Online vs Staff Delivery: Child & Family Outcomes, Value Analysis, Satisfaction

在线与员工交付：儿童

基本信息

批准号：
9135511
负责人：
RONALD J PRINZ
金额：
$ 66.26万
依托单位：
UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-09-05 至 2018-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9135511
关键词：
7 year old Accounting Address Adherence Adolescence Adult Age Attention Behavioral Caregivers Characteristics Child Child Mental Health Child Rearing Childhood Communities Computers Consumer Satisfaction Cost Analysis Databases Development Disadvantaged Documentation Effectiveness Emotional Family Family Sizes Fathers Goals Growth High Prevalence Home environment Household and Family Human Resources Inferior Internet Intervention Left Light Measures Mental Health Modality Modeling Mothers Outcome Outcome Assessment Parent-Child Relations Parents Participant Patient Self-Report Phase Population Prevalence Problem behavior Process Provider Public Health Randomized Records Reporting Resources Risk Sampling Schedule Self-Administered Services Source Staging Stress Technology Testing Time Training Transportation Variant Work base conduct problem cost cost effective design early onset empowered evidence base experience flexibility follow-up improved indicated prevention informant innovation meetings post intervention preference primary outcome programs satisfaction secondary outcome service intervention staff intervention teacher treatment program trial design web site

项目摘要

High-prevalence mental health problems require innovative strategies to broaden reach of evidence-based services. Disruptive behavior problems (DBPs), or conduct problems, in young children represent a major public health challenge that is not only highly prevalent but also, left untreated, heighten risk for adverse mental health and developmental outcomes in adolescence and adulthood. New, efficacious intervention strategies that can be delivered with sufficient reach in a resource effective manner are needed. Internet and online technology has considerable potential to help achieve such a goal. Building on parenting interventions that have demonstrated impact on childhood DBPs, this project compares an Online-Delivered Intervention to a well-validated Staff-Delivered Intervention, holding program content constant. The sample includes families with a 3-7 year old child who has a pronounced level of DBPs. Both interventions encourage fathers as well as mothers (and other key caregivers in the home) to participate. This innovative study makes use of a non-inferiority trial design that builds on methodological strengths: stratified random assignment, adequate statistical power, attention to fidelity of intervention, multi-informant and multi-source assessment of outcomes (including direct observation of parent-child interaction), and documentation of participant adherence. The aims of the project are: (1) to test whether the online intervention is as good as the more established staff-delivered intervention with respect to impact on childhood DBPs, parenting, and parent/family stress; (2) to conduct a rigorous value analysis comparing the two interventions, accounting for provider and participant expenses as well as pre-implementation and implementation phases; (3) to assess consumer satisfaction for the online intervention in comparison to the other intervention, as well as detailed consumer appraisal of the online intervention experience, and to explore how logistical factors, participant characteristics, and personal preferences are related to degree of consumer satisfaction; and, (4) to document participant adherence to the online intervention in comparison to the other intervention, and explore correlates of participant adherence for each intervention. The Online-Delivered Intervention provides an interactive website designed to engage and activate the participant through sequenced, personalized, interactive, and video-based content. The conceptualization that guides the intervention emphasizes a self-regulatory process, parent specification of goals, practical and straightforward parenting strategies, modeling, and action activation. Beyond shedding light on the impact and benefits of a viable online parenting intervention for childhood disruptive behavior problems, the results from this project will help the mental health field to better understand more generally the potential advantages and disadvantages of online interventions over traditionally delivered interventions, particularly in light of resource minimization/effectiveness analysis.

高产心理健康问题需要创新的策略，以扩大循证服务的影响力。幼儿中的破坏性行为问题（DBP）或引起问题是一项重大的公共卫生挑战，不仅是高度普遍，而且尚未得到治疗，还增加了对青少年和成年后心理健康和发展成果的不利风险。需要以资源有效的方式实现足够触及的新的，有效的干预策略。互联网和在线技术有很大的潜力来帮助实现这一目标。该项目以对儿童DBP的影响的育儿干预措施为基础，将在线交付的干预措施与经过验证的员工分配干预措施进行了比较，保持了计划内容的持续。该样本包括有一个3-7岁孩子的家庭，其DBP水平明显。两种干预措施都鼓励父亲以及母亲（以及家中的其他关键护理人员）参加。这项创新的研究利用了基于方法论优势的非效率试验设计：分层随机分配，足够的统计能力，对干预的忠诚度的关注，多媒体和多源结果评估（包括直接观察父母互动）以及参与者依从性的文档。该项目的目的是：（1）测试在线干预方面是否与对童年DBP，育儿和父母/家庭压力的影响更为确立的工作人员干预一样好；（2）进行严格的价值分析，以比较两种干预措施，对提供商和参与者支出以及实施前和实施阶段进行核算；（3）与其他干预措施相比，评估在线干预的消费者满意度，以及对在线干预经验的详细评估，并探讨物流因素，参与者特征和个人偏好与消费者满意度的程度有关；（4）与其他干预措施相比，要记录参与者对在线干预的遵守，并探索每种干预措施的参与者依从性的相关性。在线交付的干预措施提供了一个交互式网站，旨在通过测序，个性化，互动和基于视频的内容吸引和激活参与者。指导干预措施的概念化强调了一个自我调节过程，目标的父母规范，实用和直接的育儿策略，建模和行动激活。除了阐明可行的在线育儿干预对儿童破坏性行为问题的影响和好处外，该项目的结果将有助于心理健康领域更好地了解在线干预措施的潜在优势和缺点，而不是传统上提供的干预措施，尤其是鉴于资源最小化/有效性分析。