Parent-Adolescent Interpersonal Processes in the Science of Behavior Change

行为改变科学中的父母-青少年人际关系过程

• 批准号: 9918676
• 负责人: Allison G Harvey
• 金额: $ 16.65万
• 依托单位: UNIVERSITY OF CALIFORNIA BERKELEY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-08-01 至 2019-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9918676
• 关键词: 18 year old; Address; Adherence; Adolescence; Adolescent; Aftercare; Behavior; Behavioral; Biological Assay; Caregivers; Child; Child Rearing; Circadian Rhythms; Code; Coercion; Conflict (Psychology); Couples; Data; Development; Elements; Exhibits; Fostering; Frequencies; Funding; Health behavior; Health behavior change; Household; Individual; Intervention; Learning; Life; Measures; Mediating; Mediator of activation protein; Medical; Medicine; Methods; Motivation; National Institute of Child Health and Human Development; Outcome; Parents; Patient Self-Report; Process; Psychological reinforcement; Regimen; Research; Risk; Science; Sleep; Sleep Disorders; Taxonomy; Techniques; Teenagers; Testing; Time; Training; Youth; actigraphy; behavior change; design; improved; inclusion criteria; novel; parental role; primary outcome; recruit; repository; secondary outcome; sex; skills; sleep behavior; theories; therapy design

Abstract Responding to RFA-RM-17-028, this R21 seeks to examine a novel interpersonal target; namely, parent-teen conversations about teen health behavior change. The scientific premise is that parents have profound impacts on teen risk and vulnerability. Yet parents receive minimal training in the elements of conversations that optimally inspire their children toward engaging in healthy behaviors. A theoretically grounded and reliable taxonomy of behavior change techniques (BCTs) will be used to scientifically derive the conversational elements, or micro-mechanisms, that reduce parent-teen coercion and conflict and facilitate upward spirals of healthy behavior change. We build on a recently completed NICHD-funded R01, in which a behavioral medical regimen to promote engagement in healthy sleep behaviors improved sleep and reduced risk on selected outcomes among 10-18 year olds. This behavioral medical regimen is delivered via 6 individually administered 50 minute sessions, known as the Transdiagnostic Intervention for Sleep and Circadian Rhythms (TranS-C). During the conduct of this research a significant impediment to youth behavior change was coercion and conflict with one or more parent/s. We will recruit parent-teen dyads in which the teen exhibits sleep problems and code two parent-teen conversations: (1) the last 10 minutes of each treatment session, referred to as the `End of Treatment Conversation' and (2) the discussion of a topic of frequent disagreement involving teen behavior change, referred to as the `Hot Topics Task'. Aim 1 involves an iterative process of developing and refining a method to experimentally manipulate parent use of BCTs (n = 8). The product will be referred to as the Parent Behavior Change Intervention (PBC-I). Aim 2 involves a small open trial of the PBC-I (n = 36) to verify target engagement and test if target engagement produces behavior change. Aim 3 examines potential mediators of the relationship between BCT frequency and engagement in sleep promoting behavior and address potential moderators of parent use of BCTs (age/sex of teen, parent/caregiver sex, one or two parent households). Assays from the SOBC repository feature in the methods (e.g., the `Hot Topics Task' is an adaptation of the Couples Conflict Task) and outcomes (i.e., Parent-Child Coercion Scale). Also, the measures are selected to represent various levels of explanation including self-report, behavioral tasks and actigraphy. In terms of the experimental medicine approach, the target is improved interpersonal process between parent and teen. Increased use of BCTs by parents in parent-teen conversations about youth behavior change is a manipulation check. The assays to verify target engagement include the Parent-Child Coercion Scale. The target will be engaged via the development of an experimental manipulation of the target in the form of a novel intervention (i.e., the PBC-I). This 2-year R21 will provide pilot data to prepare for larger scale research that harnesses a novel interpersonal target—the important role of parents in promoting sustainable health behaviors among their teenage children.

抽象的 为了响应RFA-RM-17-028，该R21试图检查一个新型的人际目标。即，父母 关于青少年健康行为改变的对话。科学的前提是父母会产生深远的影响 关于青少年风险和脆弱性。然而，父母在对话的要素中获得最少的培训 最佳地激励孩子从事健康的行为。理论上扎根和可靠的 行为变化技术（BCT）的分类法将用于科学得出对话 元素或微观机制，减少父母的强迫和冲突，并促进 健康行为改变。我们建立在最近完成的NICHD资助的R01的基础上，其中行为医学 促进健康睡眠行为参与的方案改善了睡眠和选择的风险 10-18岁的成果。该行为医学方案是通过6个单独管理的 50分钟的课程，称为睡眠和昼夜节律（Trans-C）的经诊断干预。 在这项研究的进行期间 与一个或多个父母冲突。我们将招募青少年表现出睡眠问题的父母青年二元组 和编码两个父母的对话：（1）每个治疗课程的最后10分钟，称为 “治疗结束对话”和（2）讨论一个经常分歧的话题涉及青少年 行为改变，称为“热门主题任务”。 AIM 1涉及一个迭代的发展过程和 完善一种实验操纵母体使用BCT的方法（n = 8）。该产品将被称为 父行为改变干预措施（PBC-I）。 AIM 2涉及对PBC-I（n = 36）进行的小型开放试验 验证目标参与并测试目标参与是否会导致行为变化。 AIM 3检查潜力 BCT频率与参与睡眠促进行为与参与之间关系的介体和 解决父母使用BCT的潜在主持人（青少年的年龄/性别，父母/照顾者性别，一两个父母 家庭）。来自SOBC存储库功能的测定方法（例如，“热门话题任务”是一个 夫妻冲突任务的适应）和结果（即，亲子胁迫量表）。另外，这些措施 选择代表各种级别的解释，包括自我报告，行为任务和行动摄影。在 实验医学方法的术语，目标改善了父母之间的人际关系过程 和青少年。父母在父母青年对青年行为改变的对话中增加使用BCT是一个 操纵检查。验证目标参与的测定法包括亲子胁迫量表。这 目标将通过以a的形式开发目标操纵实验操作。 新颖的干预（即PBC-I）。这个为期两年的R21将提供试点数据，以准备大规模研究 利用一个新颖的人际目标 - 父母在促进可持续健康方面的重要作用 他们十几岁的孩子之间的行为。

项目成果

Open trial of the Parent Behavior Change Intervention (PBC-I): Study protocol.

• DOI: 10.1037/hea0000873
• 发表时间: 2020-09
• 期刊: Health psychology : official journal of the Division of Health Psychology, American Psychological Association
• 作者: Dong L;Fine ER;Michie S;Zhou Q;Mullin AC;Alvarado-Martinez CG;Hilmoe HE;Tran M;Harvey AG
• 通讯作者: Harvey AG