Integrating Behavioral Skills with a Mobile Biosensor for At-Risk Teen Mothers

将行为技能与移动生物传感器相结合，帮助高危青少年母亲

• 批准号: 8619611
• 负责人: Marya Gwadz
• 金额: $ 18.32万
• 依托单位: NEW YORK UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-03-15 至 2016-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8619611
• 关键词: Address; Adolescent; Adolescent Development; Adopted; Affect; Age; Alcohol or Other Drugs use; Arousal; Attitude; Behavior; Behavior Therapy; Behavioral; Biosensor; Birth; Child; Child Abuse and Neglect; Childhood; Cognitive; Conduct Disorder; Criminal Justice; Development; Discipline; Eligibility Determination; Emotional; Emotions; Empathy; Event; Evidence based practice; Exhibits; Fostering; Future; Goals; Group Homes; Healthy People 2020; Image; Individual; Intervention; Knowledge; Literature; Live Birth; Mediator of activation protein; Medical Research; Mental Health; Modeling; Motivation; Parenting behavior; Physiological; Power Sources; Pregnancy in Adolescence; Prevalence; Preventive Intervention; Problem behavior; Process; Public Health; Randomized; Randomized Controlled Trials; Regulation; Research; Risk; Risk Behaviors; Risk Factors; Safety; Staging; Substance abuse problem; Technology; Telephone; Testing; Text; Time; Training; Treatment Efficacy; United States National Institutes of Health; Voice; Vulnerable Populations; Work; Wrist; adverse outcome; base; behavior change; conduct problem; emotion regulation; expectation; experience; follow up assessment; foster care; improved; in vivo; innovation; innovative technologies; intergenerational; maltreatment; mindfulness meditation; offspring; peer; primary outcome; programs; psychosocial; psychosocial development; secondary outcome; skills; social; social cognitive theory; socioeconomics; standard care; stressor; teenage mother; transmission process; trend; young woman

DESCRIPTION (provided by applicant): Approximately half of adolescent mothers in the U.S. begin parenting having experienced at least one serious childhood risk factor for poor psychosocial development including maltreatment and foster care placement. These risk factors contribute to multiple problem behaviors including conduct problems and substance abuse among these "adolescent mothers at risk" (AMARs). A robust body of research indicates that difficulties in regulating emotions are associated with childhood risk factors and underlie later behavior problems. Emotional regulation (ER) problems severely compromise AMARs' abilities to engage in sensitive and responsive parenting. However, there are currently no rigorously tested, efficacious, sustainable behavioral interventions targeted for AMARs, and no interventions have yet focused on the interplay of AMARs' problem behaviors, effective parenting, and ER problems. Our research team has begun to develop a multi-component, technology-enhanced, and developmentally appropriate prevention intervention (Power Source Parenting [PSP]). The primary goal of PSP is to foster autonomous and adaptive ER functioning to promote sensitive, non-abusive parenting and the reduction of behaviors, including substance use, that place AMARs and their offspring at risk. The PSP intervention builds on evidence-based practices for increasing positive parenting and includes innovative mobile technology components: PSP trains AMARs in mindfulness meditation and social cognitive skills in group sessions and integrates a state-of-the-art biosensor wrist band and smart phone application to assist AMARs to use these skills in vivo. The biosensor band communicates physiological states wirelessly to a smart phone sending individually tailored intervention material (text, voice images) at the moment of emotional arousal. We have piloted and explored the feasibility and acceptability of the PSP intervention components with AMARs. The proposed study builds on this promising formative work to accomplish the following aims in this R34 application: (1) refine the components of the PSP intervention and further examine their acceptability, safety, feasibility, and gather preliminary evidence of their efficacy with respect to the study's primary outcomes: (a) increasing positive parenting attitudes, skills, and knowledge; and (b) decreasing maternal risk behaviors (e.g., substance use, delinquency); (2) explore the putative mediator of the intervention: emotional regulation skills; and (3) explore preliminary evidence of efficacy on a secondary outcome, increasing adaptive relational skills for the development of one or more supportive relationships, a vital aspect of effective parenting. To accomplish these aims, we will conduct an exploratory, group randomized controlled trial with AMARs (12 group homes, N=80 AMAR). The study has high potential significance because it addresses critical public health problems including substance abuse, conduct problems, and child maltreatment, and the intergenerational transmission of these problem behaviors.

描述（由申请人提供）：在美国，大约一半的青少年母亲开始养育子女时，经历了至少一个严重的儿童社会心理发展不良的风险因素，包括虐待和寄养安置。这些风险因素导致了这些“高危青少年母亲”（AMARs）的多种问题行为，包括行为问题和药物滥用。大量研究表明，情绪调节困难与儿童时期的风险因素有关，并成为日后行为问题的基础。情绪调节（ER）问题严重损害了AMARs参与敏感和响应式养育的能力。然而，目前还没有针对AMARs的经过严格测试的、有效的、可持续的行为干预措施，也没有干预措施关注AMARs的问题行为、有效的养育和ER问题之间的相互作用。我们的研究团队已经开始开发一种多成分，技术增强，适合发展的预防干预（电源养育[PSP]）。PSP的主要目标是促进自主和适应性ER功能，以促进敏感，非虐待性养育和减少行为，包括物质使用，这将AMARs及其后代置于危险之中。PSP干预措施建立在增加积极育儿的循证实践的基础上，并包括创新的移动的技术组件：PSP在小组会议中培训AMAR的正念冥想和社会认知技能，并集成了最先进的生物传感器腕带和智能手机应用程序，以帮助AMAR在体内使用这些技能。生物传感器带将生理状态无线地传送到智能手机，在情绪激动的时刻发送单独定制的干预材料（文本、语音图像）。我们已经试点并探索了PSP干预成分与AMARs的可行性和可接受性。本研究拟在此基础上进一步完善PSP干预的内容，并进一步检验其可接受性、安全性和可行性，并收集初步证据，以证明PSP干预对本研究主要结果的有效性：（a）增加积极的父母态度、技能和知识;和（B）降低母体危险行为（例如，物质使用，犯罪）;（2）探索干预的假定中介：情绪调节技能;（3）探索对次要结果有效性的初步证据，增加适应性关系技能，以发展一种或多种支持性关系，这是有效育儿的重要方面。为了实现这些目标，我们将对AMAR进行一项探索性、分组随机对照试验（12个家庭，N=80 AMAR）。这项研究具有很高的潜在意义，因为它解决了关键的公共卫生问题，包括药物滥用，行为问题和虐待儿童，以及这些问题行为的代际传递。