Online Parent Training for Children with Behavior Disorders

描述（由申请人提供）：研究表明，针对父母的干预措施在改善行为障碍，药物滥用，艾滋病毒风险和相关的青少年问题行为方面是有效的。然而，在经济动荡时期，诸如负担能力等重大障碍阻碍了支助服务的有效提供。少数民族在儿童行为问题风险、治疗障碍和获得文化敏感干预措施方面尤其处于不利地位。互联网的迅速崛起 多媒体技术和软件的使用和最新进展联合收割机为传播循证做法创造了新的机会。Parenting Wisely（PW; Gordon，2000）是一种基于计算机的干预措施，旨在预防和治疗儿童破坏性行为问题。这种基于证据的方法很容易融入现有的少年司法、卫生、教育和精神卫生服务提供系统，绕过了目前的许多护理障碍。我们的第一阶段SBIR研究侧重于修订和增强PW，增加与文化相关的内容和图像，以扩大其对种族多样性人群的吸引力。研究结果显示，几乎所有育儿措施和儿童行为的实质性改善，6个月时的结果非常显着，具有临床意义。这项II期研究旨在通过与少年司法系统（JJS）合作进行的正式随机试验来扩大PW的吸引力和潜在影响力，JJS是此类计划的主要市场。450名像往常一样接受JJS服务（SAU）的青少年的父母将被随机分配到：PW加社交网络在线讨论论坛，PW单独，或SAU。PW是第一个在线技能建设家长培训计划，以检查不同种族文化群体的有效性，并提供了一个简短的，低成本的，可访问的方法，可以轻松，快速地实施和持续在JJS设置。因此，销售PW和减少儿童行为问题的潜在影响是相当大的。第二阶段的活动将包括开发一个有主持人的在线论坛，以增加父母的社会支持和技能的获得。我们还将根据PW对父母报告的影响和对养育行为、青少年行为和家庭功能的直接观察措施，以及累犯和成本节约措施，确定PW干预对JJS方案的潜在可销售性。还将评估用户满意度、程序理解力、接受性和家长自我效能。

DESCRIPTION (provided by applicant): Research has shown that parent-targeted interventions are effective in ameliorating conduct disorders, substance abuse, HIV-risk, and related adolescent problem behaviors. During periods of economic turmoil, however, major obstacles such as affordability impede the effective delivery of support services. Ethnic minorities are especially disadvantaged with respect to risk for child behavioral problems, treatment barriers, and access to culturally sensitive interventions. The meteoric rise of Internet use and recent advance in multimedia technology and software combine to create new opportunities for disseminating evidence-based practices. Parenting Wisely (PW; Gordon, 2000) is a computer-based intervention designed to prevent and treat child disruptive behavior problems. This evidence-based approach fits easily into existing juvenile justice, health, education, and mental health service delivery systems, bypassing many of the current barriers to care. Our Phase I SBIR study focused on revising and enhancing PW with more culturally relevant content and imagery to broaden its appeal to ethnically diverse populations. The findings revealed substantial improvements on virtually all measures of parenting and child behavior and outcomes at 6 months were highly significant and clinically meaningful. This Phase II study is designed to broaden the appeal and potential reach of PW through a formal randomized trial conducted in collaboration with the juvenile justice system (JJS), the primary market for such a program. Parents of 450 delinquent receiving JJS services as usual (SAU) will be randomly assigned to: PW plus a social networking online discussion forum, PW alone, or SAU. PW is the first online skill-building parent training program to examine effectiveness across different ethnic cultural groups and offers a brief, low cost, accessible approach that could be easily and quickly implemented and sustained in JJS settings. As such, the potential impact for marketing PW and reducing child behavior problems is considerable. Phase II activities will include the development of a moderated online forum to increase parental social support and skill acquisition. We will also determine the potential marketability of the PW intervention to JJS programs based on the effects of PW on parent report and direct observation measures of parenting behaviors, adolescent behaviors, and family functioning, as well as measures of recidivism and cost savings. User satisfaction, program comprehension, receptivity, and parent self-efficacy will also be assessed.