SIBTime: Media-enhanced Technology for Promoting the Behavioral Health and Family Relationships of Typically Developing Young Siblings

SIBTime：媒体增强技术促进典型发育中的年轻兄弟姐妹的行为健康和家庭关系

• 批准号: 10699837
• 负责人: CAROL W METZLER
• 金额: $ 102.97万
• 依托单位: OREGON RES BEHAVIORAL INTERVENTION STRAT
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-16 至 2025-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10699837
• 关键词: Address; Age; Animals; Area; Attention; Behavioral; Brothers; Caregivers; Child; Child Rearing; Childhood; Communication; Control Groups; Data; Development; Disabled Persons; Early Intervention; Educational workshop; Emotional; Emotions; Enhancement Technology; Evaluation; Exercise; Face; Family; Family Relationship; Feedback; Feeling; Focus Groups; Frequencies; Friends; Future; Geography; Government; Guilt; Health; Impaired health; Incidence; Individual; Internet; Intervention; Knowledge; Language; Learning; Longevity; Measures; Mental Health; Minority; Multimedia; Narration; Nursery Schools; Outcome Assessment; Parent-Child Relations; Parents; Participant; Personal Satisfaction; Persons; Phase; Pilot Projects; Play; Questionnaires; Randomized; Randomized, Controlled Trials; Recommendation; Reporting; Research; Research Personnel; Risk; Role; Rural; Sample Size; School-Age Population; Self Efficacy; Siblings; Sister; System; Technology; Testing; Thinking; Time; Training; United States; Visual; Waiting Lists; affection; animation; behavioral health; bilingualism; caregiving; design; disability; efficacy testing; ethnic diversity; ethnic minority; experience; family support; hands-on learning; human old age (65+); improved; interactive tool; mobile application; next generation; peer; pilot test; post intervention; pressure; programs; prototype; recruit; response; rural families; satisfaction; scaffold; service providers; skills; social; socioeconomics; stressor; support tools; tool; usability; web app

Project Summary/Abstract Individuals who have disabilities and health impairments frequently have typically developing (TD) siblings who share high levels of involvement throughout their lifespan. Increasingly, siblings are being recognized by parents, government, and disability service providers as the next generation of caregivers for people with disabilities, yet the risks and stressors they experience and their needs for attentive parenting and support are frequently overlooked. While a small number of effective programs and an emerging body of research informs best practices to address the behavioral health needs of siblings across the lifespan, minority and rural siblings face significant barriers to accessing these programs. Our team of researchers, developers, and Sibling Support Project consultants propose to build and evaluate a bilingual assistive mobile app technology for families with sibling children (ages 3-6) that delivers engaging and interactive support for TD siblings’ social-emotional health and well-being. Age- and culturally inclusive multimedia content and interactive behavioral skill-building features will allow families to easily access and engage in the program at the time and place that best meets their needs. In Phase I, we developed and pilot tested an English/Spanish- language prototype of the SIBTime mobile app/web program, with six modules on establishing parent/child connection routines. Each 10-minute learning experience included animated stories; narrated reflection questions; brief guided audio exercise for parents/caregivers; and graphic charts to prompt and reinforce connection routines. Phase I pilot study results showed the modest 5-week intervention was associated with statistically significant medium-large effects on parenting nurturance and parental adjustment with regard to their TD child. Results also showed medium-large increases from pretest to posttest in the frequency of parents’ engagement in and self-efficacy for targeted parenting practices with the TD child. This included increased frequency of one-to-one involvement and of listening, talking, and helping their TD child learn about the disability, and increased self-efficacy for these practices as well as for thinking through considerations for parenting their TD child and providing the child positive attention and affection. Parents’ ratings of usability and satisfaction with SIBTime were also high. In Phase II, we aim to complete development and test the full- scale dual-language SIBTime program in an RCT evaluation with a sufficiently powered sample size (N = 160 families). The complete program will include 12 modules that address common concerns among young siblings (3-6 years), provide age-appropriate information on high-incidence disabilities, and provide parents with tools for healthy family functioning. In response to parent feedback, the tool’s interactivity will be further developed, with activities that help children learn and practice language for talking about disability and sibling concerns. We will test the efficacy of SIBtime in improving parent-child relationships, parent and child adjustment, and parents’ engagement in and self-efficacy for the targeted parenting practices.

项目摘要/摘要 残疾和健康障碍的人通常经常发展（TD） 高水平的兄弟姐妹的寿命会增加。 被父母，政府和残疾服务提供者认可为下一代的护理人员 患有不像的人，但他们所经历的风险和压力源以及他们对育儿的需求 支持经常被忽略。 研究为整个生命周期的兄弟姐妹的行为健康需求提供了最佳实践 农村兄弟姐妹访问这些计划的障碍。 兄弟姐妹支持项目顾问建议建立和评估双语辅助移动应用程序 兄弟姐妹儿童的家庭（3-6岁），为TD提供英语和互动支持 兄弟姐妹的社会 - 司法情感健康和福祉。 交互式行为技巧建设功能将使家庭可以轻松访问和参与该计划 最佳的时间和地点在第一阶段，我们开发并进行了测试 Sibtime移动应用程序/Web程序的语言原型，建立父/孩子的六个模块 连接例程 问题； 连接程序。 对育儿养育的统计学意义和中等大的影响，并调整父母 他们的TD孩子也表明，中等程度的增长 与TD儿童有关的有针对性的PRENT练习，父母的订婚自我效能。 增加听力，tark和帮助TD儿童学习的一对一参与的自由汇率增加 这些实践以及通过红极思考的残疾，增强了自我效能。 育儿TD孩子并为孩子提供积极的关注和感情。 与SIBTIME的饱和度也很高。 RCT评估中的比例双语言SIBTIME程序，具有足够动力的样本（n = 160 家庭）。 兄弟姐妹（3-6岁），提供有关高累积的年龄信息，并提供父母 有了健康的家庭功能的工具。 进一步开发的活动，可以帮助儿童学习和练习语言来谈论残疾 和兄弟姐妹的问题。 儿童调整，父母的参与和有针对性的育儿习惯的自我效能。