Online Training for Resource Parents of Substance-Exposed Children

描述(由申请人提供)：虽然寄养父母在领养最终确定之前或之后的最初几个月里接受了一些基本的培训，但许多人仍然对收养抱有不切实际的期望，没有意识到他们可能会遇到严重的行为问题，更不知道暴露在药物滥用中可能在孩子的发展中扮演的角色。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，旨在帮助寄养家庭和亲属关系家庭更好地了解如何为产前接触过父母药物滥用和/或在受到药物滥用危害的家庭中长大的儿童提供父母。培训基于加州大学洛杉矶分校开发的TIES(培训、干预、教育和服务)计划，以帮助未来的养父母了解生父母药物滥用与孩子随后的功能的复杂关系；通过更多的了解发展对生父母的同情和与生父母的合作；以及有效地解决儿童持续存在的与父母药物滥用有关的情感和行为问题。研讨会包括观看高度互动的多媒体材料和参与灵活安排的协作性研讨会练习。除了在第一阶段开发的关于接触药物的婴儿的研讨会外，我们还将在第二阶段制作四个相互关联的培训研讨会：儿童接触药物和药物危害、综合研讨会、特别问题和父母养育方法入门。目前，还没有其他可供永久关系(寄养-收养和亲属关系)后的父母使用的类似资源，可以通过网络提供经过验证有效的交互式多媒体学习。对于亲属关系父母来说，永久职位后培训也是不够的，他们的特点是培训不足，得不到照料系统的支持。不幸的是，这是一个扰乱或解散安置的秘诀，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，提供关于接触物质或毒品危险的儿童的创新培训材料。研讨会由Northwest Media，Inc.开发的定制设计的软件引擎驱动，该引擎自动化并无缝集成媒体组件，包括视频、音频、文本、互动练习、个性化回应练习和参与者讨论板。第一阶段的成果为在线讲习班形式的有效性提供了支持。与对照组和对照组相比，治疗组家长在对物质暴露儿童的知识和态度测试前后有显著提高；在准备、对滥用药物父母的态度和养育开放程度方面也比对照组有更大的进步。治疗组的用户满意度和可用性评分很高。在第二阶段，我们将评估整个干预措施从测试前到测试后以及测试后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，以及父母对收养的跟进情况。 公共卫生相关性：参与该项目的受试者将获得有关父母滥用药物或受到父母药物滥用危害的儿童的养育、收养和亲属关系的重要信息。培训可能有助于他们更好地理解和管教孩子的行为问题。因此，资源家庭的亲子关系质量可以提高，这有助于稳定安置，改善儿童的短期和长期心理健康结果。

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. PUBLIC HEALTH RELEVANCE: Subjects participating in this project will gain important information about parenting foster-adoptive and kinship children exposed to or endangered by parental substance abuse. The training may help them to better understand and parent children's behavior problems. As a result, the quality of parent-child relationships in resource families could improve, which could help stabilize placements and improve children's short- and long- term mental health outcomes.