Longitudinal follow-up of brief parenting interventions to reduce risk of child physical maltreatment in a selected population

对简短的育儿干预措施进行纵向随访，以减少选定人群中儿童遭受身体虐待的风险

• 批准号: 10449334
• 负责人: Julia M Fleckman
• 金额: $ 57.7万
• 依托单位: TULANE UNIVERSITY OF LOUISIANA
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-10 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10449334
• 关键词: Address; Adult; Age; Behavioral; Child; Child Development; Child Health; Child Rearing; Child Welfare; Childhood; Clinic; Computers; Data; Discipline; Drug abuse; Effectiveness of Interventions; Emotional; Family; Future; Goals; Health; Health Benefit; Heart Diseases; Hospitals; Infant; Injury; Intervention; Knowledge; Mental disorders; Methods; Mothers; Obesity; Outcome; Parenting Education; Parents; Phase; Play; Population; Preschool Child; Primary Health Care; Primary Prevention; Public Health; Punishment; Randomized; Randomized Controlled Trials; Research; Resources; Risk; Risk Factors; Service setting; Services; Smoking; Social Environment; Societies; System; Testing; Trust; Violence; Woman; Work; adverse childhood events; base; contagion; cost; data repository; deviant; economic cost; evidence base; experience; follow-up; health disparity; high risk; high risk sexual behavior; improved; innovation; insight; intervention effect; maltreatment; physical abuse; population health; post intervention; prevent; programs; skills; success; therapy design; trend

PROJECT SUMMARY/ABSTRACT: There is a lack of evidence-based, universally accessible parenting education that teaches alternatives to corporal punishment (CP) and other forms of harsh parenting in order to reduce risk of child physical maltreatment (CPM) and promote child well-being. Our long-term goal is to strengthen the evidence base for brief, widely adaptable and sustainable interventions designed to reduce CPM risk in both broad selected and universal populations. The objective of this study is to test the sustained effects of two such interventions, Triple P-Level 2 (L2) and Play Nicely, and to assess their mechanisms of effect using a mixed methods approach. The central hypothesis is that each intervention will be more effective in improving parent and child outcomes than the control condition at 1-year follow-up. The rationale for this study is to fill a critical gap in research on primary prevention parenting interventions that target universal and broad selected populations and that can be applied within primary care and other family service settings to reduce rates of CPM. We plan to test our central hypothesis by pursuing a mixed methods approach via three specific aims: (1) To establish sustained effects (1 year) of two brief parenting interventions on parenting behaviors and child outcomes; (2) To establish the sustained effects (1 year) of two brief parenting interventions on perceived injunctive norms about CP and support for CP use; (3) To gain an in-depth understanding of the impacts of the interventions on parents’ choices of discipline strategies, their reasons for choosing them, and relevant social contexts. Aims 1 and 2 will be accomplished by leveraging an existing randomized controlled trial that has demonstrated short-term (3-month follow-up) effects. Aim 3, the qualitative phase, will explore reasons for, and barriers to, the interventions' effectiveness, and examine the larger context in which parents discipline their children. The approach is innovative because it addresses an unmet need for accessible, evidence-based universal and broad selective parenting education that can be widely disseminated through primary care and other family service settings. Furthermore, by using a mixed methods approach, it will contribute to a greater understanding of important mechanisms, barriers, and facilitators of program effects. The proposed research is significant because it is expected to provide critical evidence for two brief parenting interventions: Play Nicely and Triple P-L2. First, we expect to find sustained effects of reduced harsh parenting risks, including parental approval for and use of CP, as well as improved child outcomes. Additionally, we expect to gain insight into relevant mechanisms, barriers, facilitators, and social contexts relevant to these interventions and related to CP use. Together, these findings are expected to contribute to a needed rigorous evidence base for parenting education scalable to universal and broad selected populations through primary care and other family service settings. These are critically needed next steps in advancing a public health approach to the primary prevention of CP and CPM.

项目摘要/摘要：目前缺乏循证的、普遍可及的育儿方法