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存在严重的行为健康问题，包括令人担忧的 青少年抑郁、焦虑、药物滥用和亲子自杀行为的发生率很高。 菲律宾人的人际关系和严厉的纪律是青少年行为健康问题的关键风险因素。 家庭还面临着文化适应的挑战，父母因移民而分居、家庭冲突、父母 尽管菲律宾人可以利用的预防计划很少（如果有的话）。 美国人口快速增长的难以置信的岁月®学龄家长培训计划 (IY) 是一项 旨在提高养育技能和亲子关系的循证预防干预措施 NICHD 的 K23 拨款资助的试点研究的结果是， 来自 NCATS 的 KL2 资助，我们已经证明了 IY 在改善积极的育儿实践和儿童方面的功效 我们改进了菲律宾家庭的抑郁和焦虑症状的干预方案。 与年龄较大的儿童在线交流，并获得社区机构同意参与该项目。 需要进一步研究在线国际年的有效性以及参与度（即出勤率）的影响 关于干预结果以及社区提供者实施干预的障碍和促进因素 建立在菲律宾境内正在进行的合作研究和社区意识提高的基础上。 在加利福尼亚州的社区中，我们提出了一项 1 型混合、单独分组的随机治疗试验 具体而言，该研究旨在将 IY 与 3 个月后接受 IY 的常规护理对照组进行比较。 通过社区组织招募 250 名菲律宾父母和 8 至 12 岁的儿童作为样本 加利福尼亚州，两组参与者都将被跟踪至少 6 个月，评估结果如下： 我们的主要目标是测试在线 IY 对我们的有效性。 主要结果：家长报告的养育行为（积极的言语纪律）、儿童报告的儿童 抑郁和焦虑症状以及次要结果：家长报告的体罚、家长- 报告的儿童内化行为、家长报告的儿童抑郁和焦虑症状以及家长和 我们的具体目标是： 1) 测试在线 Incredible 的有效性。 家长培训的 Years® 模型及其对主要和次要结果的影响 2) 确定 参与（即国际年出勤）对主要结果的影响；以及 3) 描述干预措施； 我们将利用定量和现实社区环境中的交付及其在线实施。 定性研究方法，以促进对育儿干预的科学理解 如果这种方法和干预模式在菲律宾人身上取得成功，类似的策略也可以采用。 有效地用于接触其他移民或少数民族人口，其中许多人不愿意寻求 预防性育儿计划。