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。项目摘要/摘要 该申请基于我们以前的干预工作（例如McIntyre，2008a，2008b，2013; McIntyre＆ Neece，2016年； Neece，2014年）和提议对230名学龄前儿童（年龄）进行纵向干预研究 3 - 5年），发育延迟（DD）。行为问题和同时发生的育儿压力很常见 DD儿童及其家人的问题。高水平的父母压力与减少有关 对DD儿童的行为干预措施的反应；但是，育儿压力几乎永远不会直接 在这些治疗中解决（McIntyre＆Neece，2016年）。拟议的研究将测试 在交付行为父母培训（BPT）之前，请解决父母的压力，以便更有效 一旦提供干预，请减少儿童行为问题，并调查机制 通过发生干预结果。研究设计将使用跨站点随机，对照试验 与行为父母相比 训练加上基于正念的压力减轻（BPT-M）。样本将从莱恩县绘制 俄勒冈州和南加州的内陆帝国。所有家庭将参加家庭和实验室 在治疗后以及6个月后立即进行基线和房屋评估的评估，12 治疗后月。措施包括标准化和经过验证的自我报告和教师报告 问卷，金标准的心理评估和观察措施。主要结果 感兴趣的是儿童行为问题。分析将使用标准的正常理论回归和 结构方程建模技术，特别关注潜在的增长建模。主要意图 - 将BPT-E与BPT-M进行比较的效率假设将在一组顺序中间指定 分析。拟议的研究是一个跨站点RCT，每个位置都有PI。麦金太尔博士（MPI，大学 俄勒冈州的儿童及其家人有超过15年的经验。她的研究 专注于早期干预和预防行为问题。麦金太尔博士改编了BPT 本研究中使用的干预措施，并完成了两个评估此干预效率的RCT（R03 HD047711和R01 HD059838）。 Neece博士（MPI，Loma Linda University）拥有十多年 与DD儿童一起工作的经验，在过去的5年中 MBSR用于DD学龄前儿童父母的潜水员样本。博士。麦金太尔和尼克订婚了 在合作研究中已有10多年的历史，并共同撰写了针对家庭因素的出版物 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