Online Parent Training for Children with Behavior Disorders

描述（由申请人提供）：研究发现，以父母为目标的干预措施对改善行为障碍和其他共病（如药物滥用）是有效的。有效提供支助服务，特别是在农村地区，存在着重大障碍。少数民族人口在儿童行为问题的风险、参与障碍和获得文化敏感干预措施方面尤其处于不利地位。此外，互联网使用的迅速增加为传播和分享经验验证的程序创造了新的途径。互联网项目为基于技术的多媒体干预提供了机会，这些项目可以互动，并提供同伴和专业人士的社会支持。通过利用多媒体技术和软件的最新进展，以及计算机和互联网使用的增加，现在有机会为农村地区的家庭提供这种远程支持。明智的养育（PW; Gordon, 2000）是一种基于计算机的干预方法，旨在预防和治疗通常与药物滥用同时发生的破坏性行为问题。这种模式易于推广，因为它很容易适应现有的卫生组织和EAP精神卫生服务提供模式，绕过了许多当前精神卫生和社会服务系统的障碍。PW最初以CD-ROM形式提供，现已被翻译成基于互联网的传递系统，并已被证明可以有效地减少儿童问题行为和提高育儿技能。本研究将通过修改视频来增加育儿例子的相关性和多样性，从而提高PW的吸引力和有效性，从而提高潜在的更广泛实施，并保持循证实践的新鲜感和相关性。拟议的研究将评估修订后的PW对西班牙裔，非裔美国人和非西班牙裔白人父母的使用情况，这些父母在社区机构注册，为10至17岁的青少年提供服务，这些青少年有严重的药物滥用风险，并被诊断为破坏性行为障碍。第一阶段的活动将包括开发和试点基于网络的项目，以不同文化背景的家长为样本，评估网站的易用性、对概念的理解、对格式和内容的满意度等方面的可行性。我们将评估用户满意度、理解力、接受度、父母对孩子行为的评价、家庭功能、父母的做法和父母的自我效能。理解和学习将作为指导进一步研究和发展的额外成果。公共卫生相关性：通过互联网和交互式CD-Rom提供育儿技能培训来管理青少年问题行为，使用明智的育儿（PW）计划以低成本产生了强有力的结果。该项目将通过修订视频，增加育儿实例的相关性和多样性，从而提高《儿童与家庭》的吸引力和有效性，从而提高更广泛实施的可能性，并保持循证实践的新鲜感和相关性。

DESCRIPTION (provided by applicant): Research has found that parent-targeted interventions were effective to ameliorate Conduct Disorders and other comorbid conditions (e.g. substance abuse). There exist major obstacles to the effective delivery of support services, particularly in rural areas. Ethnic minority populations are especially disadvantaged with respect to risk for child behavioral problems, barriers to participation, and access to culturally sensitive interventions. In addition, the meteoric rise of internet use has created a new avenue to disseminate and share empirically validated programs. Internet programs open the opportunity for technology based multimedia intervention through programs that can be interactive and provide social support from peers and professionals. Through the use of recent advances in multimedia technology and software, as well as the rise of computer and internet use, there now exists an opportunity to provide such remote support for families in rural locations. Parenting Wisely (PW; Gordon, 2000) is a computer-based intervention approach designed to prevent and treat disruptive behavior problems that often co-occur with drug abuse. This model lends itself to dissemination in that it fits easily into existing HMO, and EAP mental health service delivery models, bypassing many of the current mental health and social service systems barriers. PW was originally delivered on CD-ROM and has been translated to an internet-based delivery system and has been shown to effectively reduce child problem behaviors and improve parenting skills This research will increase PW's appeal and effectiveness by revising the videos to increase the relevance and diversity of parenting examples, thereby enhancing the potential wider implementation and keeping an evidence-based practice fresh and relevant. The proposed research will evaluate the use of the revised PW to Hispanic, African-American & non-Hispanic White parents enrolled in community agencies providing services to families with youth ages 10 through 17 at significant risk for drug abuse and diagnosed with disruptive behavioral disorders. The Phase I activities will include the development as well as a pilot of the web-based program with a culturally diverse sample of parents to assess feasibility with regard to ease-of-use of the website, understanding of concepts, satisfaction with format and content. We will assess user satisfaction, comprehension, receptivity, parents' rating of child behavior, family functioning, parenting practices, and parent self-efficacy. Comprehension and learning will serve as an additional outcome to guide further research and development. PUBLIC HEALTH RELEVANCE: Delivery of parenting skills training to manage teen problem behavior using technology via the internet & interactive CD-Rom has produced strong outcomes at low cost using the Parenting Wisely (PW) program. This project will increase PW's appeal and effectiveness by revising the videos to increase the relevance and diversity of parenting examples, thereby enhancing the potential wider implementation and keeping an evidence-based practice fresh and relevant.