Virtual Positive Parenting Intervention to Promote Filipino Family Wellness: A Randomized Controlled Trial

促进菲律宾家庭健康的虚拟积极育儿干预：随机对照试验

• 批准号: 10804476
• 负责人: Joyce Rivera Javier
• 金额: $ 87.03万
• 依托单位: CHILDREN'S HOSPITAL OF LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-23 至 2028-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10804476
• 关键词: 12 year old; Address; Adolescent; Age; Agreement; Anxiety; Asian; Awareness; Behavior; California; Child; Child Behavior; Child Rearing; Childhood; Clinical; Communication; Communities; Conflict (Psychology); Development; Discipline; Distress; Effectiveness; Enrollment; Face; Family; Family dynamics; Feeling suicidal; Filipino; Funding; Grant; Hybrids; Immigrant; Immigrant family; Immigration; Individual; Intervention; Interview; Literature; Mental Depression; Mental disorders; Minority Groups; Modeling; National Center for Advancing Translational Sciences; National Institute of Child Health and Human Development; Not Hispanic or Latino; Outcome; Parent-Child Relations; Parents; Participant; Personal Satisfaction; Pilot Projects; Population Growth; Prevention program; Preventive; Process; Protocols documentation; Provider; Publishing; Punishment; Qualitative Research; Randomized; Randomized, Controlled Trials; Reporting; Research; Research Methodology; Risk; Risk Factors; Sampling; School-Age Population; Scientific Advances and Accomplishments; Secure; Societies; Stress; Subgroup; Training; Training Programs; United States; Vulnerable Populations; Youth; age group; anxiety symptoms; behavioral health; behavioral outcome; child depression; community organizations; community setting; depressive symptoms; early childhood; effectiveness evaluation; effectiveness testing; evidence base; experience; experimental group; externalizing behavior; health disparity; implementation facilitators; improved; intergenerational; intervention delivery; maltreatment; middle childhood; online intervention; prevent; preventive intervention; primary outcome; programs; protective factors; recruit; remote delivery; resilience; secondary outcome; skills; skills training; social cognitive theory; substance use; suicidal behavior; theories; therapy design; treatment group; treatment trial; usual care arm; verbal; virtual

Filipino youth living in the United States (US) have significant behavioral health problems, including alarmingly high rates of adolescent depression, anxiety, substance use, and suicidal behavior. Suboptimal parent-child relationships and harsh discipline are critical risk factors for behavioral health problems among youth. Filipino families also face acculturative challenges, parental separation due to immigration, family conflict, parental mental health disorders, and maltreatment. Few, if any prevention programs are available to Filipinos despite their rapid population growth in the US. The Incredible Years® School Age Parent Training Program (IY) is an evidence-based preventive intervention designed to improve parenting skills and parent-child relationships among families with school age youth. As a result of pilot studies funded through a K23 grant from NICHD, a KL2 grant from NCATS, we have demonstrated IY efficacy in improving positive parenting practices and child depression and anxiety symptoms in Filipino families. We have improved the intervention protocol for use online with older children and secured agreements from community agencies to participate in the project. Further research is needed on the effectiveness of online IY, and the impact of engagement (i.e., attendance) on intervention outcomes as well as the barriers and facilitators to implementation by providers in community agencies. Building upon ongoing collaborative research and community awareness-raising within Filipino communities in California, we propose a Type 1 hybrid, individually group randomized treatment trial to compare IY with a usual care control group who will receive IY after 3 months. Specifically, the study seeks to recruit a sample of 250 Filipino parents and children ages 8-12 years through community organizations in California. Participants in both groups will be followed for a minimum of 6 months with assessments that include parent-report and child-report. Our primary objective is to test the effectiveness of online IY on our primary outcomes: parent-reported parenting practices (positive verbal discipline), child-reported child depression and anxiety symptoms, and secondary outcomes: parent-reported physical punishment, parent- reported child internalizing behavior, parent-reported child depression & anxiety symptoms, and parent- and child-reported youth resilience. Our specific aims are: 1) To test the effectiveness of the online Incredible Years® model of parent training and its impact on primary and secondary outcomes; 2) To determine the impact of engagement (i.e., IY attendance) on primary outcomes; and 3) To describe intervention delivery and its online implementation in real-world community settings. We will utilize quantitative and qualitative research methodologies to advance the scientific understanding of parenting interventions during middle childhood. If the approach and intervention format succeed with Filipinos, comparable strategies could be used effectively reach other immigrant or minority populations, many of whom are reluctant to seek preventive parenting programs.

居住在美国的菲律宾青年（美国）有重大的行为健康问题，包括令人震惊 青少年抑郁症，焦虑，药物使用和自杀行为的高率。次优子女 关系和危害学科是青年人行为健康问题的关键风险因素。菲律宾 家庭还面临适应性的挑战，由于移民，家庭冲突，父母的父母分离 心理健康障碍和虐待。很少，如果有任何预防计划可用于菲律宾人目的地 他们在美国的人口迅速增长。令人难以置信的年龄®学校年龄父母培训计划（IY）是 基于证据的预防性干预措施旨在提高育儿技能和亲子关系 在学龄儿童的家庭中。由于通过NICHD的K23赠款资助的试点研究的结果， NCAT的KL2赠款，我们在改善积极的育儿实践和孩子方面表现出IY效率 菲律宾家庭的抑郁和动画症状。我们改善了使用的干预协议 与年龄较大的儿童和社区机构的有担保协议在线参加该项目。 需要进一步研究在线IY的有效性以及参与的影响（即出勤） 关于干预结果以及社区提供者实施的障碍和促进者 机构。在菲律宾人中正在进行的合作研究和社区意识提高的基础上 我们在加利福尼亚州的社区提出了一项1型混合动力，单独分组的随机治疗试验 将IY与通常的护理控制小组进行比较，该小组将在3个月后获得IY。具体而言，该研究试图 通过社区组织招募250名菲律宾父母和8-12岁儿童的样本 加利福尼亚。两组的参与者将至少遵循6个月的评估 包括父母报告和儿童报告。我们的主要目标是测试在线IY对我们的有效性 主要结果：由父母报告的育儿惯例（积极的口头纪律），儿童报告的孩子 抑郁和动画症状以及次要结果：父母报告的身体惩罚，父母 - 报告了儿童内在化行为，父母报告的儿童抑郁和动画症状以及父母和父母 儿童报告的青年弹性。我们的具体目的是：1）测试在线令人难以置信的有效性 父母培训的年度模型及其对主要和次要结果的影响； 2）确定 参与的影响（即IY出勤率）对主要结果； 3）描述干预 交付及其在现实世界社区环境中的在线实施。我们将利用定量和 定性研究方法，以提高对育儿干预措施的科学理解 中年。如果方法和干预格式通过菲律宾人成功，那么可比的策略可以 有效地使用其他移民或少数民族，其中许多人不愿寻求 预防育儿计划。