The Impact of Parent/Caregiver Behavioral Health Interventions on Child Outcomes

项目摘要/摘要 广泛目标：拟议项目的目标是提高对干预措施如何预防 和治疗父母的行为健康(BH)问题对孩子的影响，以及不同的影响是如何不同的 干预措施的类型、儿童、父母和家庭。申请者的主要职业目标是发展一种 研究计划的重点是确定、发展和改进传播和实施 在人口层面上采取有效办法，防止青年和家庭暴力问题的负面后果。 具体目标：拟议的项目旨在(1)绘制和描述具有以下特征的现有研究机构 测试以家长为中心的BH干预对儿童的影响，以及(2)综合现有证据 以家长为重点的BH干预对儿童结局的影响，以便：(A)确定是否和针对什么 现有的以家长为中心的BH干预措施可以降低家长BH问题对儿童构成的风险， 和(B)查明代际风险传递和预防的潜在主持人和机制，方法是 评估以家长为中心的BH干预措施对儿童的影响如何与关键特征相关 干预的对象是孩子，还是他们的父母(S)和家人。 方法：两项基础广泛的综述，一项范围界定综述和一项荟萃分析，将综合初级研究的结果 针对父母BH问题和儿童结局的全范围研究和测试干预。这个 范围审查将首先绘制出所有可用的相关证据，其结果将指导荟萃分析的设计。 Meta分析将评估以父母为重点的BH干预对儿童结局的平均影响，以及 主持人分析将检验效果如何与干预的特征、儿童、他们的 父母(S)和家庭，以及研究方法。一系列元回归分析将评估在多大程度上 干预措施在减少父母BH问题方面的有效性预测了其对儿童结局的影响。 意义：父母出生高血压问题是导致儿童不良结局的广泛风险因素，但我们知之甚少。 关于成功治疗和/或预防父母BH问题的干预措施是否或多少会导致 改善他们孩子的结局。研究结果将促进对以父母为中心的 BH干预可以在改善儿童生活方面发挥作用，并将为政策、实践和研究工作提供信息 寻求缓解母体BH问题的多代后果。 培训计划：通过(A)个别会议和与专家导师协商相结合，(B)小组 研究会议；(C)正式课程作业；(D)会议和讲习班；(E)生产性研究 在活动中，申请人将(1)在跨代风险如何与父母BH相关方面发展专业知识 传播和预防问题，(2)接受综合现有方法的高级培训 研究证据，(3)发展开放科学最佳做法方面的专门知识和技能，以实现透明、可重复的 研究，以及(4)建立关键的经验和技能，以便有效地向不同受众传播科学。

PROJECT SUMMARY/ABSTRACT Broad Objectives: The goal of the proposed project is to improve understanding of how interventions to prevent and treat parents’ behavioral health (BH) problems impact their children, and how the impact varies for different types of interventions, children, parents, and families. The applicant’s primary career objective is to develop a program of research focused on identifying, developing, and improving the dissemination and implementation of effective approaches to prevent negative consequences of youth and family BH problems on a population level. Specific Aims: The proposed project aims to (1) map and characterize the existing body of research that has tested the effects of parent-focused BH interventions on children, and (2) synthesize existing evidence regarding the impact of parent-focused BH interventions on child outcomes in order to: (a) determine whether and to what extent existing parent-focused BH interventions can reduce the risks that parent BH problems pose to children, and (b) identify potential moderators and mechanisms of intergenerational risk transmission and prevention, by evaluating how the impact of parent-focused BH interventions on children varies in relation to key characteristics of the intervention, the child, or their parent(s) and family. Method: Two broad-based reviews, a scoping review and a meta-analysis, will integrate findings from primary research testing interventions for the full spectrum of parent BH problems and full range of child outcomes. The scoping review will first map all available relevant evidence, and its results will guide design of the meta-analysis. The meta-analysis will estimate the average effect of parent-focused BH interventions on child outcomes, and moderator analyses will examine how effects vary in relation to characteristics of the intervention, the child, their parent(s) and family, and the study methods. A series of meta-regression analyses will assess the extent to which an intervention’s effectiveness in reducing parent BH problems predicts its impact on child outcomes. Significance: Parent BH problems are risk factors for a wide range of adverse child outcomes, but little is known about whether or how much interventions that successfully treat and/or prevent parent BH problems result in improved outcomes for their children. Study findings will advance understanding of the role that parent-focused BH interventions can play in improving the lives of children, and will inform policy, practice, and research efforts that seek to mitigate the multigenerational consequences of parent BH problems. Training Plan: Through a combination of (a) individual meetings and consultation with expert mentors, (b) group research meetings, (c) formal coursework, (d) conferences and workshops, and (e) productive research activities, the applicant will (1) develop expertise in how transgenerational risks associated with parent BH problems are transmitted and prevented, (2) gain advanced training in methods for synthesizing existing research evidence, (3) develop expertise and skills in open science best practices for transparent, reproducible research, and (4) build critical experience and skills for effectively communicating science to diverse audiences.