The Mediational Intervention for Sensitizing Caregivers: Feasibility and Acceptability for Black and Hispanic Formerly Incarcerated Mothers

项目总结/摘要 母亲的监禁破坏了亲子依恋关系，增加了 精神病理学和其他负面结果的儿童，并不成比例地影响黑人和西班牙裔 家庭旨在修复依恋中断和促进积极亲子关系的干预措施 母亲被监禁后， 精神病理学和其他负面结果。虽然越来越多的基于附件的 针对被监禁母亲的育儿计划，他们只关注婴儿。此外，大多数更正- 基于文化的干预措施尚未适应族裔或种族上属于少数群体的母亲， 各级刑罚体系的不平衡。此外，方案没有针对 尽管遭受严重的育儿压力和难以获得资源，但前被监禁的母亲们仍在接受治疗 release.还需要调查虚拟交付的可接受性，这将增加可扩展性。 我们确定了中介干预敏感照顾者（MISC），一个发展和文化 可运输 视频反馈干预 强调依恋关系并促进证据- 积极的育儿行为。建议项目将采用混合方法，以社区为基础 参与性的方法来评估的可行性和可接受的MISC黑人和西班牙裔以前 为被监禁的母亲确定未来适应的目标，包括创新的虚拟交付形式， 遵循循证ADAPT-ITT模型的前3个步骤。目标1是评估目标人群的 特征和需求使用定量方法（调查120名黑人和西班牙裔前 监禁的母亲，120名对照母亲）和定性方法（与20名前监禁的母亲进行访谈 母亲和社区咨询委员会成员组成的焦点小组）。我们假设， 分析将揭示更需要对以前被监禁的母亲进行干预， 分析将揭示与监禁有关的育儿挑战和寻求支持的愿望。目标二是 使用目标1的结果来评估MISC的可行性，并通过比较 目标人群的育儿经验和目标的标准结构，目标，和交付的MISC。我们 假设MISC是可行的，并将确定适应目标。目标3是评估 MISC的可接受性，通过剧场测试与5个焦点小组的前监禁的母亲。我们 假设MISC是可以接受，我们将确定和完善额外的适应目标。的 拟议的研究符合NIMH预防精神病理学和改善公众健康的战略目标 在边缘化和服务不足的社区。此外，研究结果将直接告知未来的研究，以适应 并评估MISC为以前被监禁的母亲，持有的潜力，以改善这些福利， 家庭最后，该奖学金将支持申请人作为独立研究人员的发展。

PROJECT SUMMARY/ABSTRACT The incarceration of a mother disrupts parent-child attachment relationships, increases the risk for psychopathology and other negative outcomes in children, and disproportionately impacts Black and Hispanic families. Interventions that aim to repair attachment disruption and promote positive parent-child relationships following maternal incarceration have the potential to interrupt the intergenerational transmission of psychopathology and other negative outcomes. While there are a growing number of attachment-based parenting programs for incarcerated mothers, they focus exclusively on infants. Additionally, most corrections- based interventions have not been culturally adapted for ethnically or racially minoritized mothers, who face disparities at every level of the criminal punishment system. Moreover, programs have not been tailored for formerly incarcerated mothers despite significant parenting stress and difficulty accessing resources following release. There is also a need to investigate the acceptability of virtual delivery that would increase scalability. We identify the Mediational Intervention for Sensitizing Caregivers (MISC), a developmentally and culturally transportable video-feedback intervention that addresses the attachment relationship and promotes evidence- based positive parenting behaviors. The proposed project will use a mixed-methods, community-based participatory approach to evaluate the feasibility and acceptability of MISC for Black and Hispanic formerly incarcerated mothers and identify targets for future adaptation, including an innovative virtual delivery format, following the first 3 steps of the evidence-based ADAPT-ITT model. Aim 1 is to assess the target population’s characteristics and needs using quantitative methods (surveys with 120 Black and Hispanic formerly incarcerated mothers,120 control mothers) and qualitative methods (interviews with 20 formerly incarcerated mothers and focus groups with community advisory board members). We hypothesize that quantitative analyses will reveal greater need for intervention among formerly incarcerated mothers and qualitative analyses will reveal themes of parenting challenges related to incarceration and desire for support. Aim 2 is to use Aim 1 results to evaluate the feasibility of MISC and identify initial adaptation targets by comparing the target population’s parenting experiences and goals to the standard structure, goals, and delivery of MISC. We hypothesize that MISC will be feasible and adaptation targets will be identified. Aim 3 is to evaluate the acceptability of MISC through theater testing with 5 focus groups of formerly incarcerated mothers. We hypothesize that MISC will be acceptable and that we will identify and refine additional adaptation targets. The proposed study is in line with the NIMH’s strategic goal to prevent psychopathology and improve public health in marginalized and underserved communities. Additionally, findings will directly inform future studies to adapt and evaluate MISC for formerly incarcerated mothers, holding the potential to improve wellbeing in these families. Finally, this fellowship will support the applicant’s development as an independent researcher.