Rural Families Affected By Opioid Use: An Online Parenting Intervention

7.项目总结/摘要 拟议的研究将调整和测试在线远程保健的功效和有效性， 干预，以改善父母的技能和随后的幼儿行为的高风险样本， 使用阿片类药物的母亲。我们将检查家庭在线检查（FCU-在线）的有效性，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， 从幼儿期到青春期FCU在线计划将进行调整，以包括专注于早期 儿童养育技巧和高危母亲的家庭保健常规，并将在 俄勒冈州农村地区的混合功效设计。包括父母和社区在内的焦点小组 利益攸关方将指导课程的调整。研究对象为300名2-5岁的幼儿， 年，他们的阿片类药物使用母亲将被随机分配接受干预或社区 服务如常。干预措施将作为远程保健模式在网上提供， 农村和边远地区。坚持发展生态模式，我们将测试改善的途径， 儿童的行为结果，包括养育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，农村健康，在线干预发展， 健康差距。这项研究将大大有助于我们理解有效的育儿 对使用类阿片的高风险母亲进行幼儿期干预， 儿童问题行为，并最终减少成年人滥用药物。

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.