Implementation and Evaluation of an Intervention for Children in Afghanistan at Risk for Substance Use or Actively Using Psychoactive Substances.
Implementation and Evaluation of an Intervention for Children in Afghanistan at Risk for Substance Use or Actively Using Psychoactive Substances.
复制标题
DOI：
10.1155/2017/2382951
复制
发表时间：
2017
影响因子：
2.1
通讯作者：
Jones HE
中科院分区：
文献类型：
--
作者：
Momand AS;Mattfeld E;Morales B;Ul Haq M;Browne T;O'Grady KE;Jones HE
本研究探讨了一种新的干预措施对阿富汗783名4至18岁儿童的影响，这些儿童有使用药物或积极使用药物的风险。他们在门诊或住院治疗时接受了儿童无毒生活干预（CHILD）方案。儿童包括适龄识字和算术、毒品教育、基本生活安全以及沟通和创伤应对技能。一系列措施在治疗开始和结束时以及12周后检查了多个儿童健康领域。对于年龄较小的儿童，没有显著的性别或性别X时间效应（所有p分别> 0.16和0.35）。时间主效应对于所有结果都是显著的（所有p <0.00192，预先规定的每次比较错误率）。事后检验表明，从住院治疗进入到完成所有规模的显着改善。对于年龄较大的儿童，除了一个结果外，时间主效应对所有结果都是显著的（所有p <0.00192，预先规定的每次比较错误率）。社区随访的平均值显著低于住院治疗的平均值。CHILD对儿童有积极影响，治疗影响从治疗后到随访评估持续存在。
The present study examined the impact of a novel intervention for children at risk for substance use or actively using substances that was provided to 783 children between 4 and 18 years of age in Afghanistan. They received the Child Intervention for Living Drug-free (CHILD) protocol while in outpatient or residential treatment. CHILD included age-appropriate literacy and numeracy, drug education, basic living safety, and communication and trauma coping skills. A battery of measures examined multiple child health domains at treatment's start and end and 12 weeks later. For younger children, there were no significant Gender or Gender X Time effects (all p's > .16 and .35, resp.). The time main effect was significant for all outcomes (all p's < .00192, the prespecified per-comparison error rate). Post hoc testing showed significant improvements from residential treatment entry to completion for all scales. For older children, a time main effect was significant for (all p's < .00192, the prespecified per-comparison error rate) all but one outcome. Community follow-up means were significantly lower than residential treatment entry means. CHILD had a positive impact on children, and treatment impact endured from posttreatment to follow-up assessment.