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.

摘要 预防研究中心：阿片类药物使用者中的育儿方式(PWO中心) 为改善受阿片类药物危机影响的个人、家庭和社区的福祉而设立 通过关注行为和神经认知系统，这是两者共同的潜在机制 成瘾问题和养育子女的挑战。这些努力跨越了翻译研究周期，从基础 从科学机制到干预试验，再到与利益相关者合作，以了解如何最好地扩大规模 对现实世界的政策和实践环境的有效干预。这一多样性补充申请是 嵌入在PWO中心的研究项目1中，该项目涉及一种新的应用 基于证据的育儿干预，拍摄互动以培养发展(FIND)，以增强 养育婴儿和/或幼儿的阿片类药物使用母亲的顺应照料。具有高风险的试验性研究 照顾者建议，Find可以提高反应能力，减少侵入性的育儿方式。而当 历史上观察到，具有高逆境背景的照顾者表现出差异性(而且经常 对这些以照顾者为基础的干预措施的反应较低，初步数据表明，具有较高 参与FIND的自我报告的逆境水平报告减少了照顾者的压力并增加了 与孩子的心理接触，表明这些照顾者实际上可能受益最大。 试点数据还显示，参与FIND后，父母身份认同发生了积极变化。认知性 响应父母所需的努力需要使用自我调节，这一过程依赖于 对可用的行为选择进行动态估值。新的理论强调身份在估值中的作用 过程，认识到与身份相关的选择赋予更大的主观价值。因此，干预措施 在目标行为结果和参与者的积极自我概念之间建立联系将会有更大的影响 成功改善自我调节和目标导向行为。在这种多样性中提出的研究 副刊有两个目的。目的一考察父母自我概念在治疗前后的变化 参与FIND。来自父母养育自我评估任务的神经和行为数据将用于测试 发现的程度改变了照顾者对自己的评估方式，无论是在发展方面 或者不支持。目标二将探讨不良暴露在预测干预中的调节作用 成功。除了研究不良经历类型与父母身份认同之间的关系外， 基线，这个项目将梳理出不利经历的维度，以更大的 通过改变父母教养方式中的自我概念和积极认同来精确预测干预的效果。