Web-based Parenting Intervention for Mothers of Infants At-Risk for Maltreatment

针对面临虐待风险的婴儿母亲的基于网络的育儿干预

• 批准号: 8307458
• 负责人: Kathleen M Baggett
• 金额: $ 57.6万
• 依托单位: OREGON RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-28 至 2014-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8307458
• 关键词: Address; Attention; Attitude; Behavioral; Budgets; Child; Child Abuse and Neglect; Child Behavior; Clinical Trials Design; Communication; Communities; Comprehension; Computer software; Computers; Conflict (Psychology); Cost Analysis; Cost-Benefit Analysis; Development; Drug usage; Early treatment; Economics; Educational Intervention; Effectiveness; Electronic Mail; Electronics; Emotional; Enrollment; Ethnic Origin; Evaluation; Evidence based intervention; Experimental Designs; Face; Failure; Family; Foundations; Funding; Grant; Head Start Program; Income; Infant; Infant Behavior; Infant Development; Internet; Intervention; Kansas; Knowledge; Language; Language Tests; Latino; Learning; Life; Linguistics; Location; Low income; Maintenance; Maternal Behavior; Measures; Mental Health; Mental Health Services; Monitor; Mono-S; Mothers; Multimedia; Online Systems; Oregon; Outcome; Parent-Child Relations; Parenting Education; Parenting behavior; Parents; Participant; Policies; Population; Population Heterogeneity; Poverty; Process Measure; Psychopathology; Randomized; Randomized Controlled Trials; Readiness; Recruitment Activity; Relative (related person); Research; Risk; Rural; Sampling; Schools; Services; Social support; Special Education; Substance abuse problem; Technology; Telephone; Testing; Time; Training; Training Programs; Training Support; Translations; United States National Institutes of Health; Variant; Video Recording; Work; abstracting; arm; base; cohort; computer network; computer program; cost; depressive symptoms; digital; early childhood; experience; family structure; follow-up; improved; infancy; innovation; intervention effect; laptop; maltreatment; member; peer; primary outcome; programs; public health relevance; response; rural area; satisfaction; skills; social; tool; trend

DESCRIPTION (provided by applicant): Web-based Parenting Intervention for Mothers of Infants at Risk for Maltreatment Project Summary/Abstract Parents of infants living in poverty are at significantly elevated risk of a host of detrimental outcomes, including the development of child behavior problems, neglect and abuse of children, child learning problems and parental substance abuse. Research has found that early interventions to improve parenting practices were effective to ameliorate these outcomes. Yet, there exist major obstacles to the effective delivery of mental health services, particularly in rural areas. The need of rural families for mental health services is reaching crisis proportions due to the dearth of trained professionals. In addition, the meteoric rise of Internet use has created a new avenue for people to communicate and share ideas. These two trends are helping fuel the demand for mental health services and on-line support. Internet programs can be interactive and provide social support from peers and professionals. Through the use of recent advances in multimedia technology and software as well as the rise of computer networking via the Internet, there now exists an opportunity to provide such monitoring of outcomes and remote contact for rural locations. Prior developmental R34 research ("Infant Net") successfully adapted and pilot tested an existing empirically proven parenting program, for delivery via the Internet, enhanced with weekly professional contact. This research provided 40 mothers of infants 3.5 to 7 months (at enrollment) with a computer, computer camera, Internet connection, and technical training/support for 6 months to evaluate the digital translation. Mother-infant dyads were randomized to Experimental or Computer/Control conditions. Results found significant change with infant-behavioral and positive trends were demonstrated in parenting behaviors. Mothers rated the both computer program and interaction with coaches to be very high. These encouraging developmental research results provide a very good empirical base for a fully powered randomized control trial to test effectiveness. In its developmental current form, Infant Net successfully delivered the PALS program to mothers in English. In the current study, we seek to broaden our scope to include monolingual Spanish-speaking Latino families. Using the existing Spanish-language translation of the PALS program as a foundation, we will develop a culturally and linguistically appropriate Infant Net-Spanish intervention delivery tool. In this proposed application using an experimental design, we will evaluate the impact of the interactive Internet parent training intervention as compared to control. After recruiting from Early Head Start program in rural and urban Oregon and Kansas, 200 English- and Spanish-speaking mothers (in 4 cohorts) will be randomized to either the intervention or computer-control conditions. Parent coaches will make weekly, phone calls and email to assist parents with the use of the computer and questions/concerns about the program. Parenting practices will serve as the primary outcome. The proposed randomized control trial design will test the effectiveness of an Internet parenting intervention in effecting parenting behavior. PUBLIC HEALTH RELEVANCE: This innovative interactive Internet-based parent education intervention will help serve to promote the social emotional development and communication skills of infants to decrease the chances of child maltreatment in low-income, culturally diverse, families.

摘要/摘要贫困儿童的父母出现一系列不良后果的风险显著增加，包括儿童行为问题的发展、对儿童的忽视和虐待、儿童学习问题和父母药物滥用。研究发现，早期干预改善育儿实践对改善这些结果是有效的。然而，在有效提供心理健康服务方面存在重大障碍，特别是在农村地区。由于缺乏训练有素的专业人员，农村家庭对心理健康服务的需求正达到危机的程度。此外，互联网使用的迅速增加为人们交流和分享想法创造了新的途径。这两种趋势助长了对心理健康服务和在线支持的需求。互联网项目可以是互动的，并提供来自同伴和专业人士的社会支持。通过使用多媒体技术和软件的最新进展，以及通过因特网兴起的计算机网络，现在有机会为农村地区提供这种结果监测和远程联系。先前的R34发展研究（“婴儿网”）成功地改编和试点测试了现有的经验证明的育儿计划，通过互联网提供，每周与专业人士联系。本研究为40名婴儿3.5至7个月（入组时）的母亲提供了6个月的电脑、电脑摄像头、互联网连接和技术培训/支持，以评估数字翻译。母子二人组随机分为实验组和计算机/对照组。结果发现，幼儿行为发生了显著变化，父母行为呈现出积极的趋势。母亲们对电脑程序和与教练的互动都评价很高。这些令人鼓舞的发展研究结果为测试有效性的全功率随机对照试验提供了非常好的经验基础。在其发展的当前形式中，婴儿网成功地用英语向母亲们提供了PALS项目。在目前的研究中，我们试图扩大我们的范围，包括单语西班牙语的拉丁裔家庭。以现有的PALS计划的西班牙语翻译为基础，我们将开发一种文化和语言上合适的婴儿网络西班牙语干预交付工具。在本应用程序中，我们将使用实验设计来评估交互式互联网家长培训干预与对照组相比的影响。从俄勒冈州和堪萨斯州农村和城市的“早期开端”项目中招募了200名讲英语和西班牙语的母亲（分成4组），随机分为干预组和计算机控制组。家长教练将每周打电话和发邮件，帮助家长使用电脑，并解决有关该计划的问题。养育子女的做法将是主要的结果。本研究拟采用随机对照试验设计，检验网络教养干预对教养行为影响的有效性。