Online Training for Resource Parents of Substance-Exposed Children

为物质暴露儿童的资源家长提供在线培训

• 批准号: 8442569
• 负责人: Richard J. Delaney
• 金额: $ 75.37万
• 依托单位: NORTHWEST MEDIA, INC.
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-30 至 2015-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8442569
• 关键词: Address; Adopted; Adoption; Affect; Area; Attitude; Awareness; Behavioral; Birth; Caring; Case Study; Child; Child Behavior; Child Development; Cicatrix; Complex; Control Groups; Custom; Drama; Drug Exposure; Drug abuse; Education; Educational Intervention; Educational workshop; Effectiveness; Emotional; Empathy; Exercise; Exposure to; Family; Feedback; Fostering; Home environment; Infant; Internet; Intervention; Knowledge; Learning; Measures; Mental Health; Online Systems; Outcome; Parent-Child Relations; Parenting behavior; Parents; Participant; Pharmaceutical Preparations; Phase; Play; Problem Solving; Problem behavior; Process; Readiness; Reading; Recipe; Research; Resources; Role; Schedule; Services; Software Design; Specialist; Staging; Strategic Planning; Substance abuse problem; Testing; Text; Time; Training; Work; adopted child; base; care systems; comparison group; design; expectation; follow-up; foster parent; improved; innovation; insight; interactive multimedia; lectures; meetings; prenatal exposure; programs; prospective; response; satisfaction; skills; theories; usability; willingness

DESCRIPTION (provided by applicant): While foster-adoptive parents receive some rudimentary training just prior to or in the early months following adoption finalization, many stil harbor unrealistic expectations about adoption and are unaware of the severe behavioral problems they may encounter, no less the role that exposure to substance abuse may play in the child's development. Our Phase II project will develop and evaluate a comprehensive self-directed online workshop designed to help foster- adoptive and kinship families better understand how to parent children who were exposed prenatally to parental substance abuse and/or grew up in a home endangered by drug abuse. The training is based on the TIES (Training, Intervention, Education, and Services) program developed at UCLA to help prepare prospective adoptive parents to understand the complex relationship of birth parent drug abuse to children's subsequent functioning; to develop greater empathy towards and cooperation with birth parents through greater understanding; and to effectively address children's ongoing emotional and behavioral issues related to parental substance abuse. The workshop consists of viewing highly interactive multimedia material and participating in collaborative workshop exercises that are flexibly scheduled. In addition to the workshop developed in Phase I on Substance-Exposed Infants, we will produce four interlinked training workshops in Phase II: The Child with Substance Exposure and Drug Endangerment, TIES Omnibus Workshop, Special Issues, and Intro to Parenting Approaches. Currently, there is no other comparable resource available for post-permanency (foster-adoptive and kinship) parents that provides proven-effective, interactive multimedia learning via the web. Post- permanency training is also inadequate for kinship parents who are characteristically undertrained and undersupported by the care system. Unfortunately, this is a recipe for the disruption or dissolution of a placement, leading to a lifetime of emotional scars for the child and family. Our approach uses the web as a training resource to deliver innovative training material about children who are substance exposed or drug endangered. The workshops are driven by a custom-designed software engine developed by Northwest Media, Inc. that automates and seamlessly integrates media components, including video, audio, text, interactive exercises, individualized response exercises, and a participant discussion board. Results in Phase I provided support for the effectiveness of the online workshop format. Parents in the treatment group made significantly greater gains from pre- to posttest in knowledge and attitudes towards substance-exposed children than either the comparison or control group; and also greater gains in preparedness, attitudes towards substance-abusing parents, and openness to fostering than the control group. User satisfaction and usability ratings were robust for the treatment group. In Phase II, we will assess changes from pre- to posttest over the entire intervention, as well as 3 months following the posttest. Phase II will assess parent knowledge, attitudes, preparedness, willingness to adopt, and parents' follow-through on adopting. PUBLIC HEALTH RELEVANCE: Subjects participating in this project will gain important information about parenting foster-adoptive and kinship children exposed to or endangered by parental substance abuse. The training may help them to better understand and parent children's behavior problems. As a result, the quality of parent-child relationships in resource families could improve, which could help stabilize placements and improve children's short- and long- term mental health outcomes.

描述（由申请人提供）：虽然养父母在收养前或收养后的最初几个月接受了一些基本的培训，但许多人仍然对收养抱有不切实际的期望，并且没有意识到他们可能遇到的严重行为问题，更没有意识到药物滥用可能在孩子的发展中所起的作用。我们的第二阶段项目将开发和评估一个全面的自我指导在线研讨会，旨在帮助寄养家庭和亲属家庭更好地了解如何养育那些在产前暴露于父母滥用药物和/或在有滥用药物危险的家庭中长大的孩子。该培训基于加州大学洛杉矶分校开发的TIES（培训、干预、教育和服务）项目，旨在帮助未来的养父母了解亲生父母滥用药物与儿童后续功能的复杂关系；通过加深理解，培养对亲生父母的同理心和合作精神；并有效地解决与父母滥用药物有关的儿童持续的情感和行为问题。工作坊包括观看高度互动的多媒体材料和参与灵活安排的协作工作坊练习。除了第一阶段关于物质接触婴儿的讲习班之外，我们将在第二阶段举办四个相互关联的培训讲习班：物质接触和药物危害儿童、TIES综合讲习班、特别问题和育儿方法介绍。目前，没有其他可与之相比的资源，可以通过网络提供经证明有效的交互式多媒体学习，以供非永久性（寄养-收养和亲属关系）父母使用。长期后的培训也不适合亲属父母，他们的特点是缺乏培训和护理系统的支持。不幸的是，这是导致安置中断或解散的一个方法，给孩子和家庭带来一辈子的情感创伤。我们的方法是使用网络作为培训资源，提供关于接触物质或毒品的儿童的创新培训材料。研讨会由西北媒体公司开发的定制设计的软件引擎驱动，该引擎可以自动无缝地集成媒体组件，包括视频、音频、文本、互动练习、个性化响应练习和参与者讨论板。第一阶段的结果为在线研讨会形式的有效性提供了支持。治疗组家长对物质暴露儿童的认知和态度在测试前和测试后显著高于对照组和对照组；与对照组相比，他们在准备、对待滥用药物的父母的态度以及对寄养的开放程度方面也取得了更大的进步。治疗组的用户满意度和可用性评分都很高。在第二阶段，我们将评估整个干预过程中从测试前到测试后的变化，以及测试后3个月的变化。第二阶段将评估父母的知识、态度、准备、收养意愿以及父母在收养过程中的后续行动。