Practice Wellness: Equipping home visitors with skills in reflective coaching, parent mediated child development, and occupational wellness to strengthen child outcomes among low-resourced families

实践健康：为家庭访客提供反思性辅导、家长介导的儿童发展和职业健康方面的技能，以增强资源匮乏家庭的儿童成果

• 批准号: 10820982
• 负责人: Deborah Johnson-Shelton
• 金额: $ 29.58万
• 依托单位: SAAVSUS, INC.
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-19 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10820982
• 关键词: Address; Adverse event; Attentional deficit; Attitude; Behavior; Benchmarking; Career Choice; Career Mobility; Child; Child Development; Child Rearing; Collaborations; Competence; Complex; Consultations; Consumer Satisfaction; Development; E-learning; Educational process of instructing; Emotional; Environment; Exposure to; Family; Feedback; Frequencies; Future; Goals; Growth; Head Start Program; Health; Home; Home visitation; Human; Impaired cognition; Infant; Intervention; Intervention Studies; Knowledge; Language; Language Development; Lead; Learning; Life; Marketing; Measures; Mediating; Nursery Schools; Occupational; Occupational Health; Outcome; Parent-Child Relations; Parents; Participant; Pathway interactions; Personal Satisfaction; Phase; Positioning Attribute; Poverty; Process; Professional Competence; Professional Practice; Provider; Randomized, Controlled Trials; Readiness; Reporting; Resources; Risk; School Teachers; Schools; Self Efficacy; Self Perception; Services; Small Business Technology Transfer Research; Social Behavior; Social Development; Support System; Surveys; System; Time; Toddler; Training; Training Activity; Training Programs; Trauma; Work; burnout; commercial application; design; early childhood; efficacy evaluation; empowerment; evidence base; health disparity; implementation fidelity; improved; iterative design; member; occupational stress; peer; phase 1 study; prevent; programs; prototype; psychologic; recruit; satisfaction; skills; skills training; social; support network; teacher; tool; traumatic stress; usability

The first 3 years of a child’s life are critical in setting the stage for future learning, behavior, and health. Children living in poverty during these formative years are exposed to environments characterized by insufficient human service resources and greater exposure to multiple forms and frequency of adverse events, which can undermine their developmental potential. Home visiting has become a critical resource nation-wide for enhancing parents’ competencies in strengthening their children’s social-emotional and school readiness development. Early Head Start (EHS) home visitor programs are intentionally positioned to enhance children’s natural support systems (including parent-child relationships) and establish a long-lasting network of supports benefiting children’s development and school readiness. In 2020, EHS provided 4,632,050 home visits to over 160,000 infants/toddlers and their families nationally. A significant gap persists in the EHS home visitor field. There is an unmet need for training in coaching and professional reflective practice targeted to the intersection of occupational health and HV competencies. Targeted training in coaching and facilitation of reflective practices would strengthen HVs provision of evidence-based, parent-mediated interventions promoting healthy infant/toddler social, emotional, and language growth. This training would also provide a needed pathway to career advancement, and prepare them as coaches for the EHS home visiting system. These resources do not now exist. This STTR Phase I application is designed to help close this gap. We will develop a training program in coaching and reflective practice, called Practice WellnessTM, to meet EHS’s need for an engaging, effective, skill-based professional practice tool for HVs. Practice Wellness will draw on our expertise in home visitor and intervention research, and employ a unique parallel training process to: (a) empower HVs to identify and resolve their own occupational wellness needs and expand their competencies with coaching skills, and (b) strengthen HV parent coaching interactions with the goal of enhancing child development outcomes. The two goals of this study are to (1) develop a prototype for Practice Wellness HV eLearning coaching and reflective practices skill training, using iterative development in consultation with a 6-member Advisory Board; and (2) evaluate the usability and feasibility of Practice Wellness with a user group of 12 home visitors and 6 supervisors. If Phase I benchmarks are met , we plan to submit a Phase II application in which we will modify Practice Wellness according to feedback obtained from the Phase I Advisory Board and user group participants and evaluate the efficacy of Practice Wellness via a randomized control trial with HVs on their coaching and reflective practice knowledge, self-efficacy, practices, and parent engagement and child outcomes in under-resourced families.

儿童生活的前三年对于为未来的学习，行为和健康奠定阶段至关重要。生活的孩子 在这些形成年的贫困中，在人类服务资源不足的特征上暴露于环境 并更大的暴露于多种形式和不良事件的频率，这会破坏其发展 潜在的。家庭访问已成为全国范围内的关键资源，以增强父母在加强方面的能力 他们的孩子的社会情感和学校准备发展。早期开始（EHS）家庭访问者计划是 故意定位以增强儿童的自然支持系统（包括亲子关系）并建立 持久的网络支持使儿童的成长和学校准备好受益。 2020年，EHS提供了 4,632,050次家庭访问全国160,000多名婴儿/幼儿及其家人。 EHS的显着差距仍然存在 家庭访客领域。针对针对的教练和专业反思实践的培训需要培训 职业健康与HV能力的交集。反思性教练和设施的有针对性培训 实践将加强HVS提供基于循证的，父母介导的干预措施，以促进健康 婴儿/幼儿的社交，情感和语言成长。这项培训还将为职业生涯提供必要的途径 进步，并为他们作为EHS家庭访问系统的教练做好准备。这些资源现在不存在。 此STTR I期应用程序旨在帮助缩小此差距。我们将制定一项教练培训计划 反思性实践，称为“实践Wellnesstm”，以满足EHS对引人入胜，有效，基于技能的专业的需求 HVS的练习工具。练习健康将借鉴我们在家庭访客和干预研究方面的专业知识，并采用 一个独特的并行培训过程：（a）授权HVS识别和解决自己的占领健康需求和 通过教练技能扩大他们的能力，以及（b）加强HV父母教练互动的目标 增强儿童成长结果。这项研究的两个目标是（1）为实践健康制定原型 HV电子学习指导和反思实践技能培训，使用迭代发展与6人协商 顾问委员会； （2）与12个家庭访客的用户组评估练习健康的可用性和可行性 和6位主管。如果符合I期基准 ，我们计划提交II期申请，我们将修改实践 根据从第一阶段咨询委员会和用户组参与者获得的反馈，并评估 通过与HVS进行的随机控制试验，实践健康的功效，其教练和反思性实践知识， 自我效能感，实践和父母的参与以及资源不足的家庭的子女结果。