Enhancing Positive Parenting in Military Families with Young Children

加强有幼儿的军人家庭的积极养育

• 批准号: 8384523
• 负责人: KATHERINE ROSENBLUM
• 金额: $ 23.33万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-08-10 至 2014-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8384523
• 关键词: 5 year old; Address; Afghanistan; Age; American; Anxiety; Attention; Behavior; Behavioral; Belief; Child; Child Behavior; Code; Collaborations; Coupled; Data; Development; Educational Curriculum; Effectiveness of Interventions; Emotional; Environment; Equilibrium; Exhibits; Face; Family; Focus Groups; Foundations; Goals; Health Services Accessibility; Household; Individual; Injury; Intervention; Interview; Iraq; Life; Link; Mediator of activation protein; Mental Depression; Mental Health; Methods; Military Personnel; Moods; Nature; Nursery Schools; Online Systems; Outcome; Parent-Child Relations; Parenting Education; Parenting behavior; Parents; Participant; Patient Self-Report; Phase; Population; Preventive Intervention; Problem behavior; Psychological Impact; Questionnaires; Randomized; Randomized Controlled Trials; Relative (related person); Reporting; Research; Resources; Risk; Role; Self Care; Services; Social support; Stress; Symptoms; Techniques; United States; Videotape; Vulnerable Populations; Work; aged; base; brief intervention; caregiving; depressive symptoms; design; early childhood; effective intervention; efficacy testing; emotional distress; evidence base; experience; externalizing behavior; group intervention; improved; indexing; intervention effect; meetings; member; novel; programs; repaired; resilience; service intervention; skills; stressor; therapy design

DESCRIPTION (provided by applicant): Across the United States nearly 2 million children are living in military households; almost 40% are under the age of 6. The impact of deployment on the service member, coupled with distress and emotional symptoms in the nondeployed parent, places military families at particular risk, and this is most pronounced for families in the Nationl Guard and Reserves. Parental deployment has been linked to high levels of parenting stress, parent psychiatric symptoms, and depression and behavior problems in children. Reunification also poses challenges, including the normative tasks of reestablishing relationships, roles and family routines. This project aims to address the needs of military families with young children (2- to 5-years-old) following a deployment, with a particular focus on the Guard and Reserves. STRoNG Families is a brief, group-based parenting intervention for service members, their partners and children, and focuses on enhancing positive parenting through an intervention that incorporates five core pillars: 1) parent education, 2) social support, 3) supporting parent-child interactions, 4) connecting families to resources, and 5) improving stress reduction and self-care skills. Project methods involve a randomized controlled trial (N=160) comparing parents in the STRoNG Families treatment (n=80) to an attentional control condition that involves access to web-based informational resources (n=80). Our core hypotheses are that STRoNG Families participants will evidence enhanced positive parenting and reductions in mental health symptoms. Pre-post assessments will employ a multi-method approach to assess parenting, including self-reported parenting stress, observations of parenting, and interviews to assess parent attributions and representations of their children. Pre- post assessments will also identify changes in parent depression and posttraumatic stress, while exploratory analyses will examine the impact of the intervention on parent- reported child behavior problems. This project will lay the foundation for a subsequent RCT to longitudinally evaluate the effectiveness of the intervention for improving child outcomes. Access to evidence- based parenting support can ultimately improve outcomes for this vulnerable population. This proposal is responsive to the urgent need for acceptable, effective interventions specifically tailored for the experiences of military families with young children. PUBLIC HEALTH RELEVANCE: Nearly 2 million children live in military households, with parental deployment linked to high levels of parenting stress, parental mood and anxiety symptoms, and child behavior problems. This project focuses on the needs of military families with preschool-aged children following deployment. We aim to test the efficacy of a novel parenting group intervention designed to enhance positive parenting and reduce the impact of parental mental health problems among military families with young children. This proposal is responsive to the urgent need to develop acceptable, effective preventive interventions for military families with young children, particularly those in the National Guard/Reserves.

描述(由申请人提供)：全美有近200万儿童生活在军人家庭；近40%的儿童年龄在6岁以下。服役人员的部署对军人的影响，加上未部署的父母的痛苦和情绪症状，将军人家庭置于特别危险的境地，这一点在国民警卫队和预备役军人家庭中最为明显。父母的部署与高水平的育儿压力、父母的精神症状以及儿童的抑郁和行为问题有关。统一也带来了挑战，包括重新建立关系、角色和家庭惯例的规范性任务。该项目旨在满足有年幼子女(2至5岁)的军人家庭在部署后的需要，特别侧重于警卫和预备役人员。强健家庭是一种针对服务人员、他们的伴侣和儿童的简短的、基于群体的育儿干预，重点是通过包含五个核心支柱的干预来加强积极的育儿：1)家长教育，2)社会支持，3)支持亲子互动，4)将家庭与资源联系起来，5)改善压力缓解和自我照顾技能。项目方法包括一项随机对照试验(N=160)，比较接受强健家庭治疗的父母(n=80)和使用网络信息资源的注意控制条件(n=80)。我们的核心假设是，强大的家庭参与者将证明加强了积极的育儿方式，并减少了心理健康症状。事后评估将采用多种方法来评估育儿方式，包括自我报告的育儿压力、对育儿方式的观察，以及评估父母对子女的归因和陈述的访谈。事后评估还将确定 研究对象包括父母抑郁和创伤后应激的变化，而探索性分析将考察干预措施对父母报告的儿童行为问题的影响。该项目将为随后的随机对照研究奠定基础，以纵向评估改善儿童结局的干预措施的有效性。获得循证育儿支持最终可以改善这一弱势群体的结果。这项提议回应了迫切需要专门为有年幼子女的军人家庭的经历量身定做的可接受的有效干预措施。 公共卫生相关性：近200万儿童生活在军人家庭，父母的部署与高度的育儿压力、父母情绪和焦虑症状以及儿童行为问题有关。该项目侧重于部署后有学龄前儿童的军人家庭的需求。我们的目标是测试一种新的育儿团体干预的有效性，该干预旨在加强积极的育儿方式，并在有年幼子女的军人家庭中减少父母心理健康问题的影响。这项提议是针对迫切需要为有年幼子女的军人家庭，特别是国民警卫队/预备役军人家庭制定可接受的、有效的预防干预措施。