Online Parent Training for Children with Behavior Disorders

针对行为障碍儿童的在线家长培训

基本信息

批准号：
7671719
负责人：
EDWARD GUSTAV FEIL
金额：
$ 21.56万
依托单位：
FAMILY WORKS, INC.
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-04-01 至 2010-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7671719
关键词：
Address Adolescent Adoption Advisory Committees African American Age Attention Behavior Behavior Disorders Behavioral Bypass CD-I CD-ROM Child Child Behavior Child Welfare Clinic Clinical Communities Comprehension Computer software Computers Conduct Disorder Development Diagnosis Disadvantaged Disease Disruptive Behavior Disorder Drug abuse Drug usage Educational Intervention Educational process of instructing Effectiveness Emerging Technologies Enrollment Evidence based practice Family Feedback Focus Groups Health Services Hispanic Americans Hispanics Home environment Illicit Drugs Internet Intervention Justice Learning Link Literature Location Mental Health Mental Health Services Modeling Multimedia Not Hispanic or Latino Online Systems Outcome Parent-Child Relations Parenting behavior Parents Participant Phase Population Heterogeneity Prevalence Prevention Problem behavior Process Research Resistance Risk Rural Sampling Self Efficacy Services Social Work Social support Solutions Substance abuse problem System Technology Teenagers Testing Text Time Training Training Programs Translating Travel Writing Youth anti social base behavior change community setting cost design ethnic minority population handbook health care delivery improved meetings peer prevent programs public health relevance research and development rural area satisfaction service intervention skills skills training trend usability web site

项目摘要

DESCRIPTION (provided by applicant): Research has found that parent-targeted interventions were effective to ameliorate Conduct Disorders and other comorbid conditions (e.g. substance abuse). There exist major obstacles to the effective delivery of support services, particularly in rural areas. Ethnic minority populations are especially disadvantaged with respect to risk for child behavioral problems, barriers to participation, and access to culturally sensitive interventions. In addition, the meteoric rise of internet use has created a new avenue to disseminate and share empirically validated programs. Internet programs open the opportunity for technology based multimedia intervention through programs that can be interactive and provide social support from peers and professionals. Through the use of recent advances in multimedia technology and software, as well as the rise of computer and internet use, there now exists an opportunity to provide such remote support for families in rural locations. Parenting Wisely (PW; Gordon, 2000) is a computer-based intervention approach designed to prevent and treat disruptive behavior problems that often co-occur with drug abuse. This model lends itself to dissemination in that it fits easily into existing HMO, and EAP mental health service delivery models, bypassing many of the current mental health and social service systems barriers. PW was originally delivered on CD-ROM and has been translated to an internet-based delivery system and has been shown to effectively reduce child problem behaviors and improve parenting skills This research will increase PW's appeal and effectiveness by revising the videos to increase the relevance and diversity of parenting examples, thereby enhancing the potential wider implementation and keeping an evidence-based practice fresh and relevant. The proposed research will evaluate the use of the revised PW to Hispanic, African-American & non-Hispanic White parents enrolled in community agencies providing services to families with youth ages 10 through 17 at significant risk for drug abuse and diagnosed with disruptive behavioral disorders. The Phase I activities will include the development as well as a pilot of the web-based program with a culturally diverse sample of parents to assess feasibility with regard to ease-of-use of the website, understanding of concepts, satisfaction with format and content. We will assess user satisfaction, comprehension, receptivity, parents' rating of child behavior, family functioning, parenting practices, and parent self-efficacy. Comprehension and learning will serve as an additional outcome to guide further research and development. PUBLIC HEALTH RELEVANCE: Delivery of parenting skills training to manage teen problem behavior using technology via the internet & interactive CD-Rom has produced strong outcomes at low cost using the Parenting Wisely (PW) program. This project will increase PW's appeal and effectiveness by revising the videos to increase the relevance and diversity of parenting examples, thereby enhancing the potential wider implementation and keeping an evidence-based practice fresh and relevant.

描述（由申请人提供）：研究发现，以家长为目标的干预措施可以有效改善行为障碍和其他共病（例如药物滥用）。有效提供支持服务存在重大障碍，特别是在农村地区。少数民族人口在儿童行为问题风险、参与障碍和获得文化敏感干预措施方面尤其处于不利地位。此外，互联网使用的迅速增长创造了传播和共享经经验验证的程序的新途径。互联网程序通过可交互的程序为基于技术的多媒体干预提供了机会，并提供来自同行和专业人士的社会支持。通过利用多媒体技术和软件的最新进展，以及计算机和互联网使用的兴起，现在有机会为农村地区的家庭提供此类远程支持。 Parenting Wisely（PW；Gordon，2000）是一种基于计算机的干预方法，旨在预防和治疗经常与药物滥用同时发生的破坏性行为问题。该模式易于传播，因为它很容易融入现有的 HMO 和 EAP 心理健康服务提供模式，绕过了当前心理健康和社会服务系统的许多障碍。 PW 最初以 CD-ROM 形式提供，现已转化为基于互联网的传送系统，并已被证明可以有效减少儿童问题行为并提高育儿技能。这项研究将通过修改视频以提高相关性和有效性，从而提高 PW 的吸引力和有效性。育儿案例的多样性，从而增强了更广泛实施的潜力，并保持循证实践的新鲜感和相关性。拟议的研究将评估修订后的 PW 对加入社区机构的西班牙裔、非裔美国人和非西班牙裔白人父母的使用情况，这些社区机构为 10 至 17 岁青少年的家庭提供服务，这些青少年有严重的药物滥用风险并被诊断患有破坏性行为障碍。第一阶段的活动将包括基于网络的项目的开发和试点，以不同文化的家长为样本，评估网站的易用性、对概念的理解、对格式和内容的满意度等方面的可行性。我们将评估用户满意度、理解力、接受度、家长对儿童行为的评价、家庭功能、育儿实践和家长自我效能。理解和学习将作为指导进一步研究和开发的额外成果。公共健康相关性：通过互联网和交互式 CD-ROM 技术，提供育儿技能培训来管理青少年问题行为，通过“明智育儿”(PW) 计划，以低成本产生了良好的成果。该项目将通过修改视频以增加育儿案例的相关性和多样性来提高 PW 的吸引力和有效性，从而增强潜在的更广泛实施并保持基于证据的实践的新鲜度和相关性。