Online Parent Training for Children with Behavior Disorders

针对行为障碍儿童的在线家长培训

• 批准号: 8507687
• 负责人: DONALD GORDON
• 金额: $ 63.92万
• 依托单位: FAMILY WORKS, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-04-01 至 2015-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8507687
• 关键词: Adolescent; Adolescent Behavior; Age; Area; Behavior; Behavior Disorders; Behavioral; Budgets; Bypass; Caring; Child; Child Behavior; Child Welfare; Collaborations; Communication; Communities; Comprehension; Computer software; Computers; Conduct Disorder; Cost Savings; Development; Disadvantaged; Discipline; Disease; Disruptive Behavior Disorder; Distant; Drug abuse; Economics; Educational Intervention; Educational process of instructing; Effect Modifiers (Epidemiology); Effectiveness; Emotional; Ethnic Origin; Evaluation; Evidence based practice; Family; Feedback; Future; HIV risk; Health Benefit; Health education; Hispanics; Household; Human Resources; Imagery; Internet; Intervention; Justice; Knowledge; Legal; Link; Marketing; Measures; Mediating; Mental Health; Mental Health Services; Modeling; Multimedia; Online Systems; Oppositional Defiant Disorder; Outcome; Parent-Child Relations; Parenting behavior; Parents; Performance; Pharmaceutical Preparations; Phase; Policies; Population Heterogeneity; Problem behavior; Process; Public Health; Randomized; Reporting; Research; Resources; Risk; Rural Population; Self Efficacy; Series; Services; Small Business Innovation Research Grant; Social Network; Social support; Substance Use Disorder; Substance abuse problem; System; Technology; Training; Training Programs; United States; Youth; adolescent substance abuse; anti social; base; behavioral health; clinically significant; community setting; conduct problem; cost; cost effective; design; effective intervention; ethnic minority population; evidence base; follow-up; health care delivery; juvenile justice system; laptop; meetings; parental monitoring; phase 2 study; prevent; probation; programs; randomized trial; recidivism; rural area; satisfaction; service utilization; skill acquisition; skills; skills training; social skills; substance abuse related behavior; therapy design; trend; web-based social networking

DESCRIPTION (provided by applicant): Research has shown that parent-targeted interventions are effective in ameliorating conduct disorders, substance abuse, HIV-risk, and related adolescent problem behaviors. During periods of economic turmoil, however, major obstacles such as affordability impede the effective delivery of support services. Ethnic minorities are especially disadvantaged with respect to risk for child behavioral problems, treatment barriers, and access to culturally sensitive interventions. The meteoric rise of Internet use and recent advance in multimedia technology and software combine to create new opportunities for disseminating evidence-based practices. Parenting Wisely (PW; Gordon, 2000) is a computer-based intervention designed to prevent and treat child disruptive behavior problems. This evidence-based approach fits easily into existing juvenile justice, health, education, and mental health service delivery systems, bypassing many of the current barriers to care. Our Phase I SBIR study focused on revising and enhancing PW with more culturally relevant content and imagery to broaden its appeal to ethnically diverse populations. The findings revealed substantial improvements on virtually all measures of parenting and child behavior and outcomes at 6 months were highly significant and clinically meaningful. This Phase II study is designed to broaden the appeal and potential reach of PW through a formal randomized trial conducted in collaboration with the juvenile justice system (JJS), the primary market for such a program. Parents of 450 delinquent receiving JJS services as usual (SAU) will be randomly assigned to: PW plus a social networking online discussion forum, PW alone, or SAU. PW is the first online skill-building parent training program to examine effectiveness across different ethnic cultural groups and offers a brief, low cost, accessible approach that could be easily and quickly implemented and sustained in JJS settings. As such, the potential impact for marketing PW and reducing child behavior problems is considerable. Phase II activities will include the development of a moderated online forum to increase parental social support and skill acquisition. We will also determine the potential marketability of the PW intervention to JJS programs based on the effects of PW on parent report and direct observation measures of parenting behaviors, adolescent behaviors, and family functioning, as well as measures of recidivism and cost savings. User satisfaction, program comprehension, receptivity, and parent self-efficacy will also be assessed.

描述(由申请人提供)：研究表明，以父母为目标的干预措施在改善行为障碍、药物滥用、艾滋病毒风险和相关青少年问题行为方面有效。然而，在经济动荡期间，负担能力等主要障碍阻碍了有效提供支助服务。在儿童行为问题的风险、治疗障碍和获得文化敏感干预措施方面，少数民族尤其处于不利地位。互联网的迅速崛起 多媒体技术和软件的使用和最新进展共同为传播循证做法创造了新的机会。明智的育儿(PW；Gordon，2000)是一种基于计算机的干预措施，旨在预防和治疗儿童破坏性行为问题。这种以证据为基础的方法很容易适应现有的青少年司法、卫生、教育和精神卫生服务提供系统，绕过了目前护理方面的许多障碍。我们的第一阶段SBIR研究的重点是修改和增强PW，使其具有更多与文化相关的内容和图像，以扩大其对不同种族人群的吸引力。研究结果显示，在几乎所有的育儿和儿童行为指标上都有实质性的改善，6个月后的结果是非常显著的，具有临床意义。这项第二阶段研究旨在通过与少年司法系统(JJS)合作进行的正式随机试验来扩大PW的吸引力和潜在影响范围，JJS是此类计划的主要市场。像往常一样接受JJS服务(SAU)的450名罪犯的父母将被随机分配到：PW加上一个社交网络在线讨论论坛，单独PW，或SAU。PW是第一个在线技能培养家长培训计划，旨在检查不同种族文化群体的有效性，并提供一种简单、低成本、可访问的方法，可以在JJS环境中轻松快速地实施和维持。因此，推广PW和减少儿童行为问题的潜在影响是相当大的。第二阶段的活动将包括开发一个主持的在线论坛，以增加父母的社会支持和获得技能。我们还将根据PW对父母报告的影响，以及对父母行为、青少年行为和家庭功能的直接观察指标，以及累犯率和成本节约措施，来确定PW干预JJS项目的潜在市场性。还将评估用户满意度、程序理解能力、接受性和父母自我效能感。