Technology-Enhanced Delivery of Treatment for Early Conduct Problems

技术强化早期行为问题的治疗

• 批准号: 7892359
• 负责人: Deborah J Jones
• 金额: $ 22.25万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-07-15 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7892359
• 关键词: 8 year old; Address; Adolescence; Behavior; Behavioral; Child; Child Behavior; Conduct Disorder; Consumer Satisfaction; Development; Early treatment; Family; Feedback; Future; Low income; NIH Program Announcements; Oppositional Defiant Disorder; Parenting behavior; Parents; Public Health; Randomized Controlled Trials; Research; Research Project Grants; Sampling; Services; Structure; Substance abuse problem; Technology; Testing; Training Programs; Violence; Youth; boys; control trial; cost effectiveness; design; early onset; evidence base; girls; non-compliance; novel strategies; primary outcome; programs; prototype; statistics; therapy development; treatment program; trend

DESCRIPTION (provided by applicant): Low-income youth are overrepresented in the statistics on early onset oppositional defiant disorder (ODD) and conduct disorder (CD); however, low-income parents are least likely to engage in or be retained in the evidence-based behavioral parent training programs, which have proven to disrupt the escalation of ODD and CD behaviors. Consistent with Program Announcement (PAR-06-248), "From Intervention Development to Services: Exploratory Research Grants," this R34 project aims to develop and pilot-test use of Smartphone technology to enhance the engagement and retention of low-income parents of children (3 to 8 years old) with ODD and early CD behaviors in one evidence-based parent training program, Helping the Noncompliant Child (HNC; McMahon & Forehand, 2003). The Smartphone-enhanced HNC treatment program will be developed, and then tested in a pilot controlled trial in order to examine feasibility, cost-effectiveness, and consumer satisfaction, as well as trends in engagement and retention of parents and changes in parent and child behavior. Given that the early onset of ODD and CD behavior is the single most important predictor of delinquency, substance abuse, and violence for boys and girls in adolescence, the development of novel approaches to engage and retain low-income parents in evidence-based parent training programs is of critical public health importance.

描述（由申请人提供）：在早发性对立违抗障碍（ODD）和品行障碍（CD）的统计数据中，低收入青年所占比例过高；然而，低收入父母最不可能参与或保留基于证据的行为父母培训计划，这些计划已被证明可以阻止 ODD 和 CD 行为的升级。与计划公告 (PAR-06-248)“从干预开发到服务：探索性研究补助金”一致，该 R34 项目旨在开发和试点使用智能手机技术，以提高患有 ODD 和早期 CD 行为的儿童（3 至 8 岁）的低收入父母在一项基于证据的家长培训计划“帮助不听话的孩子”（HNC；McMahon & Forehand，2003 年）中的参与度和保留率。将开发智能手机增强的 HNC 治疗方案，然后在试点对照试验中进行测试，以检验可行性、成本效益和消费者满意度，以及父母参与和保留的趋势以及父母和孩子行为的变化。鉴于ODD和CD行为的早期发生是青春期男孩和女孩犯罪、药物滥用和暴力的最重要预测因素，因此开发新方法来吸引和留住低收入父母参与基于证据的家长培训计划对于公共卫生至关重要。