Transforming Coercive Processes in Family Routines

描述(由申请人提供)：该提案的长期目标是：(A)对行为家庭干预的生态学方法的内部和外部有效性进行实证调查，该方法试图在有价值的家庭惯例的背景下将强制性亲子关系转化为建设性关系；以及(B)调查亲子编码系统(PACCS)的结构有效性，以可靠和准确地测量家庭惯例中亲子互动的强制性和建设性过程。 其具体目标是：(A)对12个有发育障碍和严重问题行为的儿童家庭，对行为家庭干预的生态方法进行纵向、实验性、单主体分析；(B)使用儿童行为控制措施衡量强制性和建设性过程；(C)在重视的家庭惯例的背景下，评估该方法在改善儿童行为和亲子互动方面的有效性；(D)评估改进的长期持久性；(E)评估干预前后全球家庭功能的变化。12个有发育障碍和问题行为的儿童家庭将参与这项研究。对于每个家庭，将选择家庭和/或社区中的四个常规进行干预。针对每个家庭的单一受试者、多个基线设计将评估该方法的实施与以下方面的变化之间的功能关系：(A)问题行为比率；(B)程序的成功完成。在干预后24个月内收集的跟踪数据将提供维持干预结果的描述性数据。 在比较基线与干预和后续阶段时，将使用多变量统计来评估强制性进程转变为建设性进程的程度。该方法的同时有效性将通过对父母压力、社会支持和控制点在基线、干预和后续阶段的变化的多变量分析来评估。

DESCRIPTION (provided by applicant): The long term objectives of the proposal are to: (a) empirically investigate the internal and external validity of an ecological approach to behavioral family intervention that seeks to transform coercive parent-child relationships into constructive relationships in the context of valued family routines; and (b) investigate the construct validity of the Parent and Child Coding System (PACCS) for reliably and accurately measuring both coercive and constructive processes of parent-child interaction in family routines. The specific aims are to: (a) conduct a longitudinal, experimental, single-subject analysis of the ecological approach to behavioral family intervention with twelve families of children with developmental disabilities and severe problem behaviors; (b) use PACCS to measure both coercive and constructive processes; (c) evaluate the efficacy of the approach for improving child behavior and parent-child interaction in the context of valued family routines; (d) assess the long-term durability of improvements; and (e) assess changes in global family functioning pre- to post-intervention. Twelve families of children with developmental disabilities and problem behaviors will participate in the study. For each family, four routines in the home and/or community will be selected for intervention. A single-subject, multiple baseline design across settings for each family will assess the functional relationship between implementation of the approach and changes in: (a) rate of problem behavior; and (b) successful completion of routines. Follow-up data gathered up to 24 months postintervention will provide descriptive data on the maintenance of intervention outcomes. Multivariate statistics will be used to evaluate the extent to which coercive processes have been transformed into constructive processes when comparing baseline to intervention and follow-up phases. The concurrent validity of the approach will be assessed through a multivariate analysis of changes in parenting stress, social support, and locus of control across baseline, intervention, and follow-up phases