Digital implementation support strategies for caregiver home practice

项目总结/摘要 已经制定了许多基于证据的预防性干预措施，以防止物质使用、身体和精神疾病。 精神疾病，并促进青少年的积极教育和社会成果。其中， 通过有效的育儿技巧，以父母为中介的干预措施具有强大的效果。然而，在这方面， 这些干预措施的影响受到严重限制，因为在家庭中进行干预技能实践的比例很低， 照顾者为了解决这一研究与实践的差距，研究人员一直在调查障碍， 护理人员参与的促进者，在很大程度上侧重于干预出勤。增加战略 照顾者的家庭技能实践仍然没有得到充分的检查。然而，照顾者家庭实践是一个关键组成部分， 理论上的干预有效性，并已发现影响育儿行为和随后的儿童 而不仅仅是出席。因此，支持育儿的下一个重要步骤 行为改变是为循证干预措施制定实施支持战略， 具体来说就是家庭护理。 这个拟议的K01指导研究科学家发展奖将开发和试点数字行为 改变干预措施，作为循证预防性干预措施的辅助措施。关于“Modular 参与和技能增强"（MESA）旨在增加护理人员的家庭干预实践 skills.根据计划行为理论、习惯形成原则和预防复发理论， MESA将利用移动的健康技术（mHealth）来规避和解决常见的障碍， 家庭实践包括家庭实践意向、实践频率、家庭实践能力， 保持干预技能。MESA将作为智能手机应用程序开发（即，"app"）。梅萨 将通过对护理人员家庭实践障碍的定性评估来了解这些组成部分，并对其进行完善 通过利益相关者对设计要求的直接投入，优化可接受性和可行性。MESA将在 有48名护理参与者作为桥梁的辅助，这是一项针对青少年的循证干预措施 预防药物使用和促进心理健康。将采用整群随机对照设计 这样，Bridges干预组将被随机分配接受MESA（n = 32）或主动控制 （n = 16）。本研究的发现有可能改善护理人员的家庭实践和干预 广泛参与，并最终提高众多护理人员的有效性和公共卫生影响， 中介干预。

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.