Rural Families Affected By Opioid Use: An Online Parenting Intervention

7.项目摘要/摘要 拟议的研究将适应并测试在线远程医疗的有效性和有效性 改善父母养育技能和随后儿童早期行为的干预措施 使用阿片类药物的母亲。我们将检查在线家庭体检(FCU-Online)的效果，这是一个证据- 基于干预，以减少行为问题，并支持成功的发展和适应 从儿童早期到青春期。FCU-Online计划将进行调整，以包括早期关注的内容 儿童育儿技能和高危母亲的家庭健康例行公事，将在#年向家庭提供 俄勒冈州农村中的一种混合功效-效果设计。同时包括家长和社区的焦点小组 利益攸关方将指导课程的调整。300名2-5岁幼儿的研究人群 他们的阿片类药物使用母亲将被随机分配到接受干预或社区 服务照常进行。该干预措施将作为远程保健模式在线提供，以便接触到 农村和边远地区。坚持发展生态模式，探索优化路径。 儿童的行为结果，包括育儿技能和母亲的执行功能/自我调节 作为早期风险和减少问题行为之间关系的关键中介，与 PWO预防中心的更大概念模型。我们的调查团队是多学科的， 包括社区干预、育儿技能、农村卫生、在线干预发展、 和健康差距。这项研究将对我们理解有效的育儿方式做出重大贡献 在儿童早期对高风险、使用阿片类药物的母亲进行干预，以促进长期减少 儿童问题行为，并最终减少成人药物滥用。

7. PROJECT SUMMARY/ABSTRACT The proposed study would adapt and test both the efficacy and effectiveness of an online, telehealth intervention to improve parenting skills and subsequent early childhood behavior in a high-risk sample of opioid-using mothers. We will examine the efficacy of the Family Check-Up Online (FCU-Online), an evidence- based intervention to reduce behavior problems and support successful development and adaptation from early childhood to adolescence. The FCU-Online program will be adapted to include content focused on early childhood parenting skills and family health routines for high-risk mothers, and will be delivered to families in rural Oregon in a hybrid efficacy-effectiveness design. Focus groups that include both parents and community stakeholders will guide the adaptation of the curricula. A study population of 300 young children ages 2–5 years and their opioid-using mothers will be randomly assigned to receive either the intervention or community services as usual. The intervention will be delivered online as a telehealth model in order to reach families in rural and outlying areas. Adhering to a developmental–ecological model, we will test pathways to improved behavioral outcomes in children that include parenting skills and maternal executive functioning/self regulation as key mediators in the relation between early risk and reduction of problem behavior, consistent with the larger conceptual model of the PWO Prevention Center. Our investigative team is multidisciplinary and includes expertise in community interventions, parenting skills, rural health, online intervention development, and health disparity. The study will significantly contribute to our understanding of effective parenting interventions during early childhood with high-risk, opioid-using mothers to enhance long-term reductions in child problem behavior and ultimately, reduce adult substance abuse.