Evaluation of a Video-Based Media Series to Promote Effective Parenting

描述（由申请人提供）：相当多的研究指出，幼儿的对立、违抗和破坏性行为相对较高，它们在建立长期问题轨迹方面很重要，这些问题可能导致后来的社会情感、行为和学业问题（Campbell, 1995），如药物使用、犯罪和学业失败。父母处理这些具有挑战性的行为的技巧将影响孩子的长期发展轨迹。家长培训项目在减少各年龄段儿童的行为问题方面显示出了很大的价值，从而降低了他们随后吸毒和其他青春期问题的风险。然而，由于在招募和留住父母方面面临巨大挑战，这些育儿计划的覆盖面有限，因此，大多数本可以从育儿援助中受益的父母从未得到过帮助。要减少破坏性行为问题的普遍存在，就需要采取公共卫生措施，改进育儿做法，使以证据为基础的育儿干预措施以各种形式广泛提供和获取。大众传媒，特别是电视，作为全民战略的一部分，具有巨大的潜力，可以将循证育儿实践带给在抚养子女方面面临挑战的广大父母。然而，电视对养育子女的潜在影响却很少受到研究的关注；因此，关于媒体信息如何影响育儿实践的最佳设计，我们知之甚少。本研究将开发和实验评估两种变体的10集，简短（每集7分钟），视频为基础，信息娱乐风格的广播质量的媒体系列针对育儿实践，源自三重p积极育儿计划（Sanders, 1999）。300个年龄在3-6岁、破坏性行为问题有所增加的儿童家庭将被随机分配到(A)只接收信息版本的系列，其中只包括目标育儿技能的建模和演示；(b)接收增强行为激活版本的系列，旨在通过处理归因、自我效能和期望、社会支持和情绪反应等元素，积极促进父母行为的改变。或(c)候补名单控制。在基线、干预后和6个月的随访中，测量父母的养育方式、认知、影响和社会支持，以及儿童的破坏性行为问题。将检验标准版和增强版的3p媒体系列在改善这些结果方面的相对功效，以及这些效果的调节因子，如行为问题的基线水平和父母压力。这项研究将进一步加深我们对电视节目对改善父母教育实践的潜在价值的理解。通过电视将有效的育儿节目带给大量的父母，有可能减少儿童行为问题的流行，并降低日后出现诸如药物滥用等问题的风险。

DESCRIPTION (provided by applicant): Considerable research points to the relatively high prevalence of young children's oppositional, defiant, and disruptive behaviors and their importance in establishing long-term problematic trajectories for later socioemotional, conduct, and academic problems (Campbell, 1995), such as substance use, delinquency, and school failure. The skill with which parents are able to handle these challenging behaviors will influence the long-term developmental trajectories of their children. Parent training programs have shown much value in reducing behavior problems for children of a broad range of ages, thereby reducing their risk for subsequent substance use and other problems of adolescence. The reach of these parenting pro- grams are limited, however, by substantial challenges in recruiting and retaining parents, such that most parents who could benefit from parenting assistance never receive it. Reducing the prevalence of disruptive behavior problems will require public health approaches for improving parenting practices that make evidence-based parenting interventions widely available and accessible in a range of formats. The mass media, and television in particular, hold significant potential as part of a population-wide strategy for bringing evidence-based parenting practices to a broad range of parents experiencing challenges raising their children. The potential of television for affecting parenting has received very little research attention, however; thus, little is known about how media messages to affect parenting practices might be optimally designed. This study will develop and experimentally evaluate two variants of a 10-episode, brief (7 minutes per episode), video-based, infotainment-style broadcast-quality media series targeted at parenting practices, derived from the Triple P-Positive Parenting Program (Sanders, 1999). A sample of 300 families of children ages 3-6 years with somewhat elevated disruptive behavior problems will be randomized to (a) receive an Information-Only version of the series that includes only modeling and demonstration of target parenting skills, (b) receive an Enhanced Behavior Activation version of the series designed to actively pro- mote parental behavior change, through elements addressing attributions, self-efficacy and expectancies, social support, and emotional reactivity, or (c) Waitlist Control. Measures of parents' parenting practices, cognitions, affect, and social support, and children's disruptive behavior problems, will be obtained at base- line, post-intervention, and 6-month follow-up. The relative efficacy of the Standard and Enhanced versions of the Triple P Media Series in improving these outcomes will be examined, as well as moderators of these effects, such as baseline level of behavior problems and parental stress. This study will further our under- standing of the potential value of television programming for improving parenting practices. Bringing effective parenting programs to large numbers of parents through television has the potential to reduce the prevalence of children's behavior problems, and to reduce risks for later problems such as substance use.