The Mediational Intervention for Sensitizing Caregivers: Feasibility and Acceptability for Black and Hispanic Formerly Incarcerated Mothers

项目摘要/摘要 监禁母亲会破坏亲子依恋关系，增加患上 儿童的精神病理学和其他负面后果，对黑人和西班牙裔的影响不成比例 家人。旨在修复依恋中断和促进积极亲子关系的干预措施 在母亲被监禁之后，有可能中断母婴的代际传播 精神病理学和其他负面后果。虽然有越来越多的基于附件的 针对被监禁母亲的育儿计划，他们只关注婴儿。此外，大多数更正- 以文化为基础的干预措施没有适应种族或种族少数化的母亲，她们面临着 在刑事处罚制度的每一个层面上都存在着差异。此外，计划还没有针对 以前被监禁的母亲，尽管有很大的育儿压力，很难获得以下资源 放手。还需要调查虚拟交付的可接受性，以增加可伸缩性。 我们确定了敏感照顾者的中介干预(MISC)，这是一种发展和文化上的 可移动的 视频反馈干预 解决了依恋关系并促进了证据- 基于积极的育儿行为。拟议的项目将使用混合方法，以社区为基础 参与式方法评估以前针对黑人和西班牙裔的MISC的可行性和可接受性 并确定未来适应的目标，包括创新的虚拟分娩方式， 遵循基于证据的适应-ITT模型的前3个步骤。目标1是评估目标人群的 使用定量方法的特征和需求(对120名黑人和西班牙裔美国人的调查 被监禁的母亲，120名对照母亲)和定性方法(对20名以前被监禁的母亲的访谈 母亲和有社区咨询委员会成员的焦点小组)。我们假设数量上 分析将显示，在以前被监禁的母亲中更有必要进行干预，并对 分析将揭示与监禁和对支持的渴望有关的育儿挑战的主题。目标2是 使用目标1的结果来评估MISC的可行性，并通过比较 目标人群的育儿经验和目标与MISC的标准结构、目标和交付有关。我们 假设MISC将是可行的，并将确定适应目标。目标3是评估 通过对5名曾被监禁的母亲进行的剧院测试，对MISC的可接受性。我们 假设MISC是可以接受的，我们将确定和完善更多的适应目标。这个 拟议的研究符合NIMH预防精神病和改善公共健康的战略目标 在边缘化和服务不足的社区。此外，这些发现将直接为未来的研究提供信息以适应 并评估MISC对以前被监禁的母亲的影响，持有改善这些人福祉的潜力 家人。最后，该奖学金将支持申请者作为独立研究人员的发展。

PROJECT SUMMARY/ABSTRACT The incarceration of a mother disrupts parent-child attachment relationships, increases the risk for psychopathology and other negative outcomes in children, and disproportionately impacts Black and Hispanic families. Interventions that aim to repair attachment disruption and promote positive parent-child relationships following maternal incarceration have the potential to interrupt the intergenerational transmission of psychopathology and other negative outcomes. While there are a growing number of attachment-based parenting programs for incarcerated mothers, they focus exclusively on infants. Additionally, most corrections- based interventions have not been culturally adapted for ethnically or racially minoritized mothers, who face disparities at every level of the criminal punishment system. Moreover, programs have not been tailored for formerly incarcerated mothers despite significant parenting stress and difficulty accessing resources following release. There is also a need to investigate the acceptability of virtual delivery that would increase scalability. We identify the Mediational Intervention for Sensitizing Caregivers (MISC), a developmentally and culturally transportable video-feedback intervention that addresses the attachment relationship and promotes evidence- based positive parenting behaviors. The proposed project will use a mixed-methods, community-based participatory approach to evaluate the feasibility and acceptability of MISC for Black and Hispanic formerly incarcerated mothers and identify targets for future adaptation, including an innovative virtual delivery format, following the first 3 steps of the evidence-based ADAPT-ITT model. Aim 1 is to assess the target population’s characteristics and needs using quantitative methods (surveys with 120 Black and Hispanic formerly incarcerated mothers,120 control mothers) and qualitative methods (interviews with 20 formerly incarcerated mothers and focus groups with community advisory board members). We hypothesize that quantitative analyses will reveal greater need for intervention among formerly incarcerated mothers and qualitative analyses will reveal themes of parenting challenges related to incarceration and desire for support. Aim 2 is to use Aim 1 results to evaluate the feasibility of MISC and identify initial adaptation targets by comparing the target population’s parenting experiences and goals to the standard structure, goals, and delivery of MISC. We hypothesize that MISC will be feasible and adaptation targets will be identified. Aim 3 is to evaluate the acceptability of MISC through theater testing with 5 focus groups of formerly incarcerated mothers. We hypothesize that MISC will be acceptable and that we will identify and refine additional adaptation targets. The proposed study is in line with the NIMH’s strategic goal to prevent psychopathology and improve public health in marginalized and underserved communities. Additionally, findings will directly inform future studies to adapt and evaluate MISC for formerly incarcerated mothers, holding the potential to improve wellbeing in these families. Finally, this fellowship will support the applicant’s development as an independent researcher.