ADAPT Online: After Deployment Adaptive Parenting Tools

说明(由申请人提供)：这一名为“在线适应(部署后：适应性育儿工具)”的第二阶段项目的目标是加强家庭功能，改善儿童在重新融入军人家庭方面的成果。通过为有学龄儿童的军人家庭开发经验性的、独立的、基于网络的育儿干预措施，我们希望加强家庭的育儿实践，防止儿童的行为和情绪适应不良。Adapt Online响应军人家庭的紧急育儿需求，这些家庭可能面临抑郁、焦虑、药物滥用、精神疾病、创伤后应激障碍和其他疾病的风险。Adapt Online建立在一种经过充分验证的基于理论的方法之上，即俄勒冈州家长管理培训模式(PMTO)。在第一阶段，我们开发并成功测试了情绪调节和基本育儿技能模块。在第二阶段，我们将通过添加PMTO模块来完成程序。首席调查员有丰富的赠款管理经验；项目团队成员在涉及媒体和互联网技术的翻译研究方面有多年经验。获得了12个电视媒体奖的Iris Media维持着一条活跃的家长培训产品线。该项目受益于来自明尼苏达大学家庭社会科学系、俄勒冈社会学习中心、退伍军人事务部、国防部国家远程医疗与技术中心和健康科学服务大学的科学家的参与。PMTO的主要开发者Gerald Patterson博士和Marion Forgatch博士将提供专家咨询。适应在线将是第一个以证据为基础的、基于网络的项目，为军人父母提供技能培训。通过互联网提供这些材料，获得这种干预的途径将大大扩大，并可供为军人家庭服务的父母、治疗师和组织使用。项目开发包括焦点小组、顾问意见和审查、可用性测试，以及一项随机等待名单对照试验(N=170)，该试验将测试在线适应的有效性，以减轻父母压力，增加积极的育儿技能，并改善孩子的行为。有必要的机构支持、设备和物质资源来制定和传播该方案。IRIS有完成第一阶段和第二阶段SBIR项目的历史，并为其将培训干预措施商业化的承诺而自豪。拟议的第二阶段项目预计将对育儿干预措施领域作出重要贡献，最重要的是填补现有干预措施中的一个重大空白，该空白目前使从部署归来的父母及其伴侣/配偶以及儿童的具体需求得不到满足。在媒体培训项目商业化的坚实历史基础上，Adapt Online有可能成为一个广泛使用的项目，有效地满足军人家庭的需求。

DESCRIPTION (provided by applicant): The goal of this Phase II project, ADAPT Online (After Deployment: Adaptive Parenting Tools), is to strengthen family functioning and improve child outcomes in reintegrating military families. By developing an empirically supported, standalone, web-based parenting intervention for military families with school-aged children, we expect to strengthen parenting practices in families and prevent behavioral and emotional maladjustment in children. ADAPT Online responds to the urgent parenting needs of military families potentially at risk for depression, anxiety, substance abuse, mental illness, post-traumatic stress, and other maladies. ADAPT Online is founded on a well-validated theory-based approach, Parent Management Training, Oregon Model (PMTO). In Phase I, we developed and successfully tested modules on emotional regulation and basic parenting skills. In Phase II, we will complete the program by adding PMTO modules. The Principal Investigators have extensive grant-management experience; project team members have years of experience in translational research involving media and Internet technologies. IRIS Media, a recipient of 12 Telly media awards, maintains an active parent-training product line. The project benefits from participation by scientists from the University of Minnesota's Department of Family Social Science, Oregon Social Learning Center, Department of Veteran Affairs, Department of Defense's National Center for Telehealth and Technology, and the Services University of the Health Sciences. Drs. Gerald Patterson and Marion Forgatch, key developers of PMTO, will provide expert consultation. ADAPT Online will be the first evidence-based, web-based program providing skills training to military parents. By delivering this material over the Internet, acces to this type of intervention will be greatly expanded and available to parents, therapists and organizations who serve military families. Program development includes focus groups, consultant input and review, usability testing, and a randomized waitlist-controlled trial (N=170) that will test the efficacy of ADAPT Online to reduce parent stress, increase positive parenting skills, and improve child behavior. The necessary institutional support, equipment and physical resources are available to develop and disseminate the program. IRIS has a history of completing Phase I and Phase II SBIR projects and prides itself on its commitment to commercializing training interventions. The proposed Phase II project is expected to make an important contribution to the field of parenting interventions, and-most importantly-fill a critica gap in existing interventions that currently leaves the very specific needs of parents returning from deployment and their partners/spouses as well as children unmet. Building on a solid history of commercializing media-based training programs, ADAPT Online has the potential to become a widely used program that effectively addresses the needs of military families.