Digital implementation support strategies for caregiver home practice

护理人员家庭实践的数字化实施支持策略

基本信息

批准号：
10521718
负责人：
Joanna Jandee Kim
金额：
$ 16.12万
依托单位：
ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-08-01 至 2027-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10521718
关键词：
Address Adherence Adolescent Adult Attention Attitude Behavior Car Phone Caregivers Child Child Rearing Competence Data Data Science Development Discipline Effectiveness Effectiveness of Interventions Emotional Environment Evaluation Evidence based intervention Evidence based practice Family Feedback Frequencies Future Goals Habits Health Technology Home Individual Intention Internet Intervention Language Length Long-Term Effects Low income Maintenance Mediating Mediator of activation protein Mental Health Mental disorders Mental health promotion Mentored Research Scientist Development Award Meta-Analysis Methodology Methods Mexican Americans Modality Monitor Outcome Participant Planning Theory Positioning Attribute Positive Reinforcements Prevention program Problem Solving Public Health Randomized Request for Applications Research Research Personnel Resources School-Age Population Science Social outcome Technology Testing Theory of Change Time Training Training Support Translating Youth acceptability and feasibility active control adolescent substance use base behavior change design digital digital health disorder later incidence prevention effectiveness trial evidence base group intervention implementation determinants improved in vivo insight intervention cost intervention delivery intervention effect intervention participants junior high school mHealth novel pilot trial post intervention preference prevent preventive intervention randomized controlled design rehearsal research to practice scaffold skills smartphone Application social substance use substance use prevention theories therapy development user centered design

项目摘要

PROJECT SUMMARY/ABSTRACT Many evidence-based preventative interventions have been developed to prevent substance use, physical and mental illness, and promote positive educational and social outcomes among adolescents. Among these, caregiver-mediated interventions boast strong effects that are mediated by effective parenting skills. However, the impact of these interventions is severely limited by low rates of home practice of intervention skills among caregivers. To address this research-to-practice gap, researchers have been investigating barriers and facilitators of caregiver engagement, focusing in large part on intervention attendance. Strategies for increasing caregivers' home practice of skills remain underexamined. Yet, caregiver home practice is a key component of theorized intervention effectiveness and has been found to impact parenting behaviors and subsequent child outcomes over and above that of attendance. Therefore, the next important step in supporting parenting behavior change is to develop implementation support strategies for evidence-based interventions that target caregiver home practice specifically. This proposed K01 Mentored Research Scientist Development Award will develop and pilot a digital behavior change intervention for use as an adjunct to an evidence-based preventative intervention. The “Modular Engagement and Skills Augmentation” (MESA) aims to increase caregivers' home practice of intervention skills. Informed by the theory of planned behavior, habit formation principles, and relapse prevention theory, MESA will leverage mobile health technologies (mHealth) to circumvent and problem solve common barriers to home practice including home practice intention, frequency of practice, home practice competence, and maintenance of intervention skills. MESA will be developed as a smartphone application (i.e., “app”). MESA components will be informed by a qualitative assessment of barriers to caregiver home practice and refined through direct stakeholder input on design requirements to optimize acceptability and feasibility. MESA will be piloted with 48 caregiver participants as an adjunct to Bridges, an evidence-based intervention for adolescent substance use prevention and mental health promotion. Cluster randomized controlled design will be utilized such that Bridges intervention groups will be randomly assigned to receive MESA (n = 32) or an active control (n = 16). Findings from this study have the potential to improve caregiver home practice, intervention engagement broadly, and ultimately boost effectiveness and public health impact of numerous caregiver- mediated interventions.

项目摘要/摘要已经制定了许多基于证据的预防干预措施，以防止物质使用，物理和精神疾病，并促进青少年的积极教育和社会成果。其中，护理人员介导的干预措施具有有效的育儿技能介导的强大影响。然而，这些干预措施的影响受到家庭练习技能较低率的严重限制照顾者。为了解决这个实践差距，研究人员一直在调查障碍和护理人员参与的促进者，很大程度上关注干预措施。增加的策略看护人的家庭技能练习仍然不受欢迎。但是，照顾者家庭练习是理论上的干预效果，并被发现会影响育儿行为和随后的孩子成果超出了出席的成果。因此，支持育儿的下一个重要步骤行为改变是为了制定实施支持策略，以基于证据的干预措施护理人员家庭练习。拟议的K01指导研究科学家发展奖将发展和试行数字行为更改干预措施作为基于证据的预防干预措施的辅助手段。 “模块化参与和技能的增强”（MESA）旨在增加护理人员的家庭干预练习技能。由计划行为理论，习惯形成原则和救济预防理论所告知， MESA将利用移动健康技术（MHealth）规避和问题解决常见的障碍家庭练习包括家庭练习意图，练习频率，家庭练习能力以及维护干预技能。 MESA将作为智能手机应用程序开发（即“应用程序”）。台面组件将通过对护理人员家庭实践的障碍进行定性评估来告知组件，并进行了改进通过直接利益相关者对设计要求的投入，以优化可接受性和可行性。梅萨会与48位照顾者参与者一起试行，作为桥梁的辅助手段，这是对青少年的循证干预药物使用预防和心理健康促进。将使用群集随机控制设计这样，将将桥梁干预组随机分配为接收台面（n = 32）或主动控制（n = 16）。这项研究的发现有可能改善护理人员家庭实践，干预广泛的参与，最终提高了许多照料者的效力和公共卫生影响 - 介导的干预措施。