Technology-Enhanced Delivery of Treatment for Early Conduct Problems

描述（由申请人提供）：低收入青年在早发性对立违抗性障碍（ODD）和品行障碍（CD）的统计数据中比例过高；然而，低收入父母最不可能参与或保留以证据为基础的行为父母培训计划，这些计划已被证明可以阻止ODD和CD行为的升级。根据项目公告（par06 -248），“从干预发展到服务：探索性研究资助”，这个R34项目旨在开发和试点测试智能手机技术的使用，以提高有ODD和早期CD行为的儿童（3至8岁）的低收入父母在一个基于证据的父母培训项目中的参与度和保留率，帮助不服从的孩子（HNC; McMahon & Forehand, 2003）。将开发智能手机增强的HNC治疗方案，然后在试点对照试验中进行测试，以检查可行性、成本效益和消费者满意度，以及父母参与和保留的趋势以及父母和儿童行为的变化。鉴于ODD和CD行为的早期发作是青春期男孩和女孩犯罪、药物滥用和暴力的最重要的预测因素，开发新的方法来吸引和留住低收入父母参与循证父母培训项目对公共卫生至关重要。

DESCRIPTION (provided by applicant): Low-income youth are overrepresented in the statistics on early onset oppositional defiant disorder (ODD) and conduct disorder (CD); however, low-income parents are least likely to engage in or be retained in the evidence-based behavioral parent training programs, which have proven to disrupt the escalation of ODD and CD behaviors. Consistent with Program Announcement (PAR-06-248), "From Intervention Development to Services: Exploratory Research Grants," this R34 project aims to develop and pilot-test use of Smartphone technology to enhance the engagement and retention of low-income parents of children (3 to 8 years old) with ODD and early CD behaviors in one evidence-based parent training program, Helping the Noncompliant Child (HNC; McMahon & Forehand, 2003). The Smartphone-enhanced HNC treatment program will be developed, and then tested in a pilot controlled trial in order to examine feasibility, cost-effectiveness, and consumer satisfaction, as well as trends in engagement and retention of parents and changes in parent and child behavior. Given that the early onset of ODD and CD behavior is the single most important predictor of delinquency, substance abuse, and violence for boys and girls in adolescence, the development of novel approaches to engage and retain low-income parents in evidence-based parent training programs is of critical public health importance.