI），夫妻干预（CI），两者（SI +） CI）或控制。该研究的具体目的包括：（1）评估SI，CI和SI+CI的有效性 提高父母敏感性，父母疗效，育儿压力，父母冲突，婴儿的干预措施 情感发展，依恋安全，行为问题和社会情感能力； （2）测试 行为发生变化的机制。例如，SI参与之间的关系 I阶段和第三阶段的儿童依恋可能是通过II阶段增强的母体灵敏度介导的。 CI参与与儿童结局之间的关系可能是由育种功能和 更有效的沟通技巧； （3）检查适度有效性的因素 干预措施，确定哪些家庭受益最大。潜在的主持人包括人群 特征，家庭（DIS）组织，父母自己的照料历史，父母的沮丧和焦虑 系统和婴儿负面气质； （4）关于直接效果的母亲比较，调解 机制和调节过程。这项研究以过去的研究为基础 通过测试预防干预措施的新方向，在多个家庭关系中的情感安全 婴儿期，向母子，父子和母亲关系讲话。目标是养育 儿童的社会情感发展和安全性，通过在婴儿期成本效益的家庭干预措施 这促进了敏感的父母互动并改善了父母的互动。