Online Training for Resource Parents of Substance-Exposed Children

描述（由申请人提供）：虽然养父母在收养完成之前或收养完成后的最初几个月接受了一些基本培训，但许多人仍然对收养抱有不切实际的期望，并且没有意识到他们可能遇到的严重行为问题，暴露于药物滥用可能在儿童的发展中发挥的作用。我们的第二阶段项目将开发和评估一个全面的自我指导的在线研讨会，旨在帮助寄养-收养和亲属家庭更好地了解如何养育产前暴露于父母药物滥用和/或在受药物滥用威胁的家庭中长大的儿童。培训基于TIES（培训，干预，教育和服务）计划在加州大学洛杉矶分校开发，以帮助准备准养父母了解亲生父母药物滥用儿童的后续功能的复杂关系;通过更好的理解，发展对亲生父母的更大同情和合作;并有效地解决与父母滥用药物有关的儿童持续的情绪和行为问题。研讨会包括观看高度互动的多媒体材料和参加灵活安排的协作研讨会练习。除了在第一阶段开发的关于物质暴露婴儿的研讨会外，我们将在第二阶段制作四个相互关联的培训研讨会：物质暴露和药物依赖的儿童，TIES综合研讨会，特别问题和育儿方法介绍。目前，没有其他类似的资源可用于永久性（寄养-收养和亲属）父母，通过网络提供行之有效的互动式多媒体学习。对于亲属关系的父母来说，永久就业后的培训也不够，他们通常缺乏培训，也得不到护理系统的支持。不幸的是，这是一个中断或解散安置的处方，导致孩子和家庭一生的情感创伤。我们的方法使用网络作为培训资源，提供有关物质暴露或药物濒危儿童的创新培训材料。研讨会由西北媒体公司开发的定制设计的软件引擎驱动。自动化和无缝集成媒体组件，包括视频、音频、文本、交互式练习、个性化响应练习和参与者讨论板。第一阶段的成果为在线研讨会形式的有效性提供了支持。在治疗组的父母取得了显着更大的收益，从前到后测试的知识和态度的物质暴露的儿童比比较组或对照组，也更大的收益准备，对滥用药物的父母的态度，和开放的培养比对照组。治疗组的用户满意度和可用性评级是稳健的。在第二阶段，我们将评估整个干预过程中从前测到后测的变化，以及后测后3个月的变化。第二阶段将评估父母的知识、态度、准备情况、收养意愿以及父母对收养的后续行动。

DESCRIPTION (provided by applicant): While foster-adoptive parents receive some rudimentary training just prior to or in the early months following adoption finalization, many stil harbor unrealistic expectations about adoption and are unaware of the severe behavioral problems they may encounter, no less the role that exposure to substance abuse may play in the child's development. Our Phase II project will develop and evaluate a comprehensive self-directed online workshop designed to help foster- adoptive and kinship families better understand how to parent children who were exposed prenatally to parental substance abuse and/or grew up in a home endangered by drug abuse. The training is based on the TIES (Training, Intervention, Education, and Services) program developed at UCLA to help prepare prospective adoptive parents to understand the complex relationship of birth parent drug abuse to children's subsequent functioning; to develop greater empathy towards and cooperation with birth parents through greater understanding; and to effectively address children's ongoing emotional and behavioral issues related to parental substance abuse. The workshop consists of viewing highly interactive multimedia material and participating in collaborative workshop exercises that are flexibly scheduled. In addition to the workshop developed in Phase I on Substance-Exposed Infants, we will produce four interlinked training workshops in Phase II: The Child with Substance Exposure and Drug Endangerment, TIES Omnibus Workshop, Special Issues, and Intro to Parenting Approaches. Currently, there is no other comparable resource available for post-permanency (foster-adoptive and kinship) parents that provides proven-effective, interactive multimedia learning via the web. Post- permanency training is also inadequate for kinship parents who are characteristically undertrained and undersupported by the care system. Unfortunately, this is a recipe for the disruption or dissolution of a placement, leading to a lifetime of emotional scars for the child and family. Our approach uses the web as a training resource to deliver innovative training material about children who are substance exposed or drug endangered. The workshops are driven by a custom-designed software engine developed by Northwest Media, Inc. that automates and seamlessly integrates media components, including video, audio, text, interactive exercises, individualized response exercises, and a participant discussion board. Results in Phase I provided support for the effectiveness of the online workshop format. Parents in the treatment group made significantly greater gains from pre- to posttest in knowledge and attitudes towards substance-exposed children than either the comparison or control group; and also greater gains in preparedness, attitudes towards substance-abusing parents, and openness to fostering than the control group. User satisfaction and usability ratings were robust for the treatment group. In Phase II, we will assess changes from pre- to posttest over the entire intervention, as well as 3 months following the posttest. Phase II will assess parent knowledge, attitudes, preparedness, willingness to adopt, and parents' follow-through on adopting.