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）计划合作，将适应，实施和评估亲子互动治疗干预（PCIT）和情感可用性护理人员干预（EAI），以更好地了解主要环境压力与美国印第安儿童发展之间的关系。具体而言，该项目将：（1）研究10至48个月的美洲印第安儿童中环境压力源的性质、程度和发展过程，并探讨头发皮质醇作为毒性压力的标志;（2）在文化上调整PCIT和EAI模式，并将其与美洲印第安儿童和家庭结合起来;以及（3）测试有或没有早期EAI的适应PCIT对于减少儿童及其照顾者的慢性应激反应、增加照顾者敏感性以及减少经历环境应激源的儿童的行为问题的有效性。这项研究将产生有关美国印第安儿童的环境压力源，其对发展的影响，并建立一个证据基础的育儿干预措施，可能缓冲儿童的压力源的影响。

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.