AN EVALUATION OF PARENT CHILD INTERACTION THERAPY AND THE EMOTIONAL AVAILABILIT

科罗拉多大学丹佛分校与部落早期开端（EHS）项目合作，将调整、实施和评估亲子互动治疗干预（PCIT）和情感可用性照顾者干预（EAI），以更好地了解主要环境压力因素与美国印第安儿童发展之间的关系。具体而言，该项目将：(1)在10至48个月的美国印第安儿童中研究环境压力源的性质、程度和发展过程，并探索毛发皮质醇作为毒性压力的标志；(2)在文化上适应和整合PCIT和EAI模式与美国印第安儿童和家庭；(3)在环境应激条件下，采用适应型PCIT和不采用早期EAI分别降低儿童及其照顾者的慢性应激反应、提高照顾者的敏感性和减少儿童行为问题的效果。这项研究将提供有关美国印第安儿童的环境压力因素及其对发展的影响的信息，并为父母干预措施建立证据基础，以缓冲儿童受到压力因素的影响。

The University of Colorado-Denver in partnership with a tribal Early Head Start (EHS) program will adapt, implement and evaluate Parent-Child Interaction Therapy Intervention (PCIT) and the Emotional Availability Caregiver Intervention (EAI) to better understand the relationship between major environmental stressors and the development of American Indian children. Specifically, the project will: (1) examine the nature, extent and developmental course of environmental stressors among American Indian children between the ages of 10 and 48 months and explore hair cortisol as a marker of toxic stress; (2) culturally adapt and integrate PCIT and the EAI models with American Indian children and families; and (3) test the effectiveness of the adapted PCIT with and without early EAI for decreasing the chronic stress response among children and their caregivers, increasing caregiver sensitivity, and decreasing behavior problems among children experiencing environmental stressors. The study will yield information about environmental stressors for American Indian children, their impact on development, and establish an evidence base for parenting interventions that may buffer children from the impact of stressors.