Online Parent Training for Children with Behavior Disorders

描述（由申请人提供）：研究发现，以父母为目标的干预措施可有效改善行为障碍和其他合并症（如药物滥用）。在有效提供支助服务方面存在着重大障碍，特别是在农村地区。少数民族人口在儿童行为问题风险、参与障碍和获得文化敏感干预措施方面尤其处于不利地位。此外，互联网使用的迅速崛起创造了一个新的途径来传播和分享经验验证的程序。互联网程序打开了基于技术的多媒体干预的机会，通过程序，可以是互动的，并提供来自同行和专业人士的社会支持。通过使用多媒体技术和软件的最新进展，以及计算机和互联网使用的兴起，现在有机会为农村地区的家庭提供这种远程支持。明智的父母（PW; Gordon，2000）是一种基于计算机的干预方法，旨在预防和治疗经常与药物滥用同时发生的破坏性行为问题。这种模式有助于传播，因为它很容易融入现有的HMO和EAP心理健康服务提供模式，绕过了许多目前的心理健康和社会服务系统的障碍。PW最初是在CD-ROM上提供的，并已被翻译成基于互联网的交付系统，并已被证明可以有效地减少儿童问题行为和提高育儿技能。这项研究将通过修改视频来增加PW的吸引力和有效性，以增加育儿实例的相关性和多样性，从而提高潜在的更广泛的实施，并保持循证实践的新鲜性和相关性。拟议的研究将评估修订后的PW的使用，以西班牙裔，非洲裔美国人和非西班牙裔白色父母参加社区机构提供服务的家庭与青少年年龄10至17岁的药物滥用的重大风险，并诊断为破坏性行为障碍。第一阶段的活动将包括开发和试点基于网络的方案，以文化多样性的父母为样本，评估网站易用性、对概念的理解、对格式和内容的满意度等方面的可行性。我们将评估用户满意度，理解力，接受性，父母对孩子行为的评价，家庭功能，育儿实践和父母自我效能。理解和学习将作为指导进一步研究和开发的额外成果。公共卫生相关性：通过互联网和互动光盘技术提供育儿技能培训，以管理青少年的问题行为，使用育儿明智（PW）计划，以低成本产生了强大的成果。该项目将通过修订视频来提高PW的吸引力和有效性，以增加育儿实例的相关性和多样性，从而提高更广泛实施的可能性，并保持循证实践的新鲜性和相关性。

DESCRIPTION (provided by applicant): Research has found that parent-targeted interventions were effective to ameliorate Conduct Disorders and other comorbid conditions (e.g. substance abuse). There exist major obstacles to the effective delivery of support services, particularly in rural areas. Ethnic minority populations are especially disadvantaged with respect to risk for child behavioral problems, barriers to participation, and access to culturally sensitive interventions. In addition, the meteoric rise of internet use has created a new avenue to disseminate and share empirically validated programs. Internet programs open the opportunity for technology based multimedia intervention through programs that can be interactive and provide social support from peers and professionals. Through the use of recent advances in multimedia technology and software, as well as the rise of computer and internet use, there now exists an opportunity to provide such remote support for families in rural locations. Parenting Wisely (PW; Gordon, 2000) is a computer-based intervention approach designed to prevent and treat disruptive behavior problems that often co-occur with drug abuse. This model lends itself to dissemination in that it fits easily into existing HMO, and EAP mental health service delivery models, bypassing many of the current mental health and social service systems barriers. PW was originally delivered on CD-ROM and has been translated to an internet-based delivery system and has been shown to effectively reduce child problem behaviors and improve parenting skills This research will increase PW's appeal and effectiveness by revising the videos to increase the relevance and diversity of parenting examples, thereby enhancing the potential wider implementation and keeping an evidence-based practice fresh and relevant. The proposed research will evaluate the use of the revised PW to Hispanic, African-American & non-Hispanic White parents enrolled in community agencies providing services to families with youth ages 10 through 17 at significant risk for drug abuse and diagnosed with disruptive behavioral disorders. The Phase I activities will include the development as well as a pilot of the web-based program with a culturally diverse sample of parents to assess feasibility with regard to ease-of-use of the website, understanding of concepts, satisfaction with format and content. We will assess user satisfaction, comprehension, receptivity, parents' rating of child behavior, family functioning, parenting practices, and parent self-efficacy. Comprehension and learning will serve as an additional outcome to guide further research and development. PUBLIC HEALTH RELEVANCE: Delivery of parenting skills training to manage teen problem behavior using technology via the internet & interactive CD-Rom has produced strong outcomes at low cost using the Parenting Wisely (PW) program. This project will increase PW's appeal and effectiveness by revising the videos to increase the relevance and diversity of parenting examples, thereby enhancing the potential wider implementation and keeping an evidence-based practice fresh and relevant.