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. 项目总结/文摘