Family Support and Connection Groups: Long-Term Benefits for Inner-City Children?

Family Support and Connection Groups: Long-Term Benefits for Inner-City Children?
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家庭支持和联系团体:对内城儿童的长期利益?

DOI:
10.1007/s11121-019-01051-z
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发表时间:
2020
期刊:
Prevention science : the official journal of the Society for Prevention Research
影响因子:
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通讯作者:
Henry,David
Henry,David
中科院分区:
--
文献类型:
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作者:
Tolan,Patrick;Schoeny,Michael;Gorman-Smith,Deborah;Henry,David

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相对较少的预防试验进行了长期跟踪,以确定直接影响是否转化为并解释了长期影响。本报告概述了在一年级期间实施的SAFE儿童预防干预措施的长期影响(在学生接近高中结束时进行衡量)。该计划旨在通过家庭小组和学生辅导,促进和支持邻里之间的发展管理、学校与家庭的联系和社会支持,重点是在市中心社区抚养孩子的家庭。在424个家庭中,在一年级之前随机分配给干预或非干预对照的家庭中,375个(88.4%)获得了至少一个结果的结果数据。结果表明,没有长期的直接影响和单一的中介影响,那些在干预中的人不太可能从事危险的性行为。在饮酒和暴力方面也发现了类似但不显著的趋势。这些喜忧参半的结果可能表明,相对短暂的以家庭为重点的干预措施不足以预防此类社区出现的多重和持续的发展风险。根据后续条件对初始预防效益和市中心发展生态的不确定性,讨论了有限的影响。还讨论了预防干预方案编制和长期评估的影响。
Relatively few prevention trials have had long-term follow-up to determine if immediate impact translates to and explains long-term impact. The present report summarizes the long-term influence (measured when students are near the end of high school) of the SAFEChildren preventive intervention, which was applied during first grade. This program aims to facilitate and support developmental management, school-family connection, and social support among neigbhors through family groups and student tutoring and is focused on familes raising children in inner-city neighborhoods. Of the 424 families randomly assigned prior to first grade to intervention or no-intervention control, outcome data on at least one outcome was obtained for 375 (88.4%). Results indicate no long-term direct effects and a single mediated effect, with those in the intervention less likely to engage in risky sexual practices. Similar but non-significant trends were found for alcohol use and violence. These mixed results may suggest that family focused intervention that is relatively brief is not adequate to protect against multiple and ongoing developmental risk that arises in such communities. The limited impact is discussed in light of the uncertainty of subsequent condition on initial preventive benefits and the developmental ecology of the inner city. Implications for preventive intervention programming and for long-term evaluation are also addressed.