Enhancing Fathers' Ability to Support their Preschool Child

增强父亲支持学龄前儿童的能力

• 批准号: 8138002
• 负责人: Anil Chacko
• 金额: $ 23.65万
• 依托单位: QUEENS COLLEGE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-01 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8138002
• 关键词: Enhancing; Fathers; Ability; Support; their

Description (Provided by Applicant) Statement of the problem: Maltreatment (neglect and physical abuse of children) is an unfortunately prevalent issue in the United States (MacMillan et al., 1997; WHO, 1999). Although considerable empirical support demonstrates that Behavioral Parent Training can provide substantial benefit in altering maladaptive parenting behavior, fathers are not typically engaged in and respond as favorably to these interventions. Purpose of the proposed research: The purpose of the proposed research is to develop a novel intervention, the Fathers Supporting Success in Preschoolers (FSSP) program, to prevent the perpetration of child maltreatment in a population of fathers who are at-risk for child maltreatment. Specific aims of the study include: Developing, refining, and, subsequently evaluating the effectiveness of the revised FSSP program compared to a wait-list control condition at post-treatment and at one-month follow up on primary (observed and self-report of parenting behavior, parent-child relationships, and observed and parent-report of child behavior problems), secondary (parent attributions for children's behavior; parenting stress; parental depression) outcomes as well as measures of engagement (attendance, dropout from treatment, homework compliance, and consumer satisfaction). We hypothesize that the FSSP program will result in significant improvement on primary and secondary outcomes relative to the wait-list condition. In addition, we hypothesize high levels of engagement to the FSSP program. Methods: During year 1, we will develop the FSSP program, which is driven by both our theoretically-based model of prevention of father perpetration of child maltreatment as well as extensive input from potential consumers of the FSSP. The preliminary FSSP protocol will undergo a feasibility and acceptability trial prior to the stage two, larger clinical trial. The phase two study will evaluate the impact of the FSSP program relative to a wait-list control condition via a randomized clinical trial of 100 fathers and their preschool child on multiple outcomes (father self-report as well as observation of the father-child interactions). Analysis used in this study for the primarily outcomes will include Random Regression analyses, and benchmarking with supplemental analyses including effect size and moderator analyses. Implications for prevention: T our knowledge, this is one of the few interventions to provide multiple, theoretically-driven adaptations to evidence-based parenting interventions in order to engage fathers in and maximize outcomes following parenting focused interventions. As such, the data obtained from this study will provide critical information to the field of prevention of child maltreatment, including methods to effectively recruit and retain fathers from higher-risk communities, descriptive information on key constructs specifically for fathers (e.g., parenting), as well as assist in determining whether novel interventions, such as the FSSP program, can affect change in key risk factors associated father perpetration of child maltreatment. Program Narrative Child maltreatment is a prevalent occurrence in the United States. Unfortunately, despite data that demonstrate that fathers are often involved in perpetrating child maltreatment, very little research has been conducted on targeting fathers in prevention efforts. This grant is to support the development and evaluate the preliminary benefits of a novel preventive parenting program that targets an at-risk group of fathers-fathers of preschool children who reside in socioeconomically disadvantaged inner-city communities. If successful, this intervention will address an understudied, yet critical area, of public heath concern-the prevention of father perpetration of child maltreatment in an at-risk population.

描述（申请人提供） 问题陈述：虐待（忽视和身体虐待儿童）是一个不幸的普遍问题，在美国（麦克米伦等人，1997年;卫生组织，1999年）。虽然相当多的实证支持表明，行为父母培训可以提供实质性的好处，在改变适应不良的养育行为，父亲通常不参与，并积极响应这些干预措施。拟议的研究的目的：拟议的研究的目的是开发一种新的干预措施，父亲支持成功的学龄前儿童（FSSP）计划，以防止犯下虐待儿童的人口中的父亲谁是在儿童虐待的风险。该研究的具体目的包括：在治疗后和一个月的随访中，与等待名单控制条件相比，开发、改进并随后评估修订后的FSSP计划的有效性。（观察和自我报告的父母行为，父母-子女关系，以及观察和父母报告的儿童行为问题），次要（父母对孩子行为的归因;父母的压力;父母的抑郁）结果以及参与的测量（出勤率、治疗辍学率、家庭作业依从性和消费者满意度）。我们假设，FSSP计划将导致显着改善的主要和次要结果相对于等待名单的条件。此外，我们假设高水平的参与FSSP计划。研究方法：在第一年，我们将制定FSSP计划，该计划由我们基于理论的预防父亲虐待儿童的模型以及FSSP潜在消费者的广泛投入驱动。初步FSSP方案将在第二阶段更大的临床试验之前进行可行性和可接受性试验。第二阶段研究将通过对100名父亲及其学龄前儿童进行随机临床试验，评估FSSP计划相对于等待列表控制条件的影响，该临床试验对多种结局（父亲自我报告以及观察父子互动）。本研究中用于主要结局的分析将包括随机回归分析，以及具有补充分析（包括效应量和调节分析）的基准分析。对预防的影响：据我们所知，这是为数不多的干预措施之一，为基于证据的育儿干预措施提供多种理论驱动的适应，以便让父亲参与并最大限度地提高育儿干预措施的效果。因此，从这项研究中获得的数据将为预防虐待儿童领域提供关键信息，包括有效招募和留住来自高风险社区的父亲的方法，专门针对父亲的关键结构的描述性信息（例如，父母养育），并协助确定新的干预措施，如FSSP计划，是否可以影响与父亲虐待儿童有关的关键风险因素的变化。虐待儿童在美国很普遍。遗憾的是，尽管有数据表明父亲往往参与实施虐待儿童行为，但在预防工作中针对父亲开展的研究很少。这笔赠款是为了支持开发和评估一个新的预防性育儿方案的初步效益，该方案的目标是居住在社会经济条件不利的市中心社区的学龄前儿童的父亲的风险群体。如果成功的话，这种干预将解决一个研究不足，但关键领域的公共卫生问题-预防父亲犯下的虐待儿童的风险人口。