MENTAL HEALTH PREVENTION PROJECT: HELPING-U-GROW (HUGS)

拟议的K23指导患者导向研究职业发展奖是一个五年计划，旨在将候选人培养成为一名独立的儿科预防干预研究人员，专注于预防高危城市学龄前和学龄儿童的行为障碍、犯罪和药物滥用。该提案通过以下方式为候选人提供培训和经验：(1)正式课程；(2)参与由国家心理健康研究所资助的P30 MH38725：早期风险行为流行病学中心资助（预防中心）的正在进行的实地研究，并与导师/顾问Sharon Ramey博士一起对Civitan国际研究中心的纵向多站点Head Start数据集进行二次分析；(3)在早期学前教育环境下实施随机预防干预研究；(4)出席相关研讨会/会议并发表演讲。K23奖的目标是：(1)增加流行病学和生物统计学知识，因为它与长期临床预防干预临床试验有关；(2)提高社区预防临床试验的实施技能；(3)发展评估干预措施有效性的技能。本提案的总体目标是为候选人提交成功的NIMH R01社区预防拨款做好准备。在两位博士的共同指导下。Nicholas lalongo， C. Hendricks Brown和Philip Leaf，候选人将实施一项名为“帮助你成长”的早期心理健康预防研究。采用分层随机设计，研究将检验以下假设：接受HUG干预的家庭，包括以心理健康为基础的育儿课程，将表现出改善的亲子互动和减少父母的压力。除了提供关于心理健康为基础的早期教育课程的有效性的新信息外，该研究还将提供关于父母压力、心理健康和亲子互动之间相互作用的有价值的信息。将对接受HUG干预的儿童与标准的早期开端课程进行比较。对亲子互动进行录像评估。干预前后的评估将包括儿童和家长的措施。

The proposed K23 Mentored Patient-Oriented Research Career Development Award is a five year plan to develop the candidate into an independent pediatric prevention intervention researcher with a focus on prevention f behavior disorders, delinquency, and substance abuse in high-risk inner city preschool and school-aged children. The proposal provides the candidate with training and experience through a combination of: (1) formal course work; (2) participation in on-going field research sponsored by the National Institute of Mental Health-funded P30 MH38725: Epidemiologic Center for Early Risk Behaviors Grant (Prevention Center) and secondary analysis of a longitudinal multi-site Head Start data set at the Civitan International Research Center with mentor/consultant Dr. Sharon Ramey; (3) implementation of a randomized prevention intervention research study in an Early Head Start setting; and (4) attendance and presentations at pertinent seminars/conferences. The objectives of the K23 award are to: (1) increase epidemiologic and biostatistical knowledge as it relates to long-term clinical prevention intervention clinical trials; (2) improve skills in implementation of community-based prevention clinical trials; and (3) develop skills to evaluate the effectiveness of interventions. The overarching goal of this proposal is to prepare the candidate to submit a successful NIMH R01 community-based prevention grant. Supported by the co-mentorship of Drs. Nicholas lalongo, C. Hendricks Brown, and Philip Leaf, the candidate will implement an Early Head Start mental health prevention study entitled: Helping-U-Grow (HUGS). Using a stratified randomized design, the study will examine the following hypothesis: families who receive the HUG'S intervention, consisting of a mental health-based parenting curriculum, will demonstrate improved parent-child interaction and reduced parental stress. In addition to providing new information about the effectiveness of a mental health-based parenting curriculum in an Early Head Start setting, the study will provide valuable information about the interactions between parental stress, mental health, and parent- child interaction. Comparisons will be made between children who received HUG'S intervention versus standard Early Head Start curriculum. Videotaped assessments of the parent-child interaction will be conducted. Pre- and post intervention evaluations will include child and parent measures.