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

• 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
• 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

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.

项目总结/文摘