AN EVALUATION OF PARENT CHILD INTERACTION THERAPY AND THE EMOTIONAL AVAILABILITY INTERVENTION: MITIGATING TOXIC STRESS AMONG AMERICAN INDIAN CHILDREN IN EARLY HEAD START

科罗拉多大学安舒茨医学院与一个部落的早期开端和行为健康计划合作，正在实施一项研究，以评估主要环境压力源和美国印第安儿童及其照顾者的头发皮质醇之间的关系，以及亲子关系在缓冲儿童免受这些压力源对发展的影响方面的作用。该项目的目的是：（1）研究10至36个月的美洲印第安儿童中环境压力源的性质、程度和发展过程;（2）评估头发皮质醇作为毒性压力的标志;（3）调整两种有希望的干预措施，以加强移动的（例如短信、社交媒体）传递和试点的亲子关系。该研究已获得部落机构审查委员会的批准;它还聘请了一个社区咨询委员会，由早期开端的父母，教师和工作人员组成，以及来自其他部落社区计划的代表，为幼儿和家庭服务。 这项研究将产生有关美国印第安儿童及其照顾者的压力及其影响的信息，建立一个移动的（mHealth）育儿干预措施，增加在这个部落背景下的关键育儿干预措施的覆盖面，并为更广泛的部落儿童和家庭服务的努力提供信息。

The University of Colorado Anschutz Medical Campus, in partnership with a tribal Early Head Start and behavioral health program, is implementing a study to assess the relationship between major environmental stressors and hair cortisol for American Indian children and their caregivers, as well as the role of parent-child relationships in buffering children from the effects of these stressors on development. The aims of the project are to: (1) examine the nature, extent and developmental course of environmental stressors among American Indian children between the ages of 10 and 36 months; (2) assess hair cortisol as a marker of toxic stress; and (3) adapt two promising interventions for strengthening the parent-child relationship for mobile (e.g. text messaging, social media) delivery and piloting. The study has been approved by the tribal Institutional Review Board; it also employs a Community Advisory Board consisting of Early Head Start parents, teachers, and staff, as well as representatives from other tribal community programs serving young children and families. The study will yield information about stress and its effects among American Indian children and their caregivers, establish a mobile (mHealth) parenting intervention that increases the reach of critical parenting interventions within this tribal context, and inform efforts for serving broader populations of tribal children and families.