This proposal requests continued support for an NINR funded study on the effectiveness of parent training in community based day care centers serving low-income urban families of color. The purposes of this project are to: (1) develop and test an innovative parent training program for promoting healthy relationships between parents and young children (2-4 years) from low-income, multi-racial backgrounds and (2) describe the child-rearing contexts and mental health intervention needs of low-income families and their young children at heightened risk for developing serious behavioral disorders. In Phase 1, parents from the target population will collaborate with the research team in the development of a new 12-week video-based parent training program called the Chicago Parent Program (CPP). In Phase 2, the CPP will be tested among 320 families of young children (approx. 97 percent minority) from 9 urban day care centers serving low-income families (160 intervention families and 160 controls). Participants will be assessed a pre-intervention, post-intervention, and 6-months post-intervention using self-report, teacher-report, and observational methods. Dependent variables include child behavior problems at home and day care, parent self-efficacy, parent discipline strategies, parent stress, depression, and quality of parent-child interaction. Parents and teachers of children with persistent elevated behavior problems at home and day care (est. n=26) will also be interviewed to understand child-rearing contexts and mental health intervention needs of families and children who do not benefit from parent training and whose continued behavior problems place them at heightened risk for disabling behavior problems. This proposal builds on our prior research by (1) refining a well tested, highly acclaimed parent-training model so it has enhanced social and contextual validity for low-income urban families of color and (2) delineating the intervention needs of low-income families with very young children who may need more intensive services. The study is consistent with the NINR's goal for the 21st century to address cultural and ethnic disparities in health promotion activities.

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Research Project (R01)
Project #
5R01NR004085-10
Application #
6861087
Study Section
Nursing Research Study Section (NURS)
Program Officer
Weglicki, Linda
Project Start
1996-06-10
Project End
2006-09-18
Budget Start
2005-03-01
Budget End
2006-09-18
Support Year
10
Fiscal Year
2005
Total Cost
$403,331
Indirect Cost
Name
Rush University Medical Center
Department
Other Health Professions
Type
Schools of Nursing
DUNS #
068610245
City
Chicago
State
IL
Country
United States
Zip Code
60612
Breitenstein, Susan M; Gross, Deborah; Fogg, Louis et al. (2012) The Chicago Parent Program: comparing 1-year outcomes for African American and Latino parents of young children. Res Nurs Health 35:475-89
Julion, Wrenetha A; Breitenstein, Susan M; Waddell, Donald (2012) Fatherhood intervention development in collaboration with African American non-resident fathers. Res Nurs Health 35:490-506
Gross, Deborah; Johnson, Tricia; Ridge, Alison et al. (2011) Cost-effectiveness of childcare discounts on parent participation in preventive parent training in low-income communities. J Prim Prev 32:283-98
Breitenstein, Susan M; Fogg, Louis; Garvey, Christine et al. (2010) Measuring implementation fidelity in a community-based parenting intervention. Nurs Res 59:158-65
Breitenstein, Susan M; Gross, Deborah; Garvey, Christine A et al. (2010) Implementation fidelity in community-based interventions. Res Nurs Health 33:164-73
Gross, Deborah; Garvey, Christine; Julion, Wrenetha et al. (2009) Efficacy of the Chicago parent program with low-income African American and Latino parents of young children. Prev Sci 10:54-65
Garvey, Christine; Julion, Wrenetha; Fogg, Louis et al. (2006) Measuring participation in a prevention trial with parents of young children. Res Nurs Health 29:212-22
Gross, Deborah; Fogg, Louis; Garvey, Christine et al. (2004) Behavior problems in young children: an analysis of cross-informant agreements and disagreements. Res Nurs Health 27:413-25
Gross, Deborah; Fogg, Louis; Webster-Stratton, Carolyn et al. (2003) Parent training of toddlers in day care in low-income urban communities. J Consult Clin Psychol 71:261-78
Gross, Deborah; Grady, Jane (2002) Group-based parent training for preventing mental health disorders in children. Issues Ment Health Nurs 23:367-83

Showing the most recent 10 out of 13 publications