Prevention Research Center: Parenting Among Women Who Are Opioid Users

预防研究中心：阿片类药物使用者的女性育儿

• 批准号: 10163083
• 负责人: Philip A Fisher
• 金额: $ 7.96万
• 依托单位: UNIVERSITY OF OREGON
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-08-15 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10163083
• 关键词: Adverse event; Affect; Award; Basic Science; Behavior; Behavioral; Caregiver Burden; Caregivers; Child; Child Rearing; Cognitive; Communities; Data; Development; Dimensions; Family; Film; Goals; Individual; Infant; Informal Social Control; Institutes; Intervention; Intervention Trial; Link; Mothers; Neurocognitive; Participant; Patient Self-Report; Personal Satisfaction; Pilot Projects; Policies; Prevention Research; Process; Reporting; Research; Research Project Grants; Risk; Role; Self Concept; Self-Examination; System; Testing; Training; Translational Research; Woman; addiction; base; behavioral outcome; caregiving; effective intervention; evidence base; high risk; improved; intervention effect; novel; opioid epidemic; opioid use; opioid user; practice setting; psychologic; relating to nervous system; response; scale up; skills; sociodemographics; success; theories

Abstract The Prevention Research Center: Parenting Among Women Who Are Opioid Users (PWO Center) has been instituted to improve the well-being of individuals, families, and communities affected by the opioid crisis through a focus on behavioral and neurocognitive systems that are underlying mechanisms common to both addiction issues and parenting challenges. These efforts span the translational research cycle, from basic science mechanisms to intervention trials to working with stakeholders to understand how best to scale-up effective interventions into real-world policy and practice settings. This diversity supplement application is embedded within Research Project 1 of the PWO Center, which involves the novel application of an evidenced-based parenting intervention, Filming Interactions to Nurture Development (FIND), to enhance the responsive caregiving of opioid-using mothers raising infants and/or young children. Pilot studies with high-risk caregivers suggest that FIND increases responsiveness skills and decreases intrusive parenting. While caregivers with high-adversity backgrounds historically have been observed to show differential (and often lower) responses to these caregiver-based interventions, preliminary data suggests that caregivers with high levels of self-reported adversity who participated in FIND reported decreased caregiver stress and increased psychological involvement with their child, demonstrating that these caregivers may in fact benefit the most. Pilot data also demonstrated positive changes in parenting identity after participating in FIND. The cognitive effort necessary for responsive parenting requires the use of self-regulation, a process that relies upon the dynamic valuation of available behavioral choices. New theories emphasize the role of identity in that valuation process, recognizing that identity-relevant choices confer greater subjective value. Thus, interventions that establish a link between targeted behavioral outcomes and participants’ positive self-concept will have greater success in improving self-regulation and goal-directed behavior. The research proposed in this diversity supplement has two aims. Aim one will examine the change in parental self-concept before and after participating in FIND. Neural and behavioral data from a Parenting Self-Evaluation Task will be used to test the degree to which FIND changes the way caregivers evaluate themselves as either developmentally supportive or unsupportive. Aim two will explore the moderating roles of adverse exposures in predicting intervention success. In addition to examining the relation between types of adverse experiences and parenting identity at baseline, this project will tease apart the dimensionality of adverse experiences to predict with greater precision the effects of the intervention through change in parenting self-concept and positive identity.

抽象的 预防研究中心：阿片类药物使用者的育儿（PWO中心） 建立的目的是改善受阿片类药物危机影响的个人，家庭和社区的福祉 通过关注行为和神经认知系统，这些系统是两者共有的基本机制 成瘾问题和育儿挑战。这些努力跨越了转化研究周期，从基本 干预试验的科学机制与利益相关者合作，以了解如何最好地扩展 有效干预现实世界政策和实践设置。这种多样性补充应用是 嵌入PWO中心的研究项目1中，其中涉及新的应用 基于基于的育儿干预，拍摄互动以培养发展（查找），以增强 抚养阿片类药物的母亲抚养婴儿和/或幼儿的响应式照顾。高风险的试点研究 护理人员建议找到提高反应能力并降低侵入性育儿。尽管 从历史上看 较低的）对这些基于护理人员的干预措施的反应，初步数据表明，护理人员很高 参与发现的自我报告的广告水平报告减轻了护理人员的压力和增加 与孩子的心理参与，表明这些护理人员实际上可能受益最大。 飞行员数据还显示出参与发现后育儿身份的积极变化。认知 响应式育儿所需的努力需要使用自我调节，这一过程依赖于 可用行为选择的动态估值。新理论强调身份在该价值中的作用 过程，认识到与身份相关的选择会议会议更大的主观价值。那是干预措施 在目标行为成果与参与者的积极自我概念之间建立联系 成功改善自我调节和目标指导行为。关于这种多样性的研究 补充有两个目标。 AIM ONE将检查父母自我概念的变化 参与查找。来自育儿自我评估任务的神经和行为数据将用于测试 找到的程度改变了护理人员评估自己的方式，因为开发的支持 或不支持。目标两个将探索不良暴露在预测干预中的调节作用 成功。除了检查不利经历类型与育儿身份之间的关系 基线，该项目将教导不利的经验的维度，以预测更大 精确通过育儿自我概念和积极身份的变化来确定干预措施的影响。