Evaluation of a Video-Based Media Series to Promote Effective Parenting

描述（由申请人提供）：相当多的研究指出，幼儿的对立，挑衅和破坏性行为的相对较高的患病率及其在建立长期的问题轨迹，为以后的社会情感，行为和学术问题（坎贝尔，1995），如物质使用，犯罪和学业失败的重要性。父母处理这些挑战性行为的能力将影响孩子的长期发展轨迹。父母培训计划在减少各种年龄段儿童的行为问题方面显示出很大的价值，从而降低了他们随后使用药物和其他青春期问题的风险。然而，由于招募和留住父母方面的巨大挑战，这些育儿计划的覆盖面有限，因此大多数可以从育儿援助中受益的父母从未获得过援助。减少破坏性行为问题的流行需要公共卫生方法来改善育儿实践，使基于证据的育儿干预措施以一系列形式广泛可用。大众媒体，特别是电视，作为全民战略的一部分，具有很大的潜力，可以将循证育儿做法带给在抚养子女方面遇到挑战的广大父母。电视影响育儿的潜力得到了很少的研究关注，但是，因此，很少有人知道如何媒体信息影响育儿的做法可能是最佳的设计。这项研究将开发和实验评估两个变体的10集，简短（每集7分钟），视频为基础的，信息娱乐风格的广播质量的媒体系列，针对父母的做法，来自三重P-积极的育儿计划（桑德斯，1999年）。300个3-6岁儿童家庭的样本，这些儿童具有一定程度的破坏性行为问题，将被随机分配到：（a）接受该系列的仅信息版本，该版本仅包括目标养育技能的建模和演示，（B）接受该系列的增强行为激活版本，该版本旨在通过解决归因的元素积极促进父母行为改变，自我效能和期望，社会支持和情绪反应，或（c）候补控制。在基线、干预后和6个月的随访中，将获得父母的育儿实践、认知、情感和社会支持以及儿童的破坏性行为问题的测量结果。标准版和增强版的三P媒体系列在改善这些结果的相对功效将被检查，以及这些效果的调节因素，如行为问题和父母压力的基线水平。这项研究将进一步加深我们对电视节目在改善父母行为方面的潜在价值的理解。通过电视给大量的父母带来有效的育儿节目，有可能减少儿童行为问题的发生，并减少以后出现问题的风险，如物质使用。

DESCRIPTION (provided by applicant): Considerable research points to the relatively high prevalence of young children's oppositional, defiant, and disruptive behaviors and their importance in establishing long-term problematic trajectories for later socioemotional, conduct, and academic problems (Campbell, 1995), such as substance use, delinquency, and school failure. The skill with which parents are able to handle these challenging behaviors will influence the long-term developmental trajectories of their children. Parent training programs have shown much value in reducing behavior problems for children of a broad range of ages, thereby reducing their risk for subsequent substance use and other problems of adolescence. The reach of these parenting pro- grams are limited, however, by substantial challenges in recruiting and retaining parents, such that most parents who could benefit from parenting assistance never receive it. Reducing the prevalence of disruptive behavior problems will require public health approaches for improving parenting practices that make evidence-based parenting interventions widely available and accessible in a range of formats. The mass media, and television in particular, hold significant potential as part of a population-wide strategy for bringing evidence-based parenting practices to a broad range of parents experiencing challenges raising their children. The potential of television for affecting parenting has received very little research attention, however; thus, little is known about how media messages to affect parenting practices might be optimally designed. This study will develop and experimentally evaluate two variants of a 10-episode, brief (7 minutes per episode), video-based, infotainment-style broadcast-quality media series targeted at parenting practices, derived from the Triple P-Positive Parenting Program (Sanders, 1999). A sample of 300 families of children ages 3-6 years with somewhat elevated disruptive behavior problems will be randomized to (a) receive an Information-Only version of the series that includes only modeling and demonstration of target parenting skills, (b) receive an Enhanced Behavior Activation version of the series designed to actively pro- mote parental behavior change, through elements addressing attributions, self-efficacy and expectancies, social support, and emotional reactivity, or (c) Waitlist Control. Measures of parents' parenting practices, cognitions, affect, and social support, and children's disruptive behavior problems, will be obtained at base- line, post-intervention, and 6-month follow-up. The relative efficacy of the Standard and Enhanced versions of the Triple P Media Series in improving these outcomes will be examined, as well as moderators of these effects, such as baseline level of behavior problems and parental stress. This study will further our under- standing of the potential value of television programming for improving parenting practices. Bringing effective parenting programs to large numbers of parents through television has the potential to reduce the prevalence of children's behavior problems, and to reduce risks for later problems such as substance use.