Parent training for parents of toddlers born very premature: A factorial design to test web delivery and telephone coaching

项目摘要/摘要 儿童行为问题是心理和公共卫生的头等大事。问题行为，如 攻击性、挑衅性和不遵从性在两岁时就会出现，并可以持续到 青春期和成年期导致长期的功能和心理失调。出生的孩子 早产儿(出生时胎龄&32周)表现出行为异常的可能性是正常早产儿的两倍 问题就像他们的同龄人一样。尽管VPT人群中存在行为问题的风险和发生，但早期 干预往往集中在对发育迟缓的治疗上，父母几乎没有资源来 管理行为问题。行为父母培训(BPT)是一种有效的治疗儿童家庭 问题行为。然而，对于曾经的VPT婴儿使用BPT计划的情况知之甚少。 独特的医疗、发育和心理风险概况。此外，制度和个人障碍 在BPT中实现家长访问和参与。为了满足这些家庭的定制需求， 服务障碍、通过数字应用程序实现的BPT交付以及电话辅导电话等互动策略 可以提供可获得的、量身定制的方法来支持年幼子女的父母。目前，没有 对既往VPT婴儿进行有效、可获得的BPT干预。这项研究的目的是“家长培训 早产儿的父母：测试网络交付和电话指导的因素设计 开发一种新的、可访问的、有效的BPT交付形式，以满足未满足的独特需求 VPT儿童的父母。 这项研究中提出的BPT计划是对循证芝加哥家长的改编 程序(CPP)称为ezParent。研究设计是一个析因设计，用于测试数字的混合方法 EzParent和电话辅导电话。辅导电话旨在加强父母的学习和支持 为孩子的发展水平和需求量身定制策略。父母和子女(20-30个月大 更正)Diad将从芝加哥、伊利诺伊州和哥伦布的两家中西部NICU后续诊所招募， 噢。父母(n=220)将被随机分为四种情况之一：(1)ezParent教练，(2)ezParent，(3)积极 控制教练，或(4)主动控制。我们将测试ezParent和ezParent的独立和组合效果 辅导需要父母和孩子的结果。我们将评估ezParent剂量和 在有和没有教练电话的情况下参与。父数据和子数据将按基准进行评估，3-、6-和 基线后12个月。 提供低强度、数字化的干预措施有可能影响参与度和 应对VPT儿童行为问题风险较高的父母在提供服务方面的挑战 有严重的行为问题。

PROJECT SUMMARY/ABSTRACT Childhood behavior problems are a top mental and public health priority. Problem behavior such as aggression, defiance, and noncompliance emerge as early as 2 years of age and can persist through adolescence and adulthood leading to long term functional and psychological maladjustment. Children born very premature (VPT; gestational age at birth < 32 weeks) are twice as likely to demonstrate behavioral problems as their peers. Despite the risk and occurrence of behavior problems in the VPT population, early intervention tends to focus on treatment of developmental delays with very few resources for parents to manage behavior issues. Behavioral parent training (BPT) is an effective treatment for families of children with problem behaviors. However, little is known about the use of BPT programs for former VPT infants with their unique medical, developmental, and psychological risk profiles. In addition, system and individual barriers effect parent access and engagement in BPT. In an effort to address tailored needs of these families and service barriers, BPT delivery via digital applications and engagement strategies like telephone coaching calls can provide accessible and tailored approaches to support parents of young children. Currently, there is no effective, accessible BPT intervention for former VPT infants. The purpose of the study, “Parent training for parents of toddlers born very premature: A factorial design to test web delivery and telephone coaching” is to develop a new, accessible and effective form of BPT delivery to address the unmet and unique needs of parents of VPT children. The BPT program proposed in this study is an adaptation of the evidence-based based Chicago Parent Program (CPP) called the ezParent. The study design is a factorial design to test a hybrid approach of digital ezParent and telephone coaching calls. Coaching calls are meant to reinforce parent learning and support tailoring strategies to their child’s developmental level and needs. Parent and child (aged 20-30 months corrected) dyads will be recruited from two Midwest NICU follow up clinics within Chicago, IL and Columbus, OH. Parents (n=220) will be randomized to one of four conditions: (1) ezParent+coach, (2) ezParent, (3) Active Control+coach, or (4) Active Control. We will test the independent and combined effects of ezParent and coaching calls on parent and child outcomes. We will evaluate the differences in ezParent dose and engagement with and without coaching calls. Parent and child data will be assessed at baseline, and 3-, 6- and 12-months post baseline. Providing low intensity, digitally delivered interventions has the potential for influencing engagement and address challenges in service delivery for parents of VPT children at higher risk for behavioral problems and with elevated behavior problems.