Rural Families Affected By Opioid Use: An Online Parenting Intervention

受阿片类药物使用影响的农村家庭：在线育儿干预

• 批准号: 10677570
• 负责人: ELIZABETH A STORMSHAK
• 金额: $ 37.3万
• 依托单位: UNIVERSITY OF OREGON
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-08-15 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10677570
• 关键词: Adolescence; Adult; Affect; Age; Area; Attention; Behavior; Child; Child Behavior; Child Rearing; Collaborations; Communication; Communities; Community Services; Country; Data; Development; Educational Curriculum; Effectiveness; Evidence based intervention; Evidence based program; Family; Family health status; Feasibility Studies; Feedback; Focus Groups; Funding; Healthcare; Hybrids; Informal Social Control; Internet; Intervention; Knowledge; Link; Mediating; Mediator; Mental Depression; Modeling; Mother-Child Relations; Mothers; National Institute of Drug Abuse; Neonatal Abstinence Syndrome; Online Systems; Opiate Addiction; Oregon; Outcome; Parent-Child Relations; Parents; Pathway interactions; Population; Pregnant Women; Preschool Child; Prevention; Prevention Research; Prevention program; Problem behavior; Procedures; Provider; Public Health; Randomized; Readiness; Recovery Support; Relationship-Building; Research; Research Project Grants; Risk; Risk Behaviors; Risk Reduction Behavior; Rural; Rural Community; Rural Health; Sampling; Schools; Science; Services; Substance abuse problem; Testing; Time; Training; United States; Woman; Work; Youth; addiction; adolescent substance abuse; behavioral outcome; checkup examination; community intervention; design; early childhood; early onset; efficacy evaluation; elementary school; executive function; externalizing behavior; feasibility testing; health disparity; high risk; improved; intervention delivery; intervention effect; intervention refinement; junior high school; multidisciplinary; online delivery; online intervention; online version; opioid misuse; opioid overdose; opioid use; opioid use in pregnancy; opioid user; patient engagement; prevent; programs; recruit; rural area; rural families; selective prevention; services as usual; skill acquisition; skills; stress management; study population; substance use; substance use prevention; telehealth; therapy development; uptake; urban area; usability; web portal; young woman

7. PROJECT SUMMARY/ABSTRACT The proposed study would adapt and test both the efficacy and effectiveness of an online, telehealth intervention to improve parenting skills and subsequent early childhood behavior in a high-risk sample of opioid-using mothers. We will examine the efficacy of the Family Check-Up Online (FCU-Online), an evidence- based intervention to reduce behavior problems and support successful development and adaptation from early childhood to adolescence. The FCU-Online program will be adapted to include content focused on early childhood parenting skills and family health routines for high-risk mothers, and will be delivered to families in rural Oregon in a hybrid efficacy-effectiveness design. Focus groups that include both parents and community stakeholders will guide the adaptation of the curricula. A study population of 300 young children ages 2–5 years and their opioid-using mothers will be randomly assigned to receive either the intervention or community services as usual. The intervention will be delivered online as a telehealth model in order to reach families in rural and outlying areas. Adhering to a developmental–ecological model, we will test pathways to improved behavioral outcomes in children that include parenting skills and maternal executive functioning/self regulation as key mediators in the relation between early risk and reduction of problem behavior, consistent with the larger conceptual model of the PWO Prevention Center. Our investigative team is multidisciplinary and includes expertise in community interventions, parenting skills, rural health, online intervention development, and health disparity. The study will significantly contribute to our understanding of effective parenting interventions during early childhood with high-risk, opioid-using mothers to enhance long-term reductions in child problem behavior and ultimately, reduce adult substance abuse.

7。项目摘要/摘要 支撑的研究将适应和测试ANLINE，Telehealth的功效和有效性 间隔以提高育儿技能和随后的幼儿行为，以 阿片类药物的母亲。 基于减少行为问题以及成功发展和适应的干预措施 幼儿至青春期。 童年育儿技能和高危母亲的家庭健康习惯，并将交付给家人 俄勒冈州农村在混合功效效果设计中。 利益相关者将指导课程的适应。 年份和使用阿片类药物的母亲将被随机分配接受国际或社区 服务像往常一样。 农村和外围地区。 儿童的行为成果陈述技巧和母亲执行功能/自我监管 作为早期风险和问题行为的关系之间关系的关键调解人，与之一致。 PWO预防中心的更大概念模型是多学科的 包括社区干预，育儿技能，农村健康，在线干预开发方面的专业知识， 和健康差异。 童年时期的干预措施，使用高风险，使用阿片类药物的母亲可以增强长期降低 儿童问题行为，最终减少成人药物滥用。