Optimizing an Evidence-Based, Disseminable, Free Internet-Based Parenting Program

优化基于证据的、可传播的、免费的基于互联网的育儿计划

• 批准号: 10693408
• 负责人: Kimberly A Rhoades
• 金额: $ 69.59万
• 依托单位: NEW YORK UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-03 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10693408
• 关键词: 3 year old; Automobile Driving; Behavioral; Characteristics; Child; Child Behavior; Child Health; Child Rearing; Code; Cognitive; Communities; Comprehension; Consumption; Cues; Discipline; Elements; Family; Family Characteristics; Feedback; Fostering; Goals; Health; Individual; Internet; Intervention; Learning; Length; Literature; Logic; Mediation; Mediator; Modeling; Motivation; Outcome; Parents; Participant; Personal Satisfaction; Pilot Projects; Population; Process; Punishment; Race; Readiness; Research; Research Personnel; Rewards; Sampling; Societies; Subgroup; Testing; Text; Text Messaging; Toddler; Translating; absorption; behavioral outcome; cost; digital; evidence base; experimental study; externalizing behavior; improved; multiphase optimization strategy; online resource; programs; sex; skills; social; success

The CDC's Essentials for Parenting Toddlers and Preschoolers program (EFP) is a free Internet resource with the potential to break down barriers to population-wide access to scientifically-based parenting interven- tions. Our research team at NYU recently partnered with program developers and researchers at the CDC and Westat (a research firm) to evaluate EFP. We learned three important lessons from the pilot study: (1) EFP is well-liked by the parents who use it; (2) parents consume more intervention content if cued what content to use and when to use it; yet (3) the amount of content consumed, even with such guidance, is highly variable and tends to be quite limited. In short, EFP has considerable promise, but parental engagement, a major issue in the success of universal parenting interventions, remains a challenge. Thus, learning how to maximize meaningful parent engagement is the lynchpin to realizing the promise of EFP. The objective of the proposed research is to optimize EFP by identifying engagement-fo- cused intervention elements to add to EFP that enhance its effects on parenting skills. The study is based on the Multiphase Optimization Strategy (MOST) developed by Dr. Linda Collins (Co-I) and collabora- tors. The bedrock logic of MOST is that only after an intervention has been optimized to meet specific criteria, should it be evaluated in an RCT. In our view, improvements in parenting skills are the key optimization crite- ria that must be met. The study is a longitudinal factorial optimization trial in a community sample of 800 parents with 1.5- to 3-year-old children. There are 4 experimental factors; each corresponds to the presence vs. absence of an engagement-focused intervention element. This experiment enables the estimation of the indi- vidual and combined effects of each element. The specific aims follow. Aim 1: Optimize the effects of EFP on parenting skills by determining which combination of the four ex- perimental engagement-focused intervention elements results in the greatest success of EFP, as reflected in increasing parent warmth and reducing corporal punishment, overreactive and lax discipline. Aim 2: Determine the extent to which boosted meaningful parent engagement in EFP is the mechanism driving the effects of the four engagement-focused intervention elements on parenting skills, and which as- pect(s) of engagement (e.g., content consumption; behavioral skills practice) are the key mediators that trans- late the effects of the four engagement-focused intervention elements into improved parenting. Aim 3: Examine parent (e.g., change readiness; race) and child characteristics (e.g., externalizing behavior; sex) to determine if the optimal intervention package differs among subgroups. Cracking the code of providing parents with an intervention that they actually use, and that improves parenting, could have far-reaching ef- fects (e.g., improving population-level child outcomes).

疾病预防控制中心的幼儿和学龄前儿童育儿要点计划（EFP）是一个免费的互联网资源 有可能打破全民获得科学育儿干预的障碍， 选择。我们在纽约大学的研究团队最近与CDC的项目开发人员和研究人员合作， Westat（一家研究公司）评估EFP。我们从试点研究中吸取了三个重要教训：（1）EFP是 很喜欢的父母谁使用它;（2）父母消费更多的干预内容，如果提示什么内容， 使用和何时使用它;然而（3）即使有这样的指导，消费的内容量也是高度可变的 并且趋向于相当有限。简而言之，EFP有相当大的希望，但父母的参与，一个主要问题， 在普及育儿干预措施取得成功方面，仍然是一个挑战。因此，学习如何最大化 家长有意义的参与是实现EFP承诺的关键。 所提出的研究的目的是通过识别的补偿因子， 引起干预元素添加到EFP，增强其对父母养育技能的影响。研究 基于琳达柯林斯博士（Co-I）和合作伙伴开发的多阶段优化策略（MOST）， tors.社会变革管理计划的基本逻辑是，只有在一项干预措施经过优化以符合具体标准之后， 是否应该在随机对照试验中进行评估。在我们看来，提高育儿技能是关键的优化标准- 这是必须满足的。该研究是在800个社区样本中进行的纵向析因优化试验 有1.5至3岁孩子的父母。有4个实验因素;每个对应于存在与 缺乏注重成果的干预要素。该实验能够估计indi- 每个元素的单独和组合效果。具体目标如下。 目的1：通过确定四种前体的哪种组合，优化EFP对父母养育技能的影响。 实验性的以成果为中心的干预要素使EFP取得了最大的成功，这反映在 增加父母的温暖，减少体罚，反应过激和纪律松懈。 目标2：确定在多大程度上促进有意义的父母参与EFP的机制 推动四个以成就为重点的干预要素对育儿技能的影响，以及- 接合方面（例如，内容消费;行为技能实践）是跨- 将四个以成就为重点的干预要素的效果转化为改善的养育方式。 目标3：检查母公司（例如，改变准备;种族）和儿童特征（例如，外化行为; 性别），以确定最佳干预方案是否在亚组之间存在差异。破解提供 父母实际上使用的干预措施，改善了养育子女的方式，可能会产生深远的影响， 影响（例如，改善人口层面的儿童成果）。