Trauma-Informed Parenting for Children with Developmental Delays

针对发育迟缓儿童的创伤知情育儿

• 批准号: 10400431
• 负责人: JAMES P GUEVARA
• 金额: $ 12.31万
• 依托单位: CHILDREN'S HOSP OF PHILADELPHIA
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-04-01 至 2022-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10400431
• 关键词: Address; Adult; Caregivers; Child; Child Development; Child Rearing; Childhood; Chronic stress; Data; Development; Developmental Delay Disorders; Exposure to; Family; Foundations; Funding; Future; Grant; Health Services Accessibility; Intervention; Methods; Outcome; Parents; Prevention program; Primary Health Care; Primary Prevention; Qualitative Methods; Research; Research Personnel; Risk; Testing; Time; Training; Trauma; United States National Institutes of Health; base; caregiving; cohesion; design; efficacy evaluation; evidence base; experience; implementation intervention; implementation science; improved; innovation; interest; intergenerational; offspring; pediatric trauma; primary care setting; programs; racial and ethnic disparities; skills; therapy design; therapy development; trauma exposure

ABSTRACT Childhood trauma and chronic stress are associated with poor parenting as an adult and subsequent offspring developmental problems. Supportive, cohesive co-parenting (i.e., ways in which parents support/undermine and coordinate with each other in parenting) has the potential to mitigate the impact of childhood trauma and chronic stress on parent adjustment and parenting quality and therefore improve offspring developmental outcomes. Unfortunately, current co-parenting interventions do not address the impact of prior exposure to childhood trauma and chronic stress on co-parenting relationships, limiting the efficacy of such programs among parents impacted by trauma and chronic stress as children. In addition, parents who have experienced trauma and chronic stress as a child may struggle to access services. Thus, a pediatric primary care-based co- parenting program that addresses the impact of childhood exposure to trauma and chronic stress on cooperative caregiving offers a unique opportunity to disrupt the intergenerational impact of childhood trauma and chronic stress and improve developmental outcomes for at risk children. The overall objective of the proposed project is to modify the Family Foundations (FF) Program, an evidence-based primary prevention program designed to enhance co-parenting relationships among cohabitating/married expecting first-time parents, to a primary care-based intervention that mitigates the negative impact of childhood trauma and chronic stress on co-parenting, assessing the feasibility, acceptability, and impact on co-parenting skills of the adapted co-parenting program using pilot tests. The proposed study will use qualitative, intervention development, and implementation science methods to adapt the FF program into a trauma-informed parenting program for caregivers impacted by childhood exposure to trauma and chronic stress. Pilot data collected as part of this study will support future R01 grants focused on implementation of this intervention in a primary care setting and evaluation of the efficacy of this primary care-based trauma informed co-parenting intervention in improving child developmental outcomes among children reared by caregivers endorsing exposure to trauma and chronic stress as children. The proposed application is within scope of the parent NIMHD funded ODEI study (R01MD011598) in addressing the effects of poor co-parenting on child development and innovative in adapting a co-parenting intervention for use in pediatric primary care settings among caregivers impacted by trauma and chronic stress as a child. My long-term research interests center around decreasing racial and ethnic disparities in child developmental problems by developing primary care-based interventions designed to address the impact of exposure to trauma and chronic stress as a child on parenting. To conduct this line of research I require additional training in qualitative methods, intervention development, and implementation science. The NIH NIMHD diversity supplement would enable me to develop the skills necessary to become an independent academic investigator in this field.

摘要 儿童时期的创伤和长期的压力与成年后父母教养不善以及随后的后代有关 发育问题。支持、有凝聚力的共同育儿方式(即父母支持/破坏的方式 并在育儿方面相互协调)有可能减轻儿童创伤和 对父母适应和父母教养质量的长期压力，从而改善子女的发育 结果。不幸的是，目前的共同育儿干预措施并没有解决先前暴露于 童年创伤和共同育儿关系的长期压力，限制了此类计划的效果 儿童时期受到创伤和慢性压力影响的父母。此外，经历过的父母 儿童时期的创伤和慢性压力可能难以获得服务。因此，以儿科初级保健为基础的联合- 为人父母的计划，解决儿童时期暴露于创伤和慢性压力对 合作照看提供了一个独特的机会来破坏童年创伤的代际影响 和慢性压力，并改善高危儿童的发展结果。《公约》的总体目标 拟议的项目是修改家庭基金会(FF)计划，这是一项以证据为基础的初级预防 旨在加强同居/首次结婚期待中的共同育儿关系的计划 父母，采取以初级保健为基础的干预措施，减轻儿童创伤和 对共同育儿的长期压力，评估共同育儿技能的可行性、可接受性和影响 通过试点测试，调整了共同育儿计划。拟议的研究将使用定性的、干预的 开发和实施科学方法，使FF计划适应创伤知情的育儿 为受童年创伤和慢性压力影响的照顾者提供的方案。收集的试点数据为 这项研究的一部分将支持未来R01赠款，重点是在初级保健中实施这一干预措施 建立和评估这种以初级保健为基础的创伤知情共同育儿干预的有效性 改善由支持暴露于创伤的照顾者抚养的儿童的儿童发展结果 从小就有长期的压力。建议的申请在母公司NIMHD资助的Odei的范围内 研究(R01MD011598)，以解决不良的共同养育对儿童发展和创新的影响 在受影响的照顾者中调整共同育儿干预措施以用于儿科初级保健环境 孩提时代的创伤和慢性压力。我的长期研究兴趣围绕着减少种族和 通过制定以初级保健为基础的干预措施来解决儿童发展问题中的种族差异 解决儿童时期暴露于创伤和慢性压力对养育子女的影响。进行这一系列的 研究I需要在定性方法、干预措施开发和实施方面的额外培训 科学。NIH NIMHD多样性补充将使我能够发展成为一名 这一领域的独立学术研究者。