Protecting Adolescents in Low- And Middle-Income Countries from Interpersonal Violence (PRO YOUTH TRIAL): Study Protocol for a Cluster Randomized Controlled Trial of the Strengthening Families Programme 10-14 ("Familias Fuertes") in Panama.
Protecting Adolescents in Low- And Middle-Income Countries from Interpersonal Violence (PRO YOUTH TRIAL): Study Protocol for a Cluster Randomized Controlled Trial of the Strengthening Families Programme 10-14 ("Familias Fuertes") in Panama.
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DOI：
10.1186/s13063-018-2698-0
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发表时间：
2018-06-15
期刊：
影响因子：
2.5
通讯作者：
Calam R
中科院分区：
文献类型：
--
作者：
Mejia A;Emsley R;Fichera E;Maalouf W;Segrott J;Calam R
人际暴力会大大减少青少年成为快乐和健康成年人的机会。中美洲是世界上最暴力的地区，据估计，该地区82%的凶杀案涉及青少年。制定了家庭技能培训方案，以防止青少年中的人际暴力。在高收入国家进行的几项研究表明，它们是有效的。然而，没有发表的试验评估这些方案在低收入和中等收入国家（LMIC）的有效性。这项研究的目的是检验巴拿马-中美洲的一个低收入国家-加强家庭方案10-14（SFP 10-14或“Familias Fuertes”）的效果。嵌入式过程评价将检查干预措施按预期提供的程度、试验中心之间的差异、对实施的影响以及干预措施-背景相互作用。还将评估成本效益。这是一项整群随机对照试验。巴拿马杀人案发生率最高的28个乡镇将被随机分配到执行SFP 10-14以及正常服务或仅正常服务。每个乡镇将招募大约30个家庭，共840个家庭。将在基线、基线后约8周（即干预后）、6个月和12个月后对家庭进行评估。主要结局指标将是T3时儿童行为检查表的父母报告的外部化分量表（即，这是基线后大约12个月）。对于过程评估，将衡量招聘、出勤、忠诚度和收据。定性访谈主持人，培训师，家长和青少年将探讨实施和干预接收的障碍/主持人。为了进行成本效益分析，将从父母和青少年那里收集服务使用信息，并提供三个月的回忆期。将确定与实施干预措施有关的费用和后果。该试验将是第一个在LMIC中评估SFP 10-14的试验。研究结果有可能指导中美洲及其他地区预防人际暴力的公共政策。ISRCTN登记，14023111。于2017年7月13日注册。本文的在线版本（10.1186/s13063-018-2698-0）包含补充材料，可供授权用户使用。
Interpersonal violence can significantly reduce adolescents’ opportunities for becoming happy and healthy adults. Central America is the most violent region in the world and it is estimated that adolescents are involved in 82% of all homicides in this region. Family skills training programmes have been designed to prevent interpersonal violence in adolescents. Several studies in high-income countries suggest they are effective. However, there are no published trials assessing effectiveness of these programmes in low- and middle-income countries (LMIC). The aim of this study is to test the effectiveness of the Strengthening Families Programme 10–14 (SFP 10–14 or “Familias Fuertes”) in Panama, a LMIC in Central America. An embedded process evaluation will examine the extent to which the intervention is delivered as intended, variation across trial sites, influences on implementation and intervention-context interactions. Cost-effectiveness will also be assessed. This is a cluster randomised controlled trial. The 28 townships with the highest homicide rates in Panama will be randomly allocated to implementation of SFP 10–14 alongside services-as-usual or to services-as-usual only. Approximately 30 families will be recruited in each township, a total sample of 840 families. Families will be assessed at baseline, approximately eight weeks after baseline (i.e. post intervention), six months and 12 months after. The primary outcome measure will be the parent reported externalising subscale of the Child Behaviour Checklist at T3 (i.e., which is approximately 12 months after baseline). For the process evaluation, recruitment, attendance, fidelity and receipt will be measured. Qualitative interviews with facilitators, trainers, parents and adolescents will explore barriers/facilitators to implementation and intervention receipt. For the cost-effectiveness analysis, service use information will be gathered from parents and adolescents with a three-month recall period. Costs and consequences associated with implementation of the intervention will be identified. This trial will be the first to evaluate SFP 10–14 in a LMIC. Results have the potential to guide public policies for the prevention of interpersonal violence in Central America and beyond. ISRCTN Registry, 14023111. Registered on 13 July 2017. The online version of this article (10.1186/s13063-018-2698-0) contains supplementary material, which is available to authorized users.
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返回高/范围佩里学前班计划的回报率。
影响因子：
9.8
作者：
Heckman, James J.;Moon, Seong Hyeok;Pinto, Rodrigo;Savelyev, Peter A.;Yavitz, Adam
通讯作者：
Yavitz, Adam
影响因子：
105.7
作者：
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通讯作者：
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影响因子：
4.5
作者：
Bröning S;Sack PM;Thomsen M;Stolle M;Wendell A;Stappenbeck J;Thomasius R
通讯作者：
Thomasius R
DOI：
10.1186/1748-5908-8-18
发表时间：
2013-02-13
期刊：
Implementation science : IS
影响因子：
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作者：
May C
通讯作者：
May C
DOI：
10.1207/s15374424jccp3303_5
发表时间：
2004-09-01
影响因子：
4.2
作者：
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通讯作者：
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