Digital implementation support strategies for caregiver home practice

护理人员家庭实践的数字化实施支持策略

基本信息

批准号：
10667596
负责人：
Joanna Jandee Kim
金额：
$ 16.12万
依托单位：
ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-08-01 至 2027-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10667596
关键词：
Abbreviations Address Adherence Adolescent Adult Attention Attitude Behavior Caregivers Cellular Phone Child Child Rearing Competence Data Data Science Development Discipline Education Effectiveness Effectiveness of Interventions Emotional Environment Evaluation Evidence based intervention Evidence based practice Family Feedback Frequencies Future Goals Habits Health Technology Home Individual Intention Internet Intervention Language Length Long-Term Effects Low income Maintenance Mediating Mediator Mental Health Mental disorders Mental health promotion Mentored Research Scientist Development Award Meta-Analysis Methodology Methods Mexican Americans Modality Monitor Outcome Participant Planning Theory Positioning Attribute Positive Reinforcements Prevention program Problem Solving Public Health Randomized Request for Applications Research Research Personnel Resources School-Age Population Science Social outcome Technology Testing Theory of Change Time Training Training Support Translating Youth acceptability and feasibility active control adolescent substance use barrier to care behavior change cost effective intervention design digital digital health digital platform effectiveness trial evidence base group intervention implementation determinants improved in vivo insight intervention delivery intervention effect intervention participants junior high school mHealth novel pilot trial post intervention preference prevent preventive intervention randomized controlled design rehearsal relapse prevention research to practice scaffold skills smartphone application social substance use substance use prevention theories therapy development user centered design

项目摘要

PROJECT SUMMARY/ABSTRACT Many evidence-based preventative interventions have been developed to prevent substance use, physical and mental illness, and promote positive educational and social outcomes among adolescents. Among these, caregiver-mediated interventions boast strong effects that are mediated by effective parenting skills. However, the impact of these interventions is severely limited by low rates of home practice of intervention skills among caregivers. To address this research-to-practice gap, researchers have been investigating barriers and facilitators of caregiver engagement, focusing in large part on intervention attendance. Strategies for increasing caregivers' home practice of skills remain underexamined. Yet, caregiver home practice is a key component of theorized intervention effectiveness and has been found to impact parenting behaviors and subsequent child outcomes over and above that of attendance. Therefore, the next important step in supporting parenting behavior change is to develop implementation support strategies for evidence-based interventions that target caregiver home practice specifically. This proposed K01 Mentored Research Scientist Development Award will develop and pilot a digital behavior change intervention for use as an adjunct to an evidence-based preventative intervention. The “Modular Engagement and Skills Augmentation” (MESA) aims to increase caregivers' home practice of intervention skills. Informed by the theory of planned behavior, habit formation principles, and relapse prevention theory, MESA will leverage mobile health technologies (mHealth) to circumvent and problem solve common barriers to home practice including home practice intention, frequency of practice, home practice competence, and maintenance of intervention skills. MESA will be developed as a smartphone application (i.e., “app”). MESA components will be informed by a qualitative assessment of barriers to caregiver home practice and refined through direct stakeholder input on design requirements to optimize acceptability and feasibility. MESA will be piloted with 48 caregiver participants as an adjunct to Bridges, an evidence-based intervention for adolescent substance use prevention and mental health promotion. Cluster randomized controlled design will be utilized such that Bridges intervention groups will be randomly assigned to receive MESA (n = 32) or an active control (n = 16). Findings from this study have the potential to improve caregiver home practice, intervention engagement broadly, and ultimately boost effectiveness and public health impact of numerous caregiver- mediated interventions.

项目概要/摘要已经制定了许多基于证据的预防干预措施，以防止物质使用、身体和精神疾病，并促进青少年积极的教育和社会成果。照顾者介导的干预措施具有强大的效果，而这些效果是由有效的养育技能介导的。这些干预措施的影响受到家庭干预技能实践率低的严重限制。为了解决这一研究与实践之间的差距，研究人员一直在调查障碍和问题。护理人员参与的促进者，主要关注增加干预出勤率的策略。护理人员的家庭实践技能仍未得到充分审查，但护理人员的家庭实践是技能的关键组成部分。理论上的干预有效性，并被发现会影响养育行为和随后的孩子因此，支持育儿的下一个重要步骤是超越出勤的结果。行为改变是为基于证据的干预措施制定支持实施策略专门针对护理人员的家庭实践。拟议的 K01 指导研究科学家发展奖将开发和试点数字行为改变干预措施，作为基于证据的预防性干预措施的辅助手段。 “参与和技能增强”（MESA）旨在增加护理人员的家庭干预实践受计划行为理论、习惯形成原则和复发预防理论的启发， MESA 将利用移动医疗技术 (mHealth) 来规避和解决常见障碍家庭练习，包括家庭练习意向、练习频率、家庭练习能力，以及 MESA 将开发为智能手机应用程序（即“MESA”）。各组成部分将通过对护理人员家庭实践障碍的定性评估来了解情况，并加以改进通过利益相关者对设计要求的直接投入来优化 MESA 的可接受性和可行性。作为 Bridges 的辅助手段，由 48 名护理人员参与者进行试点，这是一种针对青少年的循证干预措施将采用集群随机对照设计来预防药物滥用和促进心理健康。这样 Bridges 干预组将被随机分配接受 MESA (n = 32) 或主动对照 (n = 16) 这项研究的结果有可能改善护理人员的家庭实践和干预。广泛参与，最终提高众多护理人员的有效性和公共健康影响介导的干预。