Transforming Coercive Processes in Family Routines

描述（由申请人提供）：建议书的长远目标是：（a）以经验研究生态学方法对家庭行为干预的内部和外部有效性，该方法旨在将强制性的亲子关系转变为有价值的家庭常规背景下的建设性关系;（B）考察父母和子女编码系统（PACCS）的结构效度，以可靠和准确地测量家庭常规中父母和子女互动的强制性和建设性过程。 具体目标是：（a）对12个有发展障碍和严重问题行为儿童的家庭进行了一项关于行为家庭干预的生态学方法的纵向、实验性、单一受试者分析;（B）使用PACCS来衡量强制性和建设性过程;（c）在重视的家庭常规的背景下评估该方法在改善儿童行为和亲子互动方面的功效;（d）评估改善的长期持久性;（e）评估干预前后全球家庭功能的变化。12个有发育障碍和问题行为的儿童家庭将参加这项研究。对于每个家庭，将选择家庭和/或社区中的四种常规进行干预。一个单一的主题，多个基线设计的设置，为每个家庭将评估的功能之间的关系，实施的方法和变化：（a）问题行为的比率;（B）成功完成例程。干预后24个月内收集的随访数据将提供关于维持干预结果的描述性数据。 在比较基线阶段与干预和后续阶段时，将使用多变量统计数据来评价强制性进程在多大程度上转变为建设性进程。通过对基线期、干预期和随访期的父母压力、社会支持和心理控制源的变化进行多变量分析，评估该方法的同时有效性

DESCRIPTION (provided by applicant): The long term objectives of the proposal are to: (a) empirically investigate the internal and external validity of an ecological approach to behavioral family intervention that seeks to transform coercive parent-child relationships into constructive relationships in the context of valued family routines; and (b) investigate the construct validity of the Parent and Child Coding System (PACCS) for reliably and accurately measuring both coercive and constructive processes of parent-child interaction in family routines. The specific aims are to: (a) conduct a longitudinal, experimental, single-subject analysis of the ecological approach to behavioral family intervention with twelve families of children with developmental disabilities and severe problem behaviors; (b) use PACCS to measure both coercive and constructive processes; (c) evaluate the efficacy of the approach for improving child behavior and parent-child interaction in the context of valued family routines; (d) assess the long-term durability of improvements; and (e) assess changes in global family functioning pre- to post-intervention. Twelve families of children with developmental disabilities and problem behaviors will participate in the study. For each family, four routines in the home and/or community will be selected for intervention. A single-subject, multiple baseline design across settings for each family will assess the functional relationship between implementation of the approach and changes in: (a) rate of problem behavior; and (b) successful completion of routines. Follow-up data gathered up to 24 months postintervention will provide descriptive data on the maintenance of intervention outcomes. Multivariate statistics will be used to evaluate the extent to which coercive processes have been transformed into constructive processes when comparing baseline to intervention and follow-up phases. The concurrent validity of the approach will be assessed through a multivariate analysis of changes in parenting stress, social support, and locus of control across baseline, intervention, and follow-up phases