Improving Access to Early Parent Education and Support

改善早期家长教育和支持的机会

• 批准号: 7108030
• 负责人: CAROL W METZLER
• 金额: $ 19.95万
• 依托单位: IRIS MEDIA, INC.
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-05-05 至 2008-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7108030
• 关键词: Internet; behavioral /social science research tag; child psychology; child rearing; clinical research; computer assisted instruction; depression; education evaluation /planning; educational resource design /development; focus groups; human subject; income; infant human (0-1 year); interactive multimedia; mother child interaction; parents; psychological stressor; quality of life; questionnaires; satisfaction; social support network; women' s health

DESCRIPTION (provided by applicant): During the first 3 years, children's long-term developmental trajectories are established, and the quality of parenting the child receives on a daily basis profoundly influences these trajectories. The transition to parenthood is a difficult one for many parents, however, and can lead to parental stress and social isolation and to lack of parenting competence and confidence. These difficulties can then interfere with optimal social, emotional, and cognitive development in the infant and can increase risk for child maltreatment. The high cost and limited reach of home visiting and group-based parenting programs for families of infants means that most new families receive no services at all. Self-administered parenting programs offer an attractive alternative for the general population of families, including those at moderate risk. They are typically low in cost, overcome barriers to attendance at parenting groups, and have shown promising effects in increasing parents' knowledge, confidence, and skill, and in reducing their stress. Little attention has been paid, however, to the potential value of low-cost, self-administered, interactive multimedia approaches for parents of infants and toddlers. We propose to develop and evaluate an interactive video email service (IVES) for parents of infants and toddlers (IVES for the First 3 Years) that integrates automated email, video streaming, and interactive website technologies to deliver frequent, ongoing parent education and support services to parents of young children. The program will involve a series of attractive email messages that provide educational content as well as links to (a) video vignettes that model targeted skills for each topic and (b) an interactive website where parents can interact with other parents for social support, self-assess, access additional home practice activities, and access archives of topics. In Phase 1, we propose to develop and evaluate the feasibility of a 3-month prototype for parents of infants (IVES for Infants). We will evaluate the feasibility (i.e. efficacy, consumer satisfaction, and usage) of this program in a randomized controlled trial with 80 mothers of first-born infants. Mothers will be randomized to receive IVES for Infants immediately or to wait 4 months. Measures of mothers' knowledge, skills, adjustment, and social support will be obtained at baseline and at post-test, as well as measures of mothers' program satisfaction and usage. We will examine the efficacy of IVES for Infants in improving mothers' parenting knowledge, skills, social support, self- efficacy, stress, and pleasure in parenting relative to the waitlist control condition, as well as potential moderators of these effects, such as child temperament, maternal depression, and income. We will also examine the degree to which mothers use the program and are satisfied with its appeal, usefulness, relevance, and usability. This innovative IVES approach has the potential to bring evidence-based parent education and support to a broad population of new parents who would otherwise receive no services, thereby potentially increasing the prevalence of family well-being.

描述（由申请人提供）：在最初的3年里，儿童的长期发展轨迹已经建立，儿童每天接受的养育质量深刻地影响着这些轨迹。然而，对许多父母来说，向父母身份的过渡是一个困难的过程，可能导致父母的压力和社会孤立，以及缺乏育儿能力和信心。这些困难可能会干扰婴儿的最佳社会，情感和认知发展，并可能增加虐待儿童的风险。对婴儿家庭的家访和以小组为基础的养育方案费用高昂，覆盖面有限，这意味着大多数新家庭根本得不到任何服务。自我管理的育儿方案为一般家庭人口，包括那些中等风险的家庭提供了一个有吸引力的选择。它们通常费用低廉，克服了参加育儿小组的障碍，并在增加父母的知识、信心和技能以及减轻他们的压力方面显示出有希望的效果。然而，很少有人注意到低成本，自我管理，互动的多媒体方法的婴幼儿父母的潜在价值。我们建议开发和评估一个互动视频电子邮件服务（伊韦斯）的父母的婴儿和幼儿（伊韦斯的前3年），集成自动电子邮件，视频流和互动网站技术，提供频繁的，持续的家长教育和支持服务的幼儿的父母。该计划将涉及一系列有吸引力的电子邮件，提供教育内容以及链接到（a）视频小插曲，模型针对每个主题的技能和（B）一个互动网站，家长可以与其他家长互动的社会支持，自我评估，访问其他家庭实践活动，并访问主题档案。在第一阶段，我们建议开发和评估3个月的婴儿父母原型（婴儿伊韦斯）的可行性。我们将在一项随机对照试验中评估该计划的可行性（即有效性，消费者满意度和使用情况），该试验有80名头胎婴儿的母亲。母亲将随机接受伊韦斯婴儿立即或等待4个月。母亲的知识，技能，调整和社会支持的措施将在基线和后测试，以及母亲的程序的满意度和使用的措施。我们将研究伊韦斯婴儿在改善母亲的育儿知识，技能，社会支持，自我效能，压力和快乐的育儿相对于等待名单控制条件，以及这些影响的潜在调节因素，如儿童气质，母亲抑郁症和收入。我们还将研究母亲使用该计划的程度，并对其吸引力，有用性，相关性和可用性感到满意。这种创新的伊韦斯方法有可能为广大的新父母提供基于证据的父母教育和支持，否则他们将得不到任何服务，从而有可能提高家庭福祉的普遍性。