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07-07-2018 | Original Paper

Development, Feasibility, and Refinement of a Toxic Stress Prevention Research Program

Auteurs: Briana A. Woods-Jaeger, Chris C. Sexton, Brijin Gardner, Emily Siedlik, Lauren Slagel, Vyonne Tezza, Donna O’Malley

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 11/2018

Abstract

Innovative interventions accessible to at-risk populations to prevent the intergenerational cycle of toxic stress are needed. This paper describes the iterative development of a community-based intervention, 2Gen Thrive, which was designed to prevent toxic stress and promote resilience by improving caregiver capacity to respond to children’s emotional, behavioral, and developmental needs. 2Gen Thrive leverages the collaboration between a Children’s Hospital and an Early Head Start/Head Start education center to help low-income, minority families thrive in the context of risk factors for toxic stress. In this paper, we focus on the process of developing, piloting, and refining our 2Gen Thrive preventive intervention research program, which has been developed following a community-based participatory research (CBPR) approach. The primary objective was to pilot test two prevention interventions we adapted for use in this target population: Classroom Theraplay, a classroom-wide intervention designed to prevent toxic stress among children exposed to adversity by fostering nurturing relationships with their teachers; and Dialectical Behavior Therapy Skills Training for Parents (DBT4P), a group intervention developed to bolster parental responsiveness by teaching Dialectical Behavioral Therapy (DBT) mindfulness and emotion regulation skills. We evaluated qualitative and process data as well as quantitative data from standardized instruments, including The Classroom Assessment Scoring System (CLASS), Patient Health Questionnaire (PHQ-9), Difficulties in Emotion Regulation Scale (DERS), and Parenting Stress Index (PSI/SF). Results demonstrate the feasibility, acceptability, and appropriateness of these preventive interventions delivered in the early education setting, and of conducting intervention research using a CBPR approach.

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Abiden, R. R. (1995). The Parenting Stress Index professional manual. Odessa, FL: Psychological Assessment Resources.

Anda, R. F., Felitti, V. J., Bremner, J. D., Walker, J. D., Whitfield, C., Perry, B. D., & Giles, W. H. (2006). The enduring effects of abuse and related adverse experiences in childhood: a convergence of evidence from neurobiology and epidemiology. European Archives of Psychiatry and Clinical Neuroscience, 256, 174–186. https://doi.org/10.1007/s00406-005-0624-4. CrossRefPubMed

Badanes, L. S., Dmitrieva, J., & Watamura, S. E. (2012). Understanding cortisol reactivity across the day at child care: the potential buffering role of secure attachments to caregivers. Early Child Research Quarterly, 27(1), 156–165. https://doi.org/10.1016/j.ecresq.2011.05.005. CrossRef

Bernet, A. C., Willens, D. E., & Bauer, M. S. (2013). Effectiveness-implementation hybrid designs: implications for quality improvement science. Implementation Science, 8(Suppl 1), S2 https://doi.org/10.1186/1748-5908-8-s1-s2. CrossRef

Bethell, C. D., Newacheck, P., Hawes, E., & Halfon, N. (2014). Adverse childhood experiences: assessing the impact on health and school engagement and the mitigating role of resilience. Health Affairs, 33, 2106–2115. CrossRef

Booth, P., & Jernberg, A. M. (2010). Theraplay®. 3rd ed New York, NY: Jossey-Bass.

Brodsky, B. S., & Stanley, B. (2008). Adverse childhood experiences and suicidal behavior. The Psychiatric Clinics of North America, 31(2), 223–235. https://doi.org/10.1016/j.psc.2008.02.002. CrossRefPubMed

Crandall, A., Deater-Deckard, K., & Riley, A. W. (2015). Maternal emotion and cognitive control capacities and parenting: a conceptual framework. Developmental Review, 36, 105–126. https://doi.org/10.1016/j.dr.2015.01.004. CrossRefPubMed

Cronholm, P. F., Forke, C. M., Wade, R., Bair-Merritt, M. H., Davis, M., Harkins-Schwarz, M., & Fein, J. A. (2015). Adverse childhood experiences: expanding the concept of adversity. American Journal of Preventive Medicine, 49, 354–361. https://doi.org/10.1016/j.amepre.2015.02.001. CrossRefPubMed

Curran, G. M., Bauer, M., Mittman, B., Pyne Jeffrey, M., & Stetler, C. (2012). Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health impact. Medical Care, 50, 217–226. https://doi.org/10.1097/MLR.0b013e3182408812. CrossRefPubMedPubMedCentral

Dum, M., Pickren, J., Sobell, L. C., & Sobell, M. B. (2008). Comparing the BDI-II and the PHQ-9 with outpatient substance abusers. Addictive Behaviors, 33, 381–387. https://doi.org/10.1016/j.addbeh.2007.09.017. CrossRefPubMed

Evans, S., Davies, S., Williams, M., & Hutchings, J. (2015). Short-term benefits from the incredible years parents and babies programme in Powys. Journal of Community Practice, 88(9), 46–48.

Eyberg, S., (1993). Consumer satisfaction measures for assessing parent training programs. In L. VandeCreek, S. Knapp, T. L. Jackson, (eds.) Innovations in clinical practice: a source book. ( Volume 12. 377–382). Srasota, FL: Professional Resource Press/ Professional Resource Exchange.

Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245–258. https://doi.org/10.1016/S0749-3797(98)00017-8. CrossRefPubMed

Frieden, T. R. (2014). Six components necessary for effective public health program implementation. American Journal of Public Health, 104(1), 17–22. https://doi.org/10.2105/AJPH.2013.301608. CrossRefPubMedPubMedCentral

Fruzzetti, A. E., & Iverson, K. (2004). Mindfulness, acceptance, validation and “individual” psychopathology in Couples. In S. C. Hayes, V. M. Follette & M. M. Linehan (Eds.), Mindfulness and acceptance: expanding the cognitive-behavioral tradition (pp. 168–191). New York, NY: Guilford Press.

Furlong, M., McGilloway, S., Bywater, T., Hutchings, J., Smith, S. M., & Donnelly, M. (2012). Behavioural and cognitive-behavioural group-based parenting programmes for early-onset conduct problems in children aged 3–12 years. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD008225.pub2.

Gopalan, G., Goldstein, L., Klingenstein, K., Sicher, C., Blake, C., & McKay, M. M. (2010). Engaging families into child mental health treatment: updates and special considerations. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 19(3), 182–196. PubMedPubMedCentral

Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment. https://doi.org/10.1023/B:JOBA.0000007455.08539.94. CrossRef

Hamre, B.K., Goffin, S. G., & Kraft-Sayre, M. (2009). Classroom assessment scoring system (CLASS) implementation guide. https://www.vbgrowsmart.com/providers/Documents/CLASSImplementationGuide.pdf. Accessed 7 July 2017.

Hamre, B. K., La Paro, K. M., Pianta, R. C., & LoCasale-Crouch, J. (2014). Classroom Assessment Scoring System® (CLASS™) manual, infant. Baltimore, MD: Paul H. Brooks Publishing Co.

Happ, M. B., Dabbs, A. D., Tate, J., Hricik, A., & Erlen, J. (2006). Exemplars of mixed methods data combination and analysis. Nursing Research, 55(Suppl 2), S43–49. CrossRef

Ingoldsby, E. M. (2010). Review of interventions to improve family engagement and retention in Parent and Child Mental Health Programs. Journal of Child and Family Studies, 19(5), 629–645. https://doi.org/10.1007/s10826-009-9350-2. CrossRefPubMedPubMedCentral

Jernberg, A. M. (1979). Theraplay: a new treatment for using structured play for problem children and their families. Washington, DC: Jossey-Bass.

Jernberg, A. M., & Booth, P. B. (1999). Theraplay: helping parents and child build better relationships through attachment-based play. San Francisco: Jossey-Bass.

Jones, C. H., Erjavec, M., Viktor, S., & Hutchings, J. (2016). Outcomes of a comparison study into a group-based infant parenting programme. Journal of Child and Family Studies, 25, 3309–3321. https://doi.org/10.1007/s10826-016-0489-3. CrossRefPubMedPubMedCentral

Juster, R. P., McEwen, B. S., & Lupien, S. J. (2010). Allostatic load biomarkers of chronic stress and impact on health and cognition. Neuroscience and Biobehavioral Review, 35(1), 2–16. https://doi.org/10.1016/j.neubiorev.2009.10.002. CrossRef

Kistin, C., & Silverstein, M. (2015). Pilot studies: a critical but potentially misused component of interventional research. Journal of the American Medical Association, 314, 1561–1562. https://doi.org/10.1001/jama.2015.10962. CrossRefPubMed

Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x. CrossRefPubMedPubMedCentral

La Paro, K. M., Hamre, B. K., & Pianta, R. C. (2012). Classroom Assessment Scoring System® (CLASS™) manual, toddler. Baltimore, MD: Paul H Brookes Pub Co..

Lenze, S. N., Pautsch, J., & Luby, J. (2011). Parent-child interaction therapy emotion development: a novel treatment for depression in preschool children. Depression and Anxiety, 28(2), 153–159. https://doi.org/10.1002/da.20770. CrossRefPubMed

Linehan, M. (1993). Skills training manual for treating borderline personality disorder. New York, NY: Guilford Press.

Luthar, S. S., & Eisenberg, N. (2017). Resilient adaptation among at-risk children: harnessing science toward maximizing salutary environments. Child Development, 88, 337–349. https://doi.org/10.1111/cdev.12737. CrossRefPubMed

McMillan, D., Gilbody, S., & Richards, D. (2010). Defining successful treatment outcome in depression using the PHQ-9: a comparison of methods. Journal of Affective Disorders, 127(1-3), 122–129. https://doi.org/10.1016/j.jad.2010.04.030. CrossRefPubMed

Morris, A. S., Robinson, L. R., Hays-Grudo, J., Claussen, A. H., Hartwig, S. A., & Treat, A. E. (2017). Targeting parenting in early childhood: a public health approach to improve outcomes for children living in poverty. Child Development, 88(2), 388–397. https://doi.org/10.1111/cdev.12743. CrossRefPubMedPubMedCentral

Mortensen, J. A., & Barnett, M. A. (2016). The role of child care in supporting the emotion regulatory needs of maltreated infants and toddlers. Children and Youth Services Review, 64, 73–81. https://doi.org/10.1016/j.childyouth.2016.03.004. CrossRef

Munns, E. (2001). Group Theraplay®. In B. B. Bidwell (Ed.), Hand in hand II: an art/play therapist’s treasure chest (pp. 57–73). Canada: General Store.

National Scientific Council on the Developing Child (2007). Key concepts: toxic stress. http://developingchild.harvard.edu/science/key-concepts/toxic-stress/ Accessed July 7, 2017.

Neacsiu, A., Bohus, M., & Linehan, M. M. (2014). Dialectical behavior therapy: an intervention for emotion dysregulation. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 491–507). New York, NY: The Guilford Press.

Palinkas, L. A., Aarons, G. A., Horwitz, S., Chamberlain, P., Hurlburt, M., & Landsverk, J. (2011). Mixed method designs in implementation research. Administration and Policy in Mental Health and Mental Health Services Research, 38(1), 44–53. https://doi.org/10.1007/s10488-010-0314-z. CrossRefPubMed

Randell, K. A., O’Malley, D., & Dowd, M. D. (2015). Association of parental adverse childhood experiences and current child adversity. JAMA Pediatrics, 169, 786–787. https://doi.org/10.1001/jamapediatrics.2015.0269. CrossRefPubMed

Sandler, I., Ingram, A., Wolchik, S., Tein, J.-Y., & Winslow, E. (2015). Long-term effects of parenting-focused preventive interventions to promote resilience of children and adolescents. Child Development Perspectives, 9, 164–171. https://doi.org/10.1111/cdep.12126. CrossRef

Shonkoff, J. P. (2012) Leveraging the biology of adversity to address the roots of disparities in health and development. Proceedings of the National Academy of Sciences of the United States of America, 109 (Suppl 2), 17302–17307. https://doi.org/10.1073/pnas.1121259109 CrossRef

Shonkoff, J. P., & Garner, A. S., The Committee on Psychosocial Aspects of Child and Family Health, Committee on Early Childhood Adoption and Dependent Care, and Section on Developmental and Behavioral Pediatrics (2012). The lifelong effects of early childhood adversity and toxic stress. Pediatrics, 129(1), e232–246. https://doi.org/10.1542/peds.2011-2663. CrossRefPubMed

Siu, A. F. Y. (2009). Theraplay in the Chinese world: an intervention program for Hong Kong children with internalizing problems. International Journal of Play Therapy, 18(1), 1–12. https://doi.org/10.1037/a0013979. CrossRef

Snell-Johns, J., Mendez, J. L., & Smith, B. H. (2004). Evidence-based solutions for overcoming access barriers, decreasing attrition, and promoting change with underserved families. Journal of Family Psychology, 18(1), 19–35. https://doi.org/10.1037/0893-3200.18.1.19. CrossRefPubMed

Sweet, M. A., & Appelbaum, M. I. (2004). Is Home Visiting an effective strategy? A meta-analytic review of home visiting programs for families with young children. Child Development, 75, 1435–1456. https://doi.org/10.1111/j.1467-8624.2004.00750.x. CrossRefPubMed

Titov, N., Dear, B. F., McMillan, D., Anderson, T., Zou, J., & Sunderland, M. (2011). Psychometric comparison of the PHQ-9 and BDI-II for measuring response during treatment of depression. Cognitive Behaviour Therapy, 40(2), 126–136. https://doi.org/10.1080/16506073.2010.550059. CrossRefPubMed

Valentine, S. E., Bankoff, S. M., Poulin, R. M., Reidler, E. B., & Pantalone, D. W. (2015). The use of dialectical behavior therapy skills training as stand‐alone treatment: a systematic review of the treatment outcome literature. Journal of Clinical Psychology, 71(1), 1–20. CrossRef

Webster-Stratton, C. H. (2011). Incredible babies: a guide and journal of your baby’s first year. Seattle, WA: Incredible Years Press..

Webster-Stratton, C. H., & Reid, M. J. (2010). The incredible years program for children from infancy to pre-adolescence: prevention and treatment of behavior problems. In R. C. Murrihy, A. D. Kidman, & T. H. Ollendick (Eds.), Clinical handbook of assessing and treating conduct problems in youth (pp. 117–138). New York, NY, US: Springer..

Weisz, J. R., Krumholz, L. S., Santucci, L., Thomassin, K., & Ng, M. Y. (2015). Shrinking the gap between research and practice: tailoring and testing youth psychotherapies in clinical care contexts. Annual Review of Clinical Psychology, 11, 139–163. https://doi.org/10.1146/annurev-clinpsy-032814-112820. CrossRefPubMed

Wettig, H. H. G., Coleman, A. R., & Geider, F. J. (2011). Evaluating the Effectiveness of Theraplay in Treating Shy, Socially Withdrawn Children. International Journal of Play Therapy, 20(1), 26–37. https://doi.org/10.1037/a0022666. CrossRef

Yancey, A. K., Ortega, A. N., & Kumanyika, S. K. (2006). Effective Recruitment and Retention of Minority Research Participants. Annual Review of Public Health, 27, 1–28. https://doi.org/10.1146/annurev.publhealth.27.021405.102113. CrossRefPubMed

Yoshikawa, H., Whipps, M. D. M., & Rojas, N. M. (2017). Commentary: New directions in Developmentally Informed Intervention Research for Vulnerable Populations. Child Development, 88, 459–465. https://doi.org/10.1111/cdev.12736. CrossRefPubMed

Titel: Development, Feasibility, and Refinement of a Toxic Stress Prevention Research Program
Auteurs: Briana A. Woods-Jaeger
Chris C. Sexton
Brijin Gardner
Emily Siedlik
Lauren Slagel
Vyonne Tezza
Donna O’Malley
Publicatiedatum: 07-07-2018
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 11/2018
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-018-1178-1

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