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Internet Treatment for Behavior Problems in Preschoolers with Developmental Delay

Award Number: R01HD084497
ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/01/2015
PERIOD OF PERFORMANCE END DATE: 05/31/2021

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Internet Treatment for Behavior Problems in Preschoolers with Developmental Delay - ¿ DESCRIPTION (provided by applicant): Early childhood developmental delay (DD) places young children and their families at elevated risk for a variety of problems. In addition to the various language, cognitive, and motor deficits that define young children failing to reach expected developmental milestones, young children with DD are at significant risk for serious behavior problems, and their families are at risk for very high levels of stress. Many affected children are from ethnic and racial minority backgrounds and are more likely to live in poverty and rely on government services, such as Early Intervention (EI) via Part C of the Individuals with Disabilities and Education Act (IDEA). Despite promise with EI, these services typically focus on the delay rather than associated behavior problems that are significantly and causally linked with functional and academic outcomes. Furthermore, EI services end at 3 years, and subsequent interventions can only be received through Part B of the IDEA through school-based special education. This gap in family-based services can be especially problematic for children living in poverty and from ethnic and racial minority groups for whom transportation and other barriers to services are considerable and clinic-based treatments may not be as feasible. Moreover, substantial numbers of affected families report children's services are too far away, and many indicate that they have no way to get to a clinic. Inadequate numbers of professionals trained in evidence-based programs impinge on the availability of care, as a considerable proportion of U.S. counties have no psychologist, psychiatrist, or social worker. Therefore, this new and early investigator-initiated R01 application proposes to build on extensive pilot work conducted by the investigators to evaluate, via a randomized controlled trial, the incremental utility of an Internet-delivered parent-training program for disruptive behavioral problems in traditionally underserved young children with DD. Families dwelling in rural or impoverished regions can participate in real-time treatment remotely, regardless of their geographic proximity to a clinic or ability to transport to services. Moreover, treating families within their natural settings (i.e., their homes) may enhance the ecological validity of care by providing live observation and feedback to parents in the very settings in which child behaviors are problematic. Specifically, we are interested in the impact of Internet-delivered Parent-Child Interaction Therapy (I-PCIT) on child disruptive behavior problems, parenting practices, parental distress, and early academic skills relative to traditional referrals as usual (RAU) for behavioral problems among youth aging out of Part C EI services. A secondary goal is to evaluate mechanisms that explain under which circumstances, for whom, and through which mediating pathways I-PCIT is most effective for young children with DD. Technological innovations overcome traditional barriers to effective care for traditionally underserved populations and are proposed to have a significant public health impact on the underserved population of young children and their families aging out of Part C EI services.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2022 ( Subtotal = -$126 )
2022	2019	FLORIDA INTERNATIONAL UNIVERSITY	11200 SW 8TH ST	MIAMI	FL	33199	MIAMI-DADE	USA	Child Health and Human Development Extramural Research	000	5	11/3/2021	NON-COMPETING CONTINUATION	-$126
														Subtotal = -$126

Issue Date FY: 2019 ( Subtotal = $421,321 )
2019	2019	FLORIDA INTERNATIONAL UNIVERSITY	11200 S W 8TH ST MARC 430	MIAMI	FL	33199	MIAMI-DADE	USA	Child Health and Human Development Extramural Research	000	5	5/24/2019	NON-COMPETING CONTINUATION	$421,321
														Subtotal = $421,321

Issue Date FY: 2018 ( Subtotal = $512,702 )
2018	2018	FLORIDA INTERNATIONAL UNIVERSITY	11200 S W 8TH ST MARC 430	MIAMI	FL	33199	MIAMI-DADE	USA	Child Health and Human Development Extramural Research	000	4	7/17/2018	NON-COMPETING CONTINUATION	$512,702
														Subtotal = $512,702

Issue Date FY: 2017 ( Subtotal = $526,426 )
2017	2017	FLORIDA INTERNATIONAL UNIVERSITY	11200 S W 8TH ST MARC 430	MIAMI	FL	33199	MIAMI-DADE	USA	Child Health and Human Development Extramural Research	000	3	6/1/2017	NON-COMPETING CONTINUATION	$526,426
														Subtotal = $526,426

Issue Date FY: 2016 ( Subtotal = $512,712 )
2016	2016	FLORIDA INTERNATIONAL UNIVERSITY	11200 SW 8TH STREET	MIAMI	FL	33199	MIAMI-DADE	USA	Child Health and Human Development Extramural Research	000	2	5/18/2016	NON-COMPETING CONTINUATION	$512,712
														Subtotal = $512,712

Issue Date FY: 2015 ( Subtotal = $522,201 )
2015	2015	FLORIDA INTERNATIONAL UNIVERSITY	11200 SW 8TH STREET	MIAMI	FL	33199	MIAMI-DADE	USA	Child Health and Human Development Extramural Research	000	1	8/31/2015	NEW	$522,201
														Subtotal = $522,201

Grand Total All Awards = $2,495,236

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Internet Treatment for Behavior Problems in Preschoolers with Developmental Delay

Award Number: R01HD084497

ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/01/2015

PERIOD OF PERFORMANCE END DATE: 05/31/2021

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