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Incredible Years - Parent Training

难以置信的岁月 - 家长培训

基本信息

批准号：
10436047
负责人：
Arielle Hope Sheftall
金额：
$ 28.71万
依托单位：
RESEARCH INST NATIONWIDE CHILDREN'S HOSP
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-08-01 至 2027-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10436047
关键词：
11 year old 18 year old 9 year old Address Adult Age Age of Onset Awareness Behavior Behavior Therapy Buffers Cause of Death Child Child Behavior Child Rearing Childhood Clinic Communication impairment Discipline Effectiveness Emergency department visit Emotional Emotions Empathy Environment Family Feeling suicidal Future Genetic Goals Heritability Hostility Impairment Intervention Interview Measures Mediator of activation protein Methods Monitor National Institute of Mental Health Outcome Parents Participant Patient Self-Report Perception Physiological Population Practical Robust Implementation and Sustainability Model Prevention program Public Health Qualitative Methods Race Randomized Recording of previous events Reporting Research Research Priority Risk Risk Assessment Risk Factors Schools Self-Injurious Behavior Services Stressful Event Suicide Suicide attempt Suicide prevention Testing Time Training Training Programs Visit Vulnerable Populations Youth acceptability and feasibility behavior observation boys cohesion coping mechanism depressive symptoms early onset effective intervention effectiveness implementation study effectiveness testing efficacious intervention emotion dysregulation emotion regulation externalizing behavior follow-up girls high risk high risk population implementation framework improved intervention effect maltreatment model design non-suicidal self injury offspring parent-child communication parental monitoring peer post intervention prevent primary outcome programs reducing suicide resilience secondary outcome skills social skills statistics suicidal adolescent suicidal behavior suicidal risk transmission process treatment as usual trend virtual

项目摘要

Project Summary/Abstract Suicide is the eighth leading cause of death among U.S. children ages 5-11 years. From 2012-2017, youth suicides increased at an alarming 14.7% annually. During this time, ER visits increased 92% among 5- to 18- year-olds—to 1.12 million. Almost half of these visits involved a 5- to 11-year-old child. To date, however, limited research on child suicide and suicidal behavior (SB) exists, and there are no empirically supported prevention programs despite recognition by NIMH that youth suicide prevention should be a national priority. One especially vulnerable group is children with a parental history of suicide attempts (PH+). PH+ children are 4-6x more likely to engage in SB than their peers and show especially early age of onset—often before age 10. In this proposal, we target specific parent- and child-level vulnerabilities/risk factors for SB among these families. Although suicide risk is heritable, existing research shows (1) effects of shared family environment on SB and suicide, over-and-above genetic influences; and (2) specific family environment mechanisms that contribute to SB and suicide. Such mechanisms include harsh, invalidating, and low-warmth parenting, as well as impaired parent-child communication and poor parental monitoring of children’s behavior. These parenting practices reinforce emotional lability and emotion dysregulation, which are common to both parents and children in at-risk families. In our previous study (R21MH116206), PH+ children, ages 6-9 years, reported less family cohesion, and PH+ parents reported more permissive parenting, which co-occurs with harshness, hostility, and emotion dysregulation. Effective interventions that target these parenting practices and improve parent and child emotion regulation (ER) may reduce risk for youth SB but have not been tested in PH+ families. We will compare a virtual version of Incredible Years® parent training (IY-PT) to Enhanced Usual Care (EUC). IY-PT decreases parents’ emotional reactivity and teaches them to effectively “coach” their children on successful ER. IY-PT is effective in increasing positive parenting and improving ER skills of both parents and children, with large effect sizes that maintain at 1- and 2-year follow-ups. We will (1) test acceptability and feasibility of virtual IY-PT for this population from both parent and clinician perspectives; (2) determine whether IY-PT is effective in decreasing suicide risk among PH+ youth; and (3) explore acceptability and feasibility as potential moderators between PH+ status and parent and child outcome. ER and parenting are primary outcomes and NSSI, SI, and depressive symptoms are secondary outcomes. Measures include interviews, direct observations, and self-reports. Participants include 100 PH+ families who will complete a baseline, be randomized to virtual IY-PT or EUC, and complete 1-,3-, and 6-month reassessments post-intervention. This effectiveness-implementation hybrid model design I, guided by PRISM Implementation Science Framework, could have major implications for preventing an imminent public health concern among at-risk youth.

项目总结/文摘