Engaging foster parents in treatment: A randomized trial of supplementing Trauma-focused Cognitive Behavioral Therapy with evidence-based engagement strategies
Engaging foster parents in treatment: A randomized trial of supplementing Trauma-focused Cognitive Behavioral Therapy with evidence-based engagement strategies
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DOI：
10.1016/j.chiabu.2014.03.020
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发表时间：
2014-09-01
影响因子：
4.8
通讯作者：
Deblinger, Esther
中科院分区：
文献类型：
--
作者：
Dorsey, Shannon;Pullmann, Michael D.;Deblinger, Esther
本研究的目标是检查补充以创伤为中心的认知行为疗法（TF-CBT; Cohen等人，2006年），提出了关于寄养父母和寄养青年参与治疗的循证参与战略，因为在让寄养父母参与治疗方面存在挑战。一项TF-CBT标准分娩与TF-CBT+循证参与策略的随机对照试验在47名寄养儿童和青少年及其养父母中进行。在治疗开始后1个月、治疗结束时和治疗后3个月评估出勤率、参与度和临床结局。接受TF-CBT加循证参与策略的青年和养父母更有可能通过四次治疗保留治疗，并且不太可能过早退出治疗。参与策略似乎对取消或未出席会议的数量或治疗满意度没有影响。临床结果没有因研究条件而异，但探索性分析表明，青年人在治疗后有显着改善。专门针对参与的战略可能有望增加循证治疗的可及性，并增加完成治疗的可能性。(C)2014爱思唯尔有限公司版权所有。
The goal of this study was to examine the impact of supplementing Trauma-focused Cognitive Behavioral Therapy (TF-CBT; Cohen et al., 2006) with evidence-based engagement strategies on foster parent and foster youth engagement in treatment, given challenges engaging foster parents in treatment. A randomized controlled trial of TF-CBT standard delivery compared to TF-CBT plus evidence-based engagement strategies was conducted with 47 children and adolescents in foster care and one of their foster parents. Attendance, engagement, and clinical outcomes were assessed I month into treatment, end of treatment, and 3 months post-treatment. Youth and foster parents who received TF-CBT plus evidence-based engagement strategies were more likely to be retained in treatment through four sessions and were less likely to drop out of treatment prematurely. The engagement strategies did not appear to have an effect on the number of canceled or no-show sessions or on treatment satisfaction. Clinical outcomes did not differ by study condition, but exploratory analyses suggest that youth had significant improvements with treatment. Strategies that specifically target engagement may hold promise for increasing access to evidence-based treatments and for increasing likelihood of treatment completion. (C) 2014 Elsevier Ltd. All rights reserved.