Research on Infant/Toddler Mental Health: Building a Community Partnership

婴幼儿心理健康研究：建立社区伙伴关系

• 批准号: 7802270
• 负责人: Aubyn C. Stahmer
• 金额: $ 25.58万
• 依托单位: RADY CHILDREN'S HOSPITAL - SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-04-15 至 2012-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7802270
• 关键词: Address; Adolescent; Age; Autistic Disorder; Behavior; Behavioral; Belief; Caregivers; Centers for Disease Control and Prevention (U.S.); Child; Childhood; Collaborations; Communication; Communities; Decision Making; Development; Developmental Delay Disorders; Disease; Early treatment; Effectiveness of Interventions; Emotional; Emotional Disturbance; Environment; Equilibrium; Evidence based intervention; Exhibits; Family; Family member; Funding Agency; Future; Goals; Health Services Research; Infant; Interdisciplinary Study; Intervention; Learning; Measures; Mental Health; Mental disorders; Methodology; Modeling; Occupational Therapist; Outcome; Parents; Participant; Physicians; Population Programs; Prevention; Preventive Intervention; Principal Investigator; Process; Provider; Psyche structure; Psychologist; Public Health; Readiness; Regulation; Reporting; Research; Research Personnel; Research Training; Resource Sharing; Risk; Schools; Science; Sensory; Services; Speech; Techniques; Testing; Toddler; Training; Training Support; community based participatory research; community setting; developmental disease; effective intervention; intervention program; meetings; member; prevent; programs; public health relevance; research to practice; skills; social; teacher

DESCRIPTION (provided by applicant): The proposed project seeks to develop a consortium of community providers, families of children presenting with disorders of relating and communicating, funding agencies and researchers to identify an evidence-based intervention to meet the needs of these infants /toddlers and their families. Difficulty with communication, behavioral regulation, sensory sensitivity, and problems developing early attachment relationships place infants and toddlers at-risk for future mental health disorders, including autism and developmental delays, social-emotional problems, and serious behavior difficulties. The Centers for Disease Control (CDC) recently identified these issues as significant public health challenges, calling for programming directed toward preventing later mental and developmental disorders. The CDC collaborative report emphasized the need to develop preventative interventions using comprehensive community models to facilitate appropriate development and promote healthy environments. Current early intervention models may be limited by focusing primarily on skill deficits without adequate regard for the child's ability to engage with the environment, interact with caregivers, or self-regulate. Further, they may not address the perceived community needs or fit with community values. By identifying an early preventative intervention that targets a range of needs in these children and families and fits the community, providers can simultaneously treat presenting deficits and prevent further difficulties from emerging. Given the limited research on interventions addressing social-communicative issues in infants and toddlers, public and private agencies are struggling to implement appropriate and effective programs. We believe that developing a community partnership can concurrently meet the identified community need and advance the science of interventions for this young group of children. The specific aims of the proposed project are to: (1) Develop a coalition for community and research collaboration; (2) Examine the "fit" of two integrated behavioral- developmental parent-implemented interventions for infants and toddlers with disorders of relating and communicating and their families within the context of the community, and select a specific intervention and corresponding training model for implementation in the community; and (3) Conduct feasibility testing of the training model and selected intervention with community providers and parents and develop a collaborative R01. The activities will be supported within the rich, interdisciplinary research and training environment of the Child and Adolescent Services Research Center. The proposed project was initiated by clinicians and the proposal was driven by consensual priorities across a partnership or families, community providers, funding agencies and researchers. CBPR principles of equity in decision-making, resource sharing, co-learning and capacity-building, and a balance of research and community values also drive the proposed activities. PUBLIC HEALTH RELEVANCE: The proposed project seeks to develop a consortium of community providers, families of children presenting with disorders of relating and communicating, funding agencies and researchers to identify an evidence-based intervention to meet the growing needs of these infants and toddlers and their families. The project uses a collaborative approach involving community stakeholders and researchers and an empirically validated framework to measure the collaborative process. Identifying and testing a specific model for use in a large community will simultaneously advance the science in early intervention/prevention and serve a critical need identified by community providers, funding agencies and families.

描述（由申请人提供）：拟议项目旨在建立一个由社区提供者、患有关系和沟通障碍的儿童家庭、资助机构和研究人员组成的联盟，以确定基于证据的干预措施，以满足这些婴儿/幼儿的需求和他们的家人。沟通、行为调节、感觉敏感性方面的困难以及早期依恋关系的发展问题使婴儿和幼儿面临未来出现心理健康障碍的风险，包括自闭症和发育迟缓、社交情感问题和严重的行为困难。美国疾病控制中心 (CDC) 最近将这些问题确定为重大的公共卫生挑战，呼吁制定旨在预防日后精神和发育障碍的规划。疾病预防控制中心合作报告强调需要利用综合社区模型制定预防性干预措施，以促进适当的发展和促进健康的环境。目前的早期干预模式可能会受到限制，因为主要关注技能缺陷，而没有充分考虑儿童与环境接触、与照顾者互动或自我调节的能力。此外，它们可能无法满足感知的社区需求或符合社区价值观。通过确定针对这些儿童和家庭的一系列需求并适合社区的早期预防性干预措施，提供者可以同时治疗目前的缺陷并防止出现进一步的困难。鉴于针对解决婴幼儿社会沟通问题的干预措施的研究有限，公共和私人机构正在努力实施适当且有效的计划。我们相信，发展社区伙伴关系可以同时满足已确定的社区需求，并推进针对这一年轻儿童群体的干预科学。拟议项目的具体目标是： (1) 建立社区和研究合作联盟； （2）考察家长对关系沟通障碍婴幼儿及其家庭实施的两种行为发展综合干预措施在社区背景下的“契合度”，选择具体的干预措施和相应的培训模式在社区中实施。社区； (3) 与社区提供者和家长一起对培训模式和选定的干预措施进行可行性测试，并制定协作 R01。这些活动将在儿童和青少年服务研究中心丰富的跨学科研究和培训环境中得到支持。拟议的项目由临床医生发起，并由合作伙伴或家庭、社区提供者、资助机构和研究人员一致同意的优先事项推动。 CBPR 决策公平、资源共享、共同学习和能力建设以及研究和社区价值观平衡的原则也推动了拟议的活动。 公共卫生相关性：拟议项目旨在建立一个由社区提供者、患有关系和沟通障碍的儿童家庭、资助机构和研究人员组成的联盟，以确定基于证据的干预措施，以满足这些婴儿和幼儿及其日益增长的需求。家庭。该项目采用涉及社区利益相关者和研究人员的协作方法以及经过实证验证的框架来衡量协作过程。确定和测试用于大型社区的特定模型将同时推进早期干预/预防的科学发展，并满足社区提供者、资助机构和家庭确定的关键需求。

项目成果

Parent perceptions of an adapted evidence-based practice for toddlers with autism in a community setting.

家长对社区环境中针对自闭症幼儿的循证实践的看法。

• 发表时间: 2017-02
• 作者: Stahmer, Aubyn C;Brookman;Rieth, Sarah R;Stoner, Julia Trigeiro;Feder, Joshua D;Searcy, Karyn;Wang, Tiffany
• 通讯作者: Wang, Tiffany

Toward a technology of treatment individualization for young children with autism spectrum disorders.

寻求针对患有自闭症谱系障碍的幼儿的个体化治疗技术。

• 发表时间: 2011-03-22
• 影响因子: 2.9
• 作者: Stahmer, Aubyn C;Schreibman, Laura;Cunningham, Allison B
• 通讯作者: Cunningham, Allison B

Project ImPACT for Toddlers: Pilot outcomes of a community adaptation of an intervention for autism risk.

幼儿项目 ImPACT：社区适应自闭症风险干预措施的试点结果。

• 发表时间: 2020
• 作者: Stahmer, Aubyn C;Rieth, Sarah R;Dickson, Kelsey S;Feder, Josh;Burgeson, Marilee;Searcy, Karyn;Brookman
• 通讯作者: Brookman