Virtual Positive Parenting Intervention to Promote Filipino Family Wellness: A Randomized Controlled Trial

促进菲律宾家庭健康的虚拟积极育儿干预：随机对照试验

• 批准号: 10804476
• 负责人: Joyce Rivera Javier
• 金额: $ 87.03万
• 依托单位: CHILDREN'S HOSPITAL OF LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-23 至 2028-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10804476
• 关键词: 12 year old; Address; Adolescent; Age; Agreement; Anxiety; Asian; Awareness; Behavior; California; Child; Child Behavior; Child Rearing; Childhood; Clinical; Communication; Communities; Conflict (Psychology); Development; Discipline; Distress; Effectiveness; Enrollment; Face; Family; Family dynamics; Feeling suicidal; Filipino; Funding; Grant; Hybrids; Immigrant; Immigrant family; Immigration; Individual; Intervention; Interview; Literature; Mental Depression; Mental disorders; Minority Groups; Modeling; National Center for Advancing Translational Sciences; National Institute of Child Health and Human Development; Not Hispanic or Latino; Outcome; Parent-Child Relations; Parents; Participant; Personal Satisfaction; Pilot Projects; Population Growth; Prevention program; Preventive; Process; Protocols documentation; Provider; Publishing; Punishment; Qualitative Research; Randomized; Randomized, Controlled Trials; Reporting; Research; Research Methodology; Risk; Risk Factors; Sampling; School-Age Population; Scientific Advances and Accomplishments; Secure; Societies; Stress; Subgroup; Training; Training Programs; United States; Vulnerable Populations; Youth; age group; anxiety symptoms; behavioral health; behavioral outcome; child depression; community organizations; community setting; depressive symptoms; early childhood; effectiveness evaluation; effectiveness testing; evidence base; experience; experimental group; externalizing behavior; health disparity; implementation facilitators; improved; intergenerational; intervention delivery; maltreatment; middle childhood; online intervention; prevent; preventive intervention; primary outcome; programs; protective factors; recruit; remote delivery; resilience; secondary outcome; skills; skills training; social cognitive theory; substance use; suicidal behavior; theories; therapy design; treatment group; treatment trial; usual care arm; verbal; virtual

Filipino youth living in the United States (US) have significant behavioral health problems, including alarmingly high rates of adolescent depression, anxiety, substance use, and suicidal behavior. Suboptimal parent-child relationships and harsh discipline are critical risk factors for behavioral health problems among youth. Filipino families also face acculturative challenges, parental separation due to immigration, family conflict, parental mental health disorders, and maltreatment. Few, if any prevention programs are available to Filipinos despite their rapid population growth in the US. The Incredible Years® School Age Parent Training Program (IY) is an evidence-based preventive intervention designed to improve parenting skills and parent-child relationships among families with school age youth. As a result of pilot studies funded through a K23 grant from NICHD, a KL2 grant from NCATS, we have demonstrated IY efficacy in improving positive parenting practices and child depression and anxiety symptoms in Filipino families. We have improved the intervention protocol for use online with older children and secured agreements from community agencies to participate in the project. Further research is needed on the effectiveness of online IY, and the impact of engagement (i.e., attendance) on intervention outcomes as well as the barriers and facilitators to implementation by providers in community agencies. Building upon ongoing collaborative research and community awareness-raising within Filipino communities in California, we propose a Type 1 hybrid, individually group randomized treatment trial to compare IY with a usual care control group who will receive IY after 3 months. Specifically, the study seeks to recruit a sample of 250 Filipino parents and children ages 8-12 years through community organizations in California. Participants in both groups will be followed for a minimum of 6 months with assessments that include parent-report and child-report. Our primary objective is to test the effectiveness of online IY on our primary outcomes: parent-reported parenting practices (positive verbal discipline), child-reported child depression and anxiety symptoms, and secondary outcomes: parent-reported physical punishment, parent- reported child internalizing behavior, parent-reported child depression & anxiety symptoms, and parent- and child-reported youth resilience. Our specific aims are: 1) To test the effectiveness of the online Incredible Years® model of parent training and its impact on primary and secondary outcomes; 2) To determine the impact of engagement (i.e., IY attendance) on primary outcomes; and 3) To describe intervention delivery and its online implementation in real-world community settings. We will utilize quantitative and qualitative research methodologies to advance the scientific understanding of parenting interventions during middle childhood. If the approach and intervention format succeed with Filipinos, comparable strategies could be used effectively reach other immigrant or minority populations, many of whom are reluctant to seek preventive parenting programs.

生活在美国的菲律宾青年有严重的行为健康问题，包括令人震惊的 青少年抑郁、焦虑、物质使用和自杀行为的高发生率。次优亲子 人际关系和严厉的纪律是青年人行为健康问题的关键风险因素。菲律宾 家庭还面临着文化适应的挑战，父母因移民而分居，家庭冲突，父母 精神疾病和虐待。很少，如果有任何预防方案可供菲律宾人，尽管 美国人口的快速增长。Incredible Years®学龄家长培训计划（IY）是一个 以证据为基础的预防性干预，旨在改善父母的技能和亲子关系 有学龄儿童的家庭。通过由NICHD提供的K23赠款资助的试点研究， 从NCATS的KL 2补助金，我们已经证明了IY在改善积极的育儿实践和儿童 菲律宾家庭的抑郁和焦虑症状。我们改进了干预方案， 与年龄较大的儿童在线交流，并与社区机构达成协议参与该项目。 需要进一步研究在线国际年的有效性和参与的影响（即，出席情况） 关于干预结果以及社区提供者实施的障碍和促进因素 社.在菲律宾国内正在进行的合作研究和提高社区认识的基础上， 社区在加州，我们提出了一个类型1杂交，单独分组随机治疗试验， 将IY与3个月后接受IY的常规护理对照组进行比较。具体而言，该研究旨在 通过社区组织招募了250名菲律宾父母和8-12岁的儿童， 加州。两组受试者将接受至少6个月的随访，评估结果表明， 包括父报告和子报告。我们的主要目标是测试网上国际年对我们的 主要结果：父母报告的育儿实践（积极的口头纪律），儿童报告的儿童 抑郁和焦虑症状，以及次要结果：父母报告的体罚，父母- 报告的儿童内化行为，父母报告的儿童抑郁和焦虑症状，以及父母和 儿童报告的青年复原力。我们的具体目标是：1）测试在线Incredible Years®父母培训模式及其对主要和次要结局的影响; 2）确定 参与的影响（即，IY出勤率）; 3）描述干预措施 交付及其在现实世界社区环境中的在线实施。我们将利用定量和 定性研究方法，以促进对育儿干预措施的科学理解， 童年中期如果这种方法和干预形式在菲律宾人身上取得成功， 其他移民或少数民族人口，其中许多人不愿意寻求 预防性育儿计划。