Connect to Baby: A Pilot Study of a Parenting and Coparenting Program for New Parents

连接婴儿：针对新父母的育儿和共同育儿计划试点研究

• 批准号: 10590133
• 负责人: REBECCA MARIE RYAN
• 金额: $ 23.4万
• 依托单位: GEORGETOWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-04-01 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10590133
• 关键词: Address; Architecture; Birth; Brain; Buffers; Child; Child Development; Child Rearing; Childbirth; Cognitive; Communication; Custom; Diagnostic; Education; Emotional; Enhancement Technology; Evidence based intervention; Exclusion; Family; Fathers; Feedback; Fostering; Foundations; Funding; Goals; Head Start Program; Home visitation; Hybrids; Infant; Intervention; Interview; Language Development; Low income; Magic; Manuals; Mediator; Mental Depression; Mental Health; Modality; Mothers; Outcome; Parent-Child Relations; Parents; Patient Self-Report; Persons; Pilot Projects; Poverty; Randomized; Randomized, Controlled Trials; Reporting; Research; Schedule; Services; Shapes; Stress; Tablets; Technology; Testing; Trust; caregiving; cognitive development; comparative efficacy; cost effective; design; digital; digital media; dosage; early childhood; efficacy evaluation; experience; improved; innovation; innovative technologies; language outcome; lower income families; men; negative affect; novel; preventive intervention; programs; recruit; rehearsal; remote delivery; retention rate; secondary outcome; sex; skill acquisition; skills; stem; stressor

Project Abstract The proposed randomized control trial of a technology-enhanced coparenting and parenting intervention, addresses three key weaknesses in existing parenting programs by 1) targeting mothers and fathers, rather than mothers alone; 2) focusing on both the coparenting and parent-infant relationship, not just parent-infant interactions; and 3) using technology to enhance program retention and engagement. Our team leveraged content from two evidence-based interventions in combination with unique technological features to create a novel intervention: Connect to Baby (CTB), a 6-session manualized intervention. Parenting and coparenting quality are selected as targets for their strategic influence on infant and child development: contingent, responsive interactions between parents and infants are associated with better lifelong socioemotional and cognitive outcomes. Similarly, supportive coparenting relationships and coordination are associated with enhanced parent mental health, parenting quality, and children’s socioemotional and cognitive outcomes. A key innovation of CTB lies in the introduction and rehearsal of four interaction skills –– Noticing, Following, Talking, and Encouraging –– to foster serve and return interactions with infants as well as supportive, cooperative coparenting interactions between mothers and fathers. To maximize program reach and sustainability, CTB is designed to be delivered within Early Head Start (EHS), a family-serving agency parents already use and trust. Finally, CTB uses a hybrid in-person and remote delivery modality using both video- enabled tablets and a custom-built application to schedule sessions and share digital content to boost program retention and engagement. Using a randomized controlled trial, the efficacy of CTB delivered as part of EHS (EHS-CTB hybrid) will be compared to EHS with the digital content only (EHS-digital only); both groups will be given access to the customized application and digital content that CTB offers, but only the EHS-CTB hybrid group will receive program sessions with guided practice and feedback on NiFTE skill development. The study will assess program impacts on coparenting communication quality and parenting quality at 3- and 6-months post-random assignment to distinguish immediate from sustained effects of the program. Analyses will include both intent-to-treat (ITT) and treatment-on-the-treated (TOT) analyses to determine the importance of program dosage for program efficacy. CTB will also be assessed with regard to parent mental health (parenting stress and depression) and child socioemotional and language outcomes. If demonstrated to be efficacious, CTB will provide EHS, among the nation’s largest federally-funded early education programs, with a brief, cost-effective, manualized preventive intervention that could be used in conjunction with EHS center and home-visiting services to improve parenting quality and coparenting, engage fathers in programming and caregiving, and, ultimately, enhance child development. This study will also offer some of the first evidence as to the feasibility of retaining fathers in parenting programs at every stage of an intervention.

项目摘要 拟议的对技术增强和育儿干预措施的随机控制试验， 通过1）针对母亲和父亲来解决现有育儿计划中的三个关键弱点，而是 比单独的母亲； 2）专注于共同和父母的关系，而不仅仅是父母侵害 互动； 3）使用技术来增强计划的保留和参与度。我们的团队利用 来自两种基于证据的干预措施的内容以及独特的技术功能，以创建一个 新颖的干预措施：连接到婴儿（CTB），这是一种6条经验的手动干预。育儿和共同养育 质量被选为其对婴儿和儿童发展的战略影响的目标：偶然性， 父母和婴儿之间的反应式互动与更好的终身社会情感和 认知结果。同样，支持性的共同关系和协调与 提高了父母的心理健康，育儿质量以及儿童的社会情感和认知结果。一个 CTB的关键创新在于四种互动技能的引言和排练 - 注意，跟随， 交谈和鼓励 - 促进服务和返回与婴儿以及支持的互动， 母亲与父亲之间的协同互动。最大化程序覆盖范围和 可持续性，CTB旨在在家庭服务代理商父母的早期起步（EHS）范围内交付 已经使用并信任。最后，CTB使用两个视频使用混合动力和远程交付方式 - 启用了平板电脑和定制应用程序，以安排会话并共享数字内容以增强程序 保留和参与。使用随机对照试验，CTB的效率作为EHS的一部分传递 （EHS-CTB混合动力）将与仅具有数字内容的EHS（仅EHS-Digital）进行比较；两组将是 可以访问CTB提供的自定义应用程序和数字内容，但仅EHS-CTB Hybrid 小组将通过指导性练习和NIFTE技能开发的反馈进行课程会议。研究 将评估计划对3个月和6个月的共同沟通质量和育儿质量的影响 随机后分配立即与该计划的持续影响区分开。分析将包括 意图对治疗（ITT）和经过治疗的（TOT）分析以确定程序的重要性 程序效率的剂量。 CTB也将在父母心理健康（育儿压力）方面进行评估 和抑郁）以及儿童社会情感和语言结果。如果证明是有效的，CTB将 提供EHS，是全国最大的联邦政府资助的早期教育计划，并有一个简短的成本效益， 可以与EHS中心一起使用的手动预防干预措施和家庭访问 服务以提高育儿质量和共同养育，让父亲参与编程和照料的服务，以及 最终，增强儿童成长。这项研究还将提供有关可行性的一些第一个证据 在干预的每个阶段，将父亲留在育儿计划中。