Preventive Intervention for Behavior Problems in Infants from High-Risk Families
高危家庭婴儿行为问题的预防性干预
基本信息
- 批准号:10611412
- 负责人:
- 金额:$ 59.62万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2020
- 资助国家:美国
- 起止时间:2020-04-07 至 2025-03-31
- 项目状态:未结题
- 来源:
- 关键词:AddressAggressive behaviorAttentionBehaviorBehavioralChildChild BehaviorChild DevelopmentChild RearingChildhoodClinicCollaborationsCommunitiesDataDevelopmentDisadvantaged minorityDistressDropoutEarly InterventionEarly treatmentEmotionalEnrollmentEnvironmentEthnic OriginExposure toFamilyGrowthHomeImpairmentInfantInfant BehaviorInfant DevelopmentInfant HealthInterventionLearningLightLow incomeMaintenanceMatched GroupMeasurementMeasuresMediatingMediationMediatorMethodsModelingNational Institute of Child Health and Human DevelopmentNeighborhoodsOutcomeParentsPatternPhysiologicalPreventionPrimary CareProblem behaviorPsychopathologyPublic HealthRandomizedRandomized, Controlled TrialsRegulationReportingResearchResearch PriorityResearch Project GrantsResourcesRisk BehaviorsRisk ReductionRoleScienceSinus ArrhythmiaSourceStressTestingTheoretical modelTherapeuticTimeTrainingUnderrepresented MinorityWithdrawalWorkactive controlactive control groupagedbehavioral outcomedepressive symptomsdosageearly childhoodeconomic disparityefficacy evaluationemotional functioningevidence basefollow up assessmenthigh riskhigh risk behaviorhigh risk infantimprovedindicated preventioninfancyintervention effectnegative affectnutritionparental rolepilot testpost interventionpreventpreventive interventionprogramspsychosocial adjustmentpublic health prioritiesracial minorityrespiratorysatisfaction
项目摘要
Project Summary/Abstract
The primary aim of the current R01 application is to examine the efficacy and maintenance of a home-based
preventive intervention to decrease behavior problems in infants from high-risk families. Behavior problems are
exceedingly common in early childhood and are associated with high impairment and a long-term negative
trajectory for negative outcomes. Despite the empirical evidence supporting the use of clinic-based parent-
training treatments for early behavior problems, children from economically disadvantaged and
underrepresented minority families, who are at considerably higher risk for behavior problems, have higher
treatment dropout rates and poorer outcomes when completing treatment. We propose instead to intervene
during infancy, which would likely require less intensive and shorter interventions, thereby decreasing the
burden for high-risk families. Extending promising findings from pilot testing of a home-based intervention
targeting changes in parenting behavior (K23 MH085659: PI, Bagner), we propose to conduct an adequately
powered randomized controlled trial (n = 288) to demonstrate its efficacy and maintenance in reducing
behavior problems and increasing infant regulation relative to an enhanced pediatric primary care active
control condition. Based on work by the current investigative team and others, we also will examine the
mediating role of changes in parenting behavior and the moderating role of parental distress on intervention
outcome. Rather than focus exclusively on whether the effect of the intervention can be produced, an important
step in further developing the evidence base in prevention science is to examine how and for whom indicated
preventive interventions work. The proposed work is consistent with the research priorities of the Child
Development and Behavior Branch (CDBB) of the NICHD to investigate the impact of a behavioral promotion
intervention in pediatric primary care and identify developmental factors and mechanisms which promote short-
and long-term psychosocial adjustment for children exposed to high-risk family and neighborhood
environments. In light of the extensive needs and depleting resources faced by low-income and
underrepresented minority families, the proposed work provides a unique opportunity to help promote optimal
behavioral functioning and reduce the risk for psychopathology in infants from the most vulnerable families.
项目总结/摘要
当前R 01应用程序的主要目的是检查基于家庭的
预防性干预,以减少高危家庭婴儿的行为问题。行为问题是
在幼儿期非常常见,并与高度损伤和长期负面影响有关。
消极结果的轨迹。尽管有经验证据支持使用基于诊所的父母-
培训治疗早期行为问题,来自经济困难的儿童,
代表性不足的少数民族家庭,谁是在相当高的风险行为问题,有较高的
治疗退出率和完成治疗时的不良结局。我们建议,
在婴儿期,这可能需要较少的密集和较短的干预,从而减少
高风险家庭的负担。推广家庭干预试点测试的有希望的结果
针对育儿行为的变化(K23 MH 085659:PI,Bagner),我们建议进行充分的
有把握度的随机对照试验(n = 288),以证明其在降低
行为问题和增加婴儿调节相对于增强的儿科初级保健活动
控制条件根据目前调查小组和其他人的工作,我们还将审查
父母教养行为变化的中介作用和父母苦恼对干预的调节作用
结果。与其只关注干预是否能产生效果,
进一步发展预防科学证据基础的一个步骤是研究如何和为谁表明,
预防干预工作。拟议的工作与儿童基金会的研究优先事项一致
NICHD的发展和行为分支(CDBB)调查行为促进的影响
干预儿科初级保健,并确定促进短期-
对暴露于高危家庭和社区的儿童进行长期的心理社会调整
环境.鉴于低收入和低收入群体面临的广泛需求和资源枯竭,
代表性不足的少数民族家庭,拟议的工作提供了一个独特的机会,以帮助促进最佳的
行为功能,并减少来自最脆弱家庭的婴儿患精神病理学的风险。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Daniel Marc Bagner其他文献
Daniel Marc Bagner的其他文献
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{{ truncateString('Daniel Marc Bagner', 18)}}的其他基金
Adapting a Parenting Intervention to Promote Healthy Screen Time Habits in Young Children with Externalizing Behavior Problems
采取育儿干预措施,促进有外化行为问题的幼儿养成健康的屏幕时间习惯
- 批准号:
10386454 - 财政年份:2022
- 资助金额:
$ 59.62万 - 项目类别:
Adapting a Parenting Intervention to Promote Healthy Screen Time Habits in Young Children with Externalizing Behavior Problems
采取育儿干预措施,促进有外化行为问题的幼儿养成健康的屏幕时间习惯
- 批准号:
10548845 - 财政年份:2022
- 资助金额:
$ 59.62万 - 项目类别:
Preventive Intervention for Behavior Problems in Infants from High-Risk Families
高危家庭婴儿行为问题的预防性干预
- 批准号:
10379259 - 财政年份:2020
- 资助金额:
$ 59.62万 - 项目类别:
Promoting child language acquisition through a preventive parenting intervention
通过预防性育儿干预促进儿童语言习得
- 批准号:
10841300 - 财政年份:2020
- 资助金额:
$ 59.62万 - 项目类别:
Internet Treatment for Behavior Problems in Preschoolers with Developmental Delay
互联网治疗发育迟缓的学龄前儿童行为问题
- 批准号:
9275501 - 财政年份:2015
- 资助金额:
$ 59.62万 - 项目类别:
Internet Treatment for Behavior Problems in Preschoolers with Developmental Delay
互联网治疗发育迟缓的学龄前儿童行为问题
- 批准号:
9134768 - 财政年份:2015
- 资助金额:
$ 59.62万 - 项目类别:
Behavior Problems in Infancy: A Preventive Intervention
婴儿期行为问题:预防性干预
- 批准号:
8269056 - 财政年份:2010
- 资助金额:
$ 59.62万 - 项目类别:
Behavior Problems in Infancy: A Preventive Intervention
婴儿期行为问题:预防性干预
- 批准号:
7988371 - 财政年份:2010
- 资助金额:
$ 59.62万 - 项目类别:
Behavior Problems in Infancy: A Preventive Intervention
婴儿期行为问题:预防性干预
- 批准号:
8110473 - 财政年份:2010
- 资助金额:
$ 59.62万 - 项目类别:
Behavior Problems in Infancy: A Preventive Intervention
婴儿期行为问题:预防性干预
- 批准号:
8452580 - 财政年份:2010
- 资助金额:
$ 59.62万 - 项目类别:
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