Evaluating an Online Parenting Support System Disseminated by Pediatric Practices

评估儿科诊所传播的在线育儿支持系统

基本信息

批准号：
9232097
负责人：
CAROL W METZLER
金额：
$ 62.46万
依托单位：
OREGON RESEARCH INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-04-15 至 2019-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9232097
关键词：
8 year old Address Alcohol or Other Drugs use Attitude Behavior Behavior Therapy Caring Child Child Behavior Child Rearing Childhood Clinic Communities Community Services County Distress Evaluation Exposure to Failure Family Future Internet Intervention Italy Knowledge Measures Mediating Medicaid Mental Health Methods Modeling Multimedia Online Systems Oregon Outcome Paper Parents Patients Population Prevalence Prevention Preventive Primary Health Care Problem behavior Protocols documentation Public Health Queensland Randomized Recruitment Activity Research Institute Research Project Grants Resources Risk Rural Sampling Schools Self Efficacy Self-Administered Series Services Single Parent Substance abuse problem Support System System Testing Text Time Touch sensation Training Universities Washington Work adverse outcome base behavior change behavioral health clinical practice cost design dosage early onset evidence base experience flexibility follow-up improved improved outcome innovation pediatrician population based post intervention prevent programs public health relevance response satisfaction skills treatment as usual uptake

项目摘要

DESCRIPTION (provided by applicant): Disruptive behavior problems are among the most prevalent mental health conditions for young children, and they carry significant risks for later socioemotional, conduct, and academic problems, such as substance abuse, delinquency, and school failure. How parents handle these challenging behaviors strongly influences their children's long-term trajectory. Evidence-based parenting programs have shown much value in reducing early-onset disruptive behavior problems, thereby reducing risks for later substance abuse and other behavioral health problems. The reach of parenting programs is limited, however, by significant challenges in recruiting, engaging, and retaining parents, such that most parents who could benefit from parenting assistance never receive it. A public health approach for improving parenting practices that makes evidence- based parenting programs widely available and accessible in a range of formats could reduce the prevalence of disruptive behavior problems, and thus the population-level risk for substance abuse and other adverse outcomes. Internet-based intervention offers significant potential as part of a population-wide strategy for bringing evidence-based parenting practices to a broad range of parents experiencing challenges in raising their children. Furthermore, pediatricians could be a natural touch point for reaching families with evidence- based parenting supports. The field knows little, however, about the potential of the internet to strengthen parenting practices, or about how pediatric practitioners might be engaged in improving the reach of an online parenting program. This study will experimentally evaluate an internet-based version of the Triple P Positive Parenting Program, the Triple P Online System (TPOS), which presents the Triple P content in an interactive, video-enriched, and personalized format with 3-levels of flexible dosage, and will compare it against usual community services. Thirty pediatric clinics involving 100 practitioners in 8 counties across western Washington will be recruited and randomized to receive (a) access for their patients to the Triple P Online System and training in how to effectively promote TPOS and advise parents on their children's behavior problems or (b) Usual Care Community-Waitlist Control, in which parents will be assisted with an appropriate referral for services in the community. Practitioners will recruit into their respective conditions 500 families of 3-8 year-old children with elevated behavior problems. Measures of parents' parenting practices, family functioning, children's disruptive behavior problems, and practitioners' protocols for advising on behavior problems will be obtained at baseline, post-intervention, and 1-year follow-up. The efficacy of the Triple P Online System in improving these outcomes will be examined, as well as dosage-response relationships. This study will further our understanding of the potential value of promoting internet-based parenting programs through pediatric practitioners. Maximizing the reach of evidence-based parenting programs has the potential to reduce the prevalence of children's behavior problems, and thus reduce risks for later problems such as substance abuse.

描述（由申请人提供）：破坏性行为问题是幼儿最普遍的心理健康状况之一，它们对后来的社会情感，行为和学术问题（例如滥用药物，犯罪和学校失败）承担重大风险。父母如何处理这些具有挑战性的行为会强烈影响孩子的长期轨迹。基于证据的育儿计划在减少早期发作的破坏性行为问题方面表现出了很大的价值，从而降低了后来的药物滥用和其他行为健康问题的风险。但是，育儿计划的覆盖范围受到招募，参与和保留父母的重大挑战的限制，使得大多数可以从育儿援助中受益的父母永远不会得到它。一种改善育儿惯例的公共卫生方法，使循证育儿计划以各种格式广泛使用和可访问，可以降低破坏性行为问题的普遍性，从而降低滥用药物和其他不良后果的人口级别的风险。基于Internet的干预措施提供了巨大的潜力，这是整个人口策略的一部分，该战略将基于证据的育儿做法带入了众多父母，在抚养子女方面面临挑战。此外，儿科医生可以自然而然地接触以循证育儿支持的家庭。但是，该领域对互联网的潜力加强育儿做法或儿科从业人员如何参与改善在线育儿计划的影响范围，对此一无所知。这项研究将在实验中评估基于Internet的Triple P阳性育儿计划Triple P Online System（TPO）的版本，该计划以交互式，视频增强和个性化格式以3级柔性剂量呈现Triple P内容，并将其与通常的社区服务相比。将招募并随机招募30名涉及8个县的从业人员的儿科诊所，以接收（a）患者进入Triple P在线系统的访问以及如何有效地促进TPO并就孩子的行为问题或（B）通常的父母控制孩子的行为问题或为父母提供适当的社区服务的父母的培训。从业人员将招募各自的条件500个3-8岁的家庭行为问题升高的儿童。在基线，干预后和1年随访时，将获得父母育儿惯例，家庭功能，孩子的破坏行为问题以及从业者的建议问题方案的衡量标准。将研究三重P在线系统改善这些结果的功效以及剂量 - 响应关系。这项研究将进一步了解通过儿科从业者促进基于互联网的育儿计划的潜在价值。最大化循证育儿计划的覆盖范围有可能减少儿童行为问题的流行，从而减少以后问题（例如滥用药物）的风险。

项目成果

期刊论文数量（8）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Primary Health Care: Potential Home for Family-Focused Preventive Interventions.

DOI：
10.1016/j.amepre.2016.05.014
发表时间：
2016-10
期刊：
American journal of preventive medicine
影响因子：
5.5
作者：
Leslie LK;Mehus CJ;Hawkins JD;Boat T;McCabe MA;Barkin S;Perrin EC;Metzler CW;Prado G;Tait VF;Brown R;Beardslee W
通讯作者：
Beardslee W

Emulating real-life situations with a play task to observe parenting skills and child behaviors.

通过游戏任务模拟现实生活中的情况，以观察养育技巧和孩子的行为。