Strengthening Child Social-Emotional Functioning and Healthy Lifestyle Behaviors Through Parent-Based Prevention in Families Experiencing Major Stressors

通过在经历重大压力源的家庭中进行基于家长的预防，加强儿童的社会情感功能和健康的生活方式行为

• 批准号: 10782117
• 负责人: Nada Mussad Goodrum
• 金额: $ 22.35万
• 依托单位: UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-03-01 至 2025-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10782117
• 关键词: Address; Behavior; Child; Child Rearing; Child Welfare; Chronic; Coping Skills; Economics; Emotional; Face; Family; Feasibility Studies; Financial Hardship; HIV; Health; Health behavior; Informal Social Control; Intervention; Life Style; Mental Health; Mental disorders; Methods; Moods; Outcome; Parents; Physical activity; Prevalence; Prevention; Randomized; Recording of previous events; Research; Risk Factors; Sampling; Sleep; Stress; Stress and Coping; Substance Use Disorder; Trauma; Waiting Lists; aged; effective intervention; emotional behavior; emotional functioning; experience; healthy lifestyle; implementation process; improved; innovation; preventive intervention; programs; protective factors; racial discrimination; skills; social; social skills; stress reduction; stressor; substance misuse; tv watching; unhealthy lifestyle

Social-emotional difficulties and unhealthy lifestyle behaviors in children are both prevalent in the US, tend to co-occur, and share underlying risk and protective factors. Difficulties in either domain are associated with a range of adverse short- and long-term health outcomes, such as mental health disorders, substance use disorders, academic problems, and chronic health conditions. Child social-emotional difficulties and unhealthy lifestyle behaviors may be exacerbated by major family stressors, such as parental trauma history and mental health difficulties, parental HIV, parental substance misuse, economic strain, and racial discrimination. Family stressors may contribute to children’s well-being indirectly by exacerbating parenting stress, impeding parents’ self-regulation, and hampering their parenting efforts. Several preventive interventions are effective in improving parenting skills and promoting children’s well-being. However, families dealing with major stressors face significant barriers to accessing and reaping the benefits of these preventive interventions, in part because of a limited focus on parents’ own stress and coping strategies. Further, these interventions typically target child outcomes in either social-emotional or healthy lifestyle domains, but not both concurrently. The purpose of this study is to assess the feasibility, acceptability, and preliminary efficacy of a parent-based preventive intervention targeting parental self-regulation, stress reduction, and positive parenting, to promote child social-emotional and lifestyle health, among parents who have a child aged 3-9 and who are experiencing major stressors, such as history of trauma, mental health difficulties, HIV, racial discrimination, substance misuse, and/or financial strain. This pilot feasibility study is being conducted with a sample of n = 60 families randomized to a family stress-oriented preventive intervention or waitlist control. Aims include examination of: (1) feasibility, acceptability, and implementation processes of the parent-based preventive intervention via mixed methods, and (2) preliminary efficacy of the preventive intervention regarding child well-being (mood, social competence, sleep, screen time, physical activity), positive parenting, and parenting stress and self-regulation. This project is innovative in that it seeks to concurrently promote the dual prevention of children’s unhealthy lifestyle behaviors and social-emotional difficulties, emphasizing parental self-regulation and stress reduction in the context of a parenting support program. This line of research ultimately targets prevalence reduction for children’s social-emotional and health-behavior difficulties by addressing parent stress, promoting parental self-regulation, and bolstering parenting efficacy.

儿童的社会情感困难和不健康的生活方式行为在美国都很普遍，往往共同发生，并共享潜在的风险和保护因素。这两个领域的困难都与一系列不利的短期和长期健康结果有关，如精神健康障碍、物质使用障碍、学业问题和慢性健康状况。主要的家庭压力源可能会加剧儿童的社会情感困难和不健康的生活方式行为，例如父母的创伤史和心理健康问题，父母的艾滋病毒，父母的药物滥用，经济压力和种族歧视。家庭压力源可能会通过加剧父母的压力，阻碍父母的自我调节，并阻碍他们的养育努力，间接地促进儿童的福祉。一些预防性干预措施在提高为人父母的技能和促进儿童福祉方面是有效的。然而，面临主要压力源的家庭在获得和受益于这些预防性干预措施方面面临重大障碍，部分原因是对父母自身压力和应对策略的关注有限。此外，这些干预措施通常针对儿童在社会情感或健康生活方式领域的结果，但不是同时进行。本研究的目的是评估以父母为基础的预防性干预的可行性、可接受性和初步疗效，这些干预旨在父母自我调节、减轻压力和积极的养育，以促进3-9岁儿童的社会情感和生活方式健康，这些儿童的父母正在经历主要的压力源，如创伤史、心理健康困难、艾滋病毒、种族歧视、药物滥用和/或财务紧张。这项试点可行性研究正在进行的样本n = 60个家庭随机家庭压力为导向的预防性干预或候补控制。目的包括审查：（1）以父母为基础的预防性干预的可行性、可接受性和实施过程;（2）预防性干预在儿童幸福感（情绪、社会能力、睡眠、屏幕时间、身体活动）、积极育儿、育儿压力和自我调节方面的初步效果。该项目的创新之处在于，它寻求同时促进对儿童不健康的生活方式行为和社会情感困难的双重预防，强调在育儿支助方案的背景下父母的自我调节和减轻压力。这一系列的研究最终的目标是通过解决父母的压力，促进父母的自我调节，并提高父母的效能，减少儿童的社会情绪和健康行为困难的患病率。