Testing the Efficacy of Mindfulness-Based Stress Reduction Combined with Behavioral Parent Training in Families with Preschoolers with Developmental Delay

测试基于正念的减压结合家长行为培训对有发育迟缓学龄前儿童的家庭的功效

• 批准号: 10402937
• 负责人: LAURA LEE MCINTYRE
• 金额: $ 61.01万
• 依托单位: UNIVERSITY OF OREGON
• 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 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10402937
• 关键词: Address; Age; Attenuated; Behavior Therapy; Behavioral; Behavioral trial; California; Child; Child Behavior; Child Behavior Disorders; Child Rearing; Child Welfare; County; Development; Developmental Delay Disorders; Developmental Disabilities; Distal; Early Intervention; Education; Educational Intervention; Equation; Evidence based intervention; Exhibits; Family; Feasibility Studies; Gold; Growth; Home; Intervention; Intervention Studies; Laboratories; Longitudinal Studies; Measurement; Measures; Mediating; Mediation; Mental Health; Mental disorders; Minor; Modeling; Nursery Schools; Oregon; Outcome; Parents; Patient Self-Report; Predictive Factor; Preschool Child; Prevalence; Prevention; Problem behavior; Publications; Questionnaires; Randomized; Randomized Controlled Trials; Reporting; Research; Research Design; Sampling; Site; Specific qualifier value; Standardization; Stress; Targeted Research; Techniques; Testing; Therapeutic; Time; Training; Treatment Efficacy; United States; Universities; Work; Youth; behavioral outcome; boys; comorbidity; cost; efficacy testing; experience; follow-up; girls; health care delivery; high risk; improved; interest; longitudinal design; mindfulness-based stress reduction; primary outcome; psychoeducation; psychologic; response; skills; stress reduction; teacher; theories

7. Project Summary/Abstract This application builds on our previous intervention work (e.g., McIntyre, 2008a, 2008b, 2013; McIntyre & Neece, 2016; Neece, 2014) and proposes a longitudinal intervention study of 230 preschool-age children (ages 3–5 years) with developmental delays (DD). Behavior problems and co-occurring parenting stress are common problems in children with DD and their families. High levels of parental stress are associated with reduced response to behavioral interventions for children with DD; yet, parenting stress is almost never directly addressed in these treatments (McIntyre & Neece, 2016). The proposed study will test the benefit of addressing parental stress prior to delivering behavioral parent training (BPT) in order to more effectively reduce child behavior problems once the intervention is delivered, as well as investigate the mechanisms through which intervention outcomes occur. The study design will use a cross-site randomized, controlled trial (RCT) of standard behavioral parent training with psychoeducation (BPT-E) compared with behavioral parent training plus mindfulness-based stress reduction (BPT-M). The sample will be drawn from Lane County, Oregon, and the Inland Empire in Southern California. All families will participate in home and laboratory assessments at baseline and home assessments immediately posttreatment, as well as at 6 months and 12 months posttreatment. Measures include standardized and validated self-report and teacher-report questionnaires, gold-standard psychological assessments, and observational measures. The primary outcome of interest is child behavior problems. Analyses will be conducted using standard normal theory regression and structural equation modeling techniques, with a particular focus on latent growth modeling. Primary intent-to- treat efficacy hypotheses comparing the BPT-E with BPT-M will be specified within a set of sequential mediation analyses. The proposed study is a cross-site RCT with a PI at each site. Dr. McIntyre (MPI, University of Oregon) has more than 15 years of experience working with children with DD and their families. Her research has focused on early intervention and prevention of behavior problems. Dr. McIntyre adapted the BPT intervention used in this study and has completed two RCTs assessing the efficacy of this intervention (R03 HD047711 and R01 HD059838). Dr. Neece (MPI, Loma Linda University) has more than a decade of experience working with children with DD, and during the past 5 years has studied the feasibility and efficacy of MBSR for a diverse sample of parents of preschool children with DD. Drs. McIntyre and Neece have engaged in collaborative research for more than 10 years and have coauthored publications focused on family factors predictive of behavioral outcomes in children with developmental disabilities.

7. 项目总结/摘要 该应用程序建立在我们之前的干预工作的基础上（例如，McIntyre，2008a、2008b、2013；McIntyre & 内斯，2016； Neece，2014）并提出了一项针对 230 名学龄前儿童（年龄 3-5 年），伴有发育迟缓（DD）。行为问题和同时发生的养育压力很常见 DD 儿童及其家庭的问题。父母的高水平压力与减少 对 DD 儿童行为干预的反应；然而，养育子女的压力几乎从来都不是直接的 这些治疗方法解决了这个问题（McIntyre & Neece，2016）。拟议的研究将测试以下好处： 在提供行为家长培训（BPT）之前解决家长压力，以便更有效地 一旦实施干预，减少儿童行为问题，并调查其机制 通过它发生干预结果。研究设计将使用跨中心随机对照试验 标准行为父母培训与心理教育（BPT-E）与行为父母相比的（随机对照试验） 训练加上基于正念的减压（BPT-M）。样本将从莱恩县抽取， 俄勒冈州和南加州的内陆帝国。所有家庭都将参加家庭和实验室 基线评估和治疗后立即以及 6 个月和 12 个月时的家庭评估 治疗后几个月。措施包括标准化和经过验证的自我报告和教师报告 问卷、黄金标准心理评估和观察措施。主要结果 有趣的是儿童行为问题。将使用标准正态理论回归进行分析 结构方程建模技术，特别关注潜在增长建模。主要意图- 比较 BPT-E 与 BPT-M 的治疗效果假设将在一组顺序调解中具体说明 分析。拟议的研究是一项跨中心随机对照试验，每个中心都有一名 PI。 McIntyre 博士（MPI，University of 俄勒冈州）拥有超过 15 年与 DD 儿童及其家人一起工作的经验。她的研究 重点关注行为问题的早期干预和预防。 McIntyre 博士改编了 BPT 本研究中使用的干预措施，并已完成两项随机对照试验，评估该干预措施的功效（R03 HD047711 和 R01 HD059838）。 Neece 博士（MPI、罗马琳达大学）拥有十多年的研究经验 具有与 DD 儿童一起工作的经验，并在过去 5 年中研究了以下方法的可行性和有效性 针对患有 DD 的学龄前儿童家长的不同样本进行 MBSR。博士。麦金泰尔和尼斯订婚了 从事合作研究超过 10 年，并共同撰写了专注于家庭因素的出版物 预测发育障碍儿童的行为结果。

项目成果

Feasibility and Acceptability of Spanish-Language Parenting Interventions for Young Children With Developmental Delays.

• DOI: 10.1352/1934-9556-61.4.307
• 发表时间: 2023-08-01
• 期刊: INTELLECTUAL AND DEVELOPMENTAL DISABILITIES
• 影响因子: 1.8
• 作者: Safer-Lichtenstein, Jonathan;McIntyre, Laura Lee;Rodriguez, Geovanna;Gomez, Douglas;Puerta, Stephanie;Neece, Cameron L.
• 通讯作者: Neece, Cameron L.

Sibling Support and Perceived Daily Hassles in Latino and Non-Latino Families of Children with DD.

拉丁裔和非拉丁裔 DD 儿童家庭的兄弟姐妹支持和感知到的日常麻烦。

• DOI: 10.1177/10664807221151174
• 发表时间: 2023
• 期刊: Family journal (Alexandria, Va.)
• 作者: Sanner,CatherineM;Benjamin,LaurelR;Eskander,Caroline;McGregor,HadleyA;Preston,AmandaE;McIntyre,LauraLee;Neece,CameronL
• 通讯作者: Neece,CameronL

Familism and Parenting Stress in Latinx Caregivers of Young Children with Developmental Delays.

发育迟缓幼儿的拉丁裔照顾者的家庭主义和养育压力。

• DOI: 10.1177/10664807211052480
• 发表时间: 2022
• 期刊: Family journal (Alexandria, Va.)
• 作者: Martin,AnnMarie;Marin,DianeG;McIntyre,LauraLee;Neece,Cameron
• 通讯作者: Neece,Cameron