A Family Affair: Parent Management of Children's Disruptive Behavior Disorders

家庭事务：家长对儿童破坏性行为障碍的管理

• 批准号: 8101256
• 负责人: Nancy Zemblidge
• 金额: $ 3.12万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-01 至 2013-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8101256
• 关键词: Address; Adolescence; Adult; Affect; Age; Aggressive behavior; Anxiety; Asthma; Attention deficit hyperactivity disorder; Behavior; Behavior Disorders; Behavioral; Belief; Caring; Child; Child Development; Childhood; Chronic; Chronic Care; Chronically Ill; Clinic; Code; Cognitive; Conduct Disorder; Conflict (Psychology); Data; Data Collection; Development; Diabetes Mellitus; Diagnosis; Diagnostic and Statistical Manual; Dimensions; Direct Costs; Discipline; Discipline of Nursing; Disease; Disruptive Behavior Disorder; Divorce; Drug abuse; Emotional; Expenditure; Facilities and Administrative Costs; Family; Family health status; Family member; Gatekeeping; Goals; Health; Health Care Costs; Health Services Accessibility; Hyperactive behavior; Impulsivity; Individual; Intervention; Interview; Iowa; Knowledge; Learning Disabilities; Life; Malignant Neoplasms; Measures; Medical; Mental Depression; Methods; Modeling; Nature; Oppositional Defiant Disorder; Parent-Child Relations; Parents; Perception; Pharmaceutical Preparations; Prevalence; Psyche structure; Public Health; Publishing; Questionnaires; Recruitment Activity; Reporting; Research; Research Personnel; Risk; Sampling; Schedule; Single Parent; Social Development; Stress; Structure; Study models; Substance abuse problem; Symptoms; Syndrome; System; Time; Typology; Universities; Work; aged; base; career; coping; cost; family management; high risk; improved; inattention; innovation; maternal depression; member; peer; predictive modeling; response; skills; social; theories; treatment duration

DESCRIPTION (provided by applicant): Childhood disruptive behavior disorders (DBDs) are serious emotional, attentional and behavioral syndromes including attention-deficit/hyperactivity disorder, oppositional defiant disorder, and conduct disorder. DBDs are highly prevalent, significant public health problems with enormous health care costs and persistent effects on children's social, academic and emotional development. DBDs are associated with higher risks for substance abuse, delinquency, and peer rejection. Childhood DBDs occur and are managed within the context of the family and are associated with maternal depression, divorce, harsher discipline, and intra familial conflict. Parents are gatekeepers to a child's entry into care; treatment is dependent on how parents perceive and define a child's symptomatic behaviors. The Family Management Style Framework (FMSF) was developed to describe the unique management styles of families with chronically ill children. Use of the FMSF can address the knowledge gap about management of childhood DBDs. The purpose of this preliminary mixed methods study is to use the FMSF to describe the complexity of parents' day-to-day management of DBDs across three dimensions: parent definition and management of the behavior, and perceived consequences. This innovative study supports a core NINR strategic goal: to identify foundational knowledge necessary for development of predictive models and interventions that promote and sustain the mental and emotional health of families. Two semi-structured parent interviews will be conducted with a purposeful sample of 50 partnered and single parents of children aged 3-16 years diagnosed with DBDs at the University of Iowa. Oversampling strategies will be used to recruit a diverse sample of parents reflective of the clinic clientele. Interview 1 will be scheduled within 7 days of diagnosis, and Interview 2 after 30 days of treatment to explore how dimensions of management changed or remained stable. In addition data from a 53-item Likert questionnaire will be used to triangulate and expand on interview data. This study will use constant comparison methods for systematic iterative data collection, coding, and analysis. Data will be analyzed within each family unit and across cases to develop a typology of family management of DBDs. Specific aims are: Aim 1: To explore the components of the FMSF in families of children with DBDs within 7 days of diagnosis. Aim 2: To explore the changes over time in the components of the FMSF in families of children with DBDs at = 30 days after diagnosis. The long-term goal of this research is to develop theory-driven, family-focused and individualized interventions for families of children with DBDs to improve child, parent and family function.

描述（由申请人提供）：儿童破坏性行为障碍（DBD）是严重的情绪、注意力和行为综合征，包括注意力缺陷/多动障碍、对立违抗性障碍和行为障碍。DBD是非常普遍的，重大的公共卫生问题，具有巨大的医疗保健成本和对儿童的社会，学术和情感发展的持续影响。DBD与药物滥用、犯罪和同伴排斥的风险较高相关。儿童DBD发生和管理的背景下，家庭和母亲抑郁症，离婚，严厉的纪律，和家庭内的冲突。父母是孩子进入护理的守门人;治疗取决于父母如何看待和定义孩子的症状行为。家庭管理风格框架（FMSF）是为了描述慢性病儿童家庭的独特管理风格而开发的。使用FMSF可以解决有关儿童DBD管理的知识差距。这项初步的混合方法研究的目的是使用FMSF描述的复杂性，父母的日常管理的DBDs在三个方面：父母的定义和管理的行为，和感知的后果。 这项创新研究支持NINR的核心战略目标：确定开发促进和维持家庭心理和情绪健康的预测模型和干预措施所需的基础知识。将对爱荷华州大学诊断为DBD的3-16岁儿童的50名伴侣和单亲父母进行两次半结构化家长访谈。将采用过抽样策略招募反映诊所客户群的不同家长样本。第一次访谈将安排在诊断后7天内，第二次访谈将安排在治疗后30天，以探索管理维度如何变化或保持稳定。此外，将使用53项Likert问卷的数据对访谈数据进行三角测量和扩展。本研究将使用恒定比较方法进行系统的迭代数据收集、编码和分析。数据将在每个家庭单位和跨案件进行分析，以开发DBD的家庭管理类型。具体目标是：目的1：探讨诊断后7天内DBD儿童家庭的FMSF组成部分。 目的2：探讨诊断后≥ 30天的DBD儿童家庭中FMSF成分随时间的变化。本研究的长期目标是为DBD儿童的家庭发展理论驱动的、以家庭为中心的和个性化的干预措施，以改善儿童、父母和家庭的功能。