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Evaluating an Online Parenting Support System Disseminated by Pediatric Practices

评估儿科诊所传播的在线育儿支持系统

基本信息

批准号：
9232097
负责人：
CAROL W METZLER
金额：
$ 62.46万
依托单位：
OREGON RESEARCH INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-04-15 至 2019-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9232097
关键词：
8 year old Address Alcohol or Other Drugs use Attitude Behavior Behavior Therapy Caring Child Child Behavior Child Rearing Childhood Clinic Communities Community Services County Distress Evaluation Exposure to Failure Family Future Internet Intervention Italy Knowledge Measures Mediating Medicaid Mental Health Methods Modeling Multimedia Online Systems Oregon Outcome Paper Parents Patients Population Prevalence Prevention Preventive Primary Health Care Problem behavior Protocols documentation Public Health Queensland Randomized Recruitment Activity Research Institute Research Project Grants Resources Risk Rural Sampling Schools Self Efficacy Self-Administered Series Services Single Parent Substance abuse problem Support System System Testing Text Time Touch sensation Training Universities Washington Work adverse outcome base behavior change behavioral health clinical practice cost design dosage early onset evidence base experience flexibility follow-up improved improved outcome innovation pediatrician population based post intervention prevent programs public health relevance response satisfaction skills treatment as usual uptake

项目摘要

DESCRIPTION (provided by applicant): Disruptive behavior problems are among the most prevalent mental health conditions for young children, and they carry significant risks for later socioemotional, conduct, and academic problems, such as substance abuse, delinquency, and school failure. How parents handle these challenging behaviors strongly influences their children's long-term trajectory. Evidence-based parenting programs have shown much value in reducing early-onset disruptive behavior problems, thereby reducing risks for later substance abuse and other behavioral health problems. The reach of parenting programs is limited, however, by significant challenges in recruiting, engaging, and retaining parents, such that most parents who could benefit from parenting assistance never receive it. A public health approach for improving parenting practices that makes evidence- based parenting programs widely available and accessible in a range of formats could reduce the prevalence of disruptive behavior problems, and thus the population-level risk for substance abuse and other adverse outcomes. Internet-based intervention offers significant potential as part of a population-wide strategy for bringing evidence-based parenting practices to a broad range of parents experiencing challenges in raising their children. Furthermore, pediatricians could be a natural touch point for reaching families with evidence- based parenting supports. The field knows little, however, about the potential of the internet to strengthen parenting practices, or about how pediatric practitioners might be engaged in improving the reach of an online parenting program. This study will experimentally evaluate an internet-based version of the Triple P Positive Parenting Program, the Triple P Online System (TPOS), which presents the Triple P content in an interactive, video-enriched, and personalized format with 3-levels of flexible dosage, and will compare it against usual community services. Thirty pediatric clinics involving 100 practitioners in 8 counties across western Washington will be recruited and randomized to receive (a) access for their patients to the Triple P Online System and training in how to effectively promote TPOS and advise parents on their children's behavior problems or (b) Usual Care Community-Waitlist Control, in which parents will be assisted with an appropriate referral for services in the community. Practitioners will recruit into their respective conditions 500 families of 3-8 year-old children with elevated behavior problems. Measures of parents' parenting practices, family functioning, children's disruptive behavior problems, and practitioners' protocols for advising on behavior problems will be obtained at baseline, post-intervention, and 1-year follow-up. The efficacy of the Triple P Online System in improving these outcomes will be examined, as well as dosage-response relationships. This study will further our understanding of the potential value of promoting internet-based parenting programs through pediatric practitioners. Maximizing the reach of evidence-based parenting programs has the potential to reduce the prevalence of children's behavior problems, and thus reduce risks for later problems such as substance abuse.

描述（由申请人提供）：破坏性行为问题是幼儿最普遍的心理健康状况之一，它们对日后的社会情感、行为和学业问题（如药物滥用、犯罪和学业失败）带来重大风险。父母如何处理这些具有挑战性的行为会极大地影响孩子的长期发展轨迹。基于证据的育儿计划在减少早期发生的破坏性行为问题方面显示出很大的价值，从而降低了以后滥用药物和其他行为健康问题的风险。然而，由于在招募、吸引和留住家长方面面临重大挑战，育儿计划的覆盖范围受到限制，因此大多数可以从育儿援助中受益的父母从未获得过援助。改善育儿实践的公共卫生方法，使基于证据的育儿计划能够以多种形式广泛提供和获取，可以减少破坏性行为问题的发生率，从而降低人口层面的药物滥用和其他不良后果的风险。基于互联网的干预措施作为全民战略的一部分具有巨大的潜力，可以为在抚养孩子方面遇到挑战的广大父母提供基于证据的育儿实践。此外，儿科医生可能是为家庭提供循证育儿支持的自然接触点。然而，该领域对互联网加强育儿实践的潜力，或者儿科从业人员如何参与扩大在线育儿计划的影响力知之甚少。本研究将实验评估 Triple P 积极育儿计划的互联网版本，即 Triple P 在线系统（TPOS），该系统以互动、视频丰富和个性化的格式呈现 Triple P 内容，并具有 3 个级别的灵活剂量，并将其与通常的社区服务进行比较。将招募华盛顿西部 8 个县的 30 家儿科诊所，涉及 100 名从业人员，并随机接受 (a) 患者访问 Triple P 在线系统并接受培训，了解如何有效推广 TPOS 并就孩子的行为问题向家长提供建议；或 (b) 常规护理社区候补控制，其中将协助家长转介适当的社区服务。实践者将根据各自条件招募500个3-8岁家庭行为问题严重的儿童。将在基线、干预后和一年的随访中获得对父母养育方式、家庭功能、儿童破坏性行为问题以及从业者针对行为问题提供建议的方案的测量。将检查 Triple P 在线系统在改善这些结果方面的功效以及剂量-反应关系。这项研究将进一步让我们了解通过儿科医生推广基于互联网的育儿计划的潜在价值。最大限度地扩大循证育儿计划的影响范围有可能减少儿童行为问题的发生率，从而降低以后出现药物滥用等问题的风险。

项目成果

期刊论文数量（8）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Primary Health Care: Potential Home for Family-Focused Preventive Interventions.

DOI：
10.1016/j.amepre.2016.05.014
发表时间：
2016-10
期刊：
American journal of preventive medicine
影响因子：
5.5
作者：
Leslie LK;Mehus CJ;Hawkins JD;Boat T;McCabe MA;Barkin S;Perrin EC;Metzler CW;Prado G;Tait VF;Brown R;Beardslee W
通讯作者：
Beardslee W

Emulating real-life situations with a play task to observe parenting skills and child behaviors.

通过游戏任务模拟现实生活中的情况，以观察养育技巧和孩子的行为。