Rural Families Affected By Opioid Use: An Online Parenting Intervention

受阿片类药物使用影响的农村家庭：在线育儿干预

• 批准号: 10177993
• 负责人: ELIZABETH A STORMSHAK
• 金额: $ 41.18万
• 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/10177993
• 关键词: Address; Adolescence; Adult; Affect; Age; Area; Attention; Behavior; Child; Child Behavior; Child Rearing; Collaborations; Communication; Communities; Community Services; Country; Data; Development; Educational Curriculum; Effectiveness; Evidence based intervention; Evidence based program; Family; Family health status; Feasibility Studies; Feedback; Focus Groups; Funding; Healthcare; Hybrids; Informal Social Control; Information Services; Internet; Intervention; Knowledge; Link; Mediating; Mediator of activation protein; Mental Depression; Modeling; Mother-Child Relations; Mothers; National Institute of Drug Abuse; Neonatal Abstinence Syndrome; Online Systems; Opiate Addiction; Oregon; Outcome; Parent-Child Relations; Parents; Participant; Pathway interactions; Population; Pregnant Women; Preschool Child; Prevention; Prevention Research; Prevention program; Problem behavior; Procedures; Provider; Public Health; Randomized; Readiness; Recovery; Relationship-Building; Research; Research Project Grants; Risk; Risk Behaviors; Risk Reduction; Rural; Rural Community; Rural Health; Sampling; Schools; Science; Services; Substance abuse problem; Testing; Time; Training; United States; Woman; Work; Youth; addiction; adolescent substance abuse; base; behavioral outcome; checkup examination; community intervention; design; early childhood; early onset; efficacy evaluation; elementary school; executive function; externalizing behavior; feasibility testing; health disparity; high risk; improved; intervention effect; junior high school; multidisciplinary; online delivery; online intervention; online version; opioid misuse; opioid overdose; opioid use; opioid use in pregnancy; opioid user; prevent; programs; recruit; rural area; rural families; selective prevention; services as usual; skill acquisition; skills; stress management; study population; substance use; substance use prevention; telehealth; therapy development; uptake; urban area; usability; web portal; young woman

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.

7. 项目概要/摘要 拟议的研究将适应并测试在线远程医疗的功效和效果 在高风险样本中提高养育技能和随后的幼儿行为的干预措施 使用阿片类药物的母亲。我们将检查家庭在线检查（FCU-Online）的有效性，这是一个证据- 基于干预来减少行为问题并支持成功的发展和适应 幼儿期至青春期。 FCU-Online 计划将进行调整，纳入侧重于早期教育的内容 针对高危母亲的儿童养育技巧和家庭健康常规，并将交付给以下地区的家庭 俄勒冈州农村采用混合功效-效果设计。包括家长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 岁幼儿 年，他们使用阿片类药物的母亲将被随机分配接受干预或社区治疗 服务如常。该干预措施将作为远程医疗模式在线提供，以便惠及以下地区的家庭 农村和边远地区。遵循发展生态模型，我们将测试改进的途径 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、在线干预开发等方面的专业知识， 和健康差距。这项研究将极大地促进我们对有效育儿的理解 在幼儿期对使用阿片类药物的高风险母亲进行干预，以长期减少 儿童问题行为并最终减少成人药物滥用。