Enhancing Fathers' Ability to Support their Preschool Child

增强父亲支持学龄前儿童的能力

• 批准号: 7777621
• 负责人: Anil Chacko
• 金额: $ 18.42万
• 依托单位: QUEENS COLLEGE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-01 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7777621
• 关键词: Enhancing; Fathers; Ability; Support; their

Description (Provided by Applicant) Statement of the problem: Maltreatment (neglect and physical abuse of children) is an unfortunately prevalent issue in the United States (MacMillan et al., 1997; WHO, 1999). Although considerable empirical support demonstrates that Behavioral Parent Training can provide substantial benefit in altering maladaptive parenting behavior, fathers are not typically engaged in and respond as favorably to these interventions. Purpose of the proposed research: The purpose of the proposed research is to develop a novel intervention, the Fathers Supporting Success in Preschoolers (FSSP) program, to prevent the perpetration of child maltreatment in a population of fathers who are at-risk for child maltreatment. Specific aims of the study include: Developing, refining, and, subsequently evaluating the effectiveness of the revised FSSP program compared to a wait-list control condition at post-treatment and at one-month follow up on primary (observed and self-report of parenting behavior, parent-child relationships, and observed and parent-report of child behavior problems), secondary (parent attributions for children's behavior; parenting stress; parental depression) outcomes as well as measures of engagement (attendance, dropout from treatment, homework compliance, and consumer satisfaction). We hypothesize that the FSSP program will result in significant improvement on primary and secondary outcomes relative to the wait-list condition. In addition, we hypothesize high levels of engagement to the FSSP program. Methods: During year 1, we will develop the FSSP program, which is driven by both our theoretically-based model of prevention of father perpetration of child maltreatment as well as extensive input from potential consumers of the FSSP. The preliminary FSSP protocol will undergo a feasibility and acceptability trial prior to the stage two, larger clinical trial. The phase two study will evaluate the impact of the FSSP program relative to a wait-list control condition via a randomized clinical trial of 100 fathers and their preschool child on multiple outcomes (father self-report as well as observation of the father-child interactions). Analysis used in this study for the primarily outcomes will include Random Regression analyses, and benchmarking with supplemental analyses including effect size and moderator analyses. Implications for prevention: T our knowledge, this is one of the few interventions to provide multiple, theoretically-driven adaptations to evidence-based parenting interventions in order to engage fathers in and maximize outcomes following parenting focused interventions. As such, the data obtained from this study will provide critical information to the field of prevention of child maltreatment, including methods to effectively recruit and retain fathers from higher-risk communities, descriptive information on key constructs specifically for fathers (e.g., parenting), as well as assist in determining whether novel interventions, such as the FSSP program, can affect change in key risk factors associated father perpetration of child maltreatment. Program Narrative Child maltreatment is a prevalent occurrence in the United States. Unfortunately, despite data that demonstrate that fathers are often involved in perpetrating child maltreatment, very little research has been conducted on targeting fathers in prevention efforts. This grant is to support the development and evaluate the preliminary benefits of a novel preventive parenting program that targets an at-risk group of fathers-fathers of preschool children who reside in socioeconomically disadvantaged inner-city communities. If successful, this intervention will address an understudied, yet critical area, of public heath concern-the prevention of father perpetration of child maltreatment in an at-risk population.

描述（由申请人提供） 问题陈述：不幸的是，虐待（忽视和身体虐待儿童）在美国是一个普遍存在的问题（MacMillan 等人，1997 年；世界卫生组织，1999 年）。尽管大量的经验支持表明，行为父母培训可以为改变适应不良的养育行为提供实质性益处，但父亲通常不会参与这些干预措施，也不会做出积极的反应。拟议研究的目的：拟议研究的目的是开发一种新颖的干预措施，即支持学龄前儿童成功的父亲 (FSSP) 计划，以防止有虐待儿童风险的父亲群体中发生虐待儿童行为。该研究的具体目标包括： 制定、完善并随后评估修订后的 FSSP 计划与治疗后和 1 个月随访时的等待名单控制条件相比的有效性（观察到的和自我报告的 FSSP 计划）养育行为、亲子关系以及儿童行为问题的观察和家长报告），次要（父母对儿童行为的归因；养育压力；父母抑郁）结果以及参与衡量（出勤率、治疗中途退出率、作业合规性和消费者满意度）。我们假设 FSSP 计划将导致相对于等待名单条件的主要和次要结果的显着改善。此外，我们假设 FSSP 计划的参与度较高。方法：在第一年，我们将制定 FSSP 计划，该计划由我们基于理论的预防父亲虐待儿童的模型以及 FSSP 潜在消费者的广泛投入推动。初步的 FSSP 方案将在第二阶段更大规模的临床试验之前进行可行性和可接受性试验。第二阶段研究将通过对 100 名父亲及其学龄前儿童进行的随机临床试验，评估 FSSP 计划相对于等待名单控制条件对多种结果（父亲自我报告以及父子互动观察）的影响。 ）。本研究中使用的主要结果分析将包括随机回归分析以及补充分析（包括效应大小和调节分析）的基准测试。对预防的影响：据我们所知，这是为数不多的为基于证据的育儿干预措施提供多种、理论驱动的适应的干预措施之一，以便让父亲参与并最大限度地提高以育儿为重点的干预措施后的结果。因此，从这项研究中获得的数据将为预防虐待儿童领域提供关键信息，包括有效招募和留住高风险社区父亲的方法、专门针对父亲的关键结构的描述性信息（例如，养育子女）、以及协助确定新的干预措施（例如 FSSP 计划）是否可以影响与父亲虐待儿童相关的关键风险因素的变化。节目叙述 虐待儿童在美国十分普遍。不幸的是，尽管有数据表明父亲经常参与虐待儿童的行为，但针对父亲进行预防工作的研究却很少。这笔赠款旨在支持一项新颖的预防性育儿计划的开发和评估其初步效益，该计划针对居住在社会经济弱势的市中心社区的学龄前儿童的父亲们的高危群体。如果成功，这项干预措施将解决一个尚未得到充分研究但又至关重要的公共卫生问题领域——预防高危人群中父亲虐待儿童的行为。