Online Parent Training for Children with Behavior Disorders

针对行为障碍儿童的在线家长培训

• 批准号: 7671719
• 负责人: EDWARD GUSTAV FEIL
• 金额: $ 21.56万
• 依托单位: FAMILY WORKS, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-04-01 至 2010-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7671719
• 关键词: Address; Adolescent; Adoption; Advisory Committees; African American; Age; Attention; Behavior; Behavior Disorders; Behavioral; Bypass; CD-I; CD-ROM; Child; Child Behavior; Child Welfare; Clinic; Clinical; Communities; Comprehension; Computer software; Computers; Conduct Disorder; Development; Diagnosis; Disadvantaged; Disease; Disruptive Behavior Disorder; Drug abuse; Drug usage; Educational Intervention; Educational process of instructing; Effectiveness; Emerging Technologies; Enrollment; Evidence based practice; Family; Feedback; Focus Groups; Health Services; Hispanic Americans; Hispanics; Home environment; Illicit Drugs; Internet; Intervention; Justice; Learning; Link; Literature; Location; Mental Health; Mental Health Services; Modeling; Multimedia; Not Hispanic or Latino; Online Systems; Outcome; Parent-Child Relations; Parenting behavior; Parents; Participant; Phase; Population Heterogeneity; Prevalence; Prevention; Problem behavior; Process; Research; Resistance; Risk; Rural; Sampling; Self Efficacy; Services; Social Work; Social support; Solutions; Substance abuse problem; System; Technology; Teenagers; Testing; Text; Time; Training; Training Programs; Translating; Travel; Writing; Youth; anti social; base; behavior change; community setting; cost; design; ethnic minority population; handbook; health care delivery; improved; meetings; peer; prevent; programs; public health relevance; research and development; rural area; satisfaction; service intervention; skills; skills training; trend; usability; web site

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.

描述(由申请人提供)：研究发现，以家长为目标的干预措施有效地改善了行为障碍和其他共病情况(如药物滥用)。有效提供支助服务存在重大障碍，特别是在农村地区。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，少数民族人口尤其处于不利地位。此外，互联网使用的迅速增长为传播和分享经过经验验证的程序创造了一条新的途径。互联网项目为基于技术的多媒体干预提供了机会，这些项目可以是互动的，并提供同行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助。明智的育儿(PW；Gordon，2000)是一种基于计算机的干预方法，旨在预防和治疗经常与药物滥用并存的破坏性行为问题。这种模式易于传播，因为它很容易融入现有的HMO和EAP精神健康服务提供模式，绕过了许多目前的精神健康和社会服务系统障碍。PW最初是以光盘形式提供的，现已翻译成基于互联网的传递系统，并已被证明能有效减少儿童问题行为和改善育儿技能。这项研究将通过修改视频来增加PW的吸引力和有效性，以增加父母养育范例的相关性和多样性，从而增强潜在的更广泛的实施，并保持循证实践的新鲜感和相关性。这项拟议的研究将评估修订后的PW对在社区机构登记的西班牙裔、非裔美国人和非西班牙裔白人父母的使用，这些机构为年龄在10岁至17岁之间、有严重药物滥用风险并被诊断为破坏性行为障碍的家庭提供服务。第一阶段的活动将包括开发和试点基于网络的方案，对不同文化背景的父母进行抽样，以评估在网站易用性、对概念的理解、对格式和内容的满意度方面的可行性。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分、家庭功能、育儿实践和父母自我效能感。理解和学习将作为指导进一步研究和发展的额外成果。与公共健康相关：通过互联网和交互式CD-Rom技术提供管理青少年问题行为的育儿技能培训，利用育儿智慧(PW)计划以低成本产生了显著的效果。该项目将通过修改视频，增加育儿范例的相关性和多样性，从而增强潜在的更广泛的实施，并保持以证据为基础的做法的新鲜感和相关性，从而增加公共服务的吸引力和有效性。

项目成果

Development and Pilot Testing of an Internet-based Version of Parenting Wisely.

基于互联网的《明智育儿》版本的开发和试点测试。

• 发表时间: 2011
• 期刊: The Family psychologist : bulletin of the Division of Family Psychology (43)
• 作者: Feil,EdwardG;Gordon,Donald;Waldron,Holly;Jones,LauraBacken;Widdop,Chris
• 通讯作者: Widdop,Chris