Assessment of traumatic experiences among young children: Examining measurement factors that influence parent report and predictability

项目概要/摘要 暴露于潜在创伤性事件（PTE）已成为一个重要的公共卫生问题，因为 75%的儿童在进入青春期之前至少经历过一次PTE， 儿童将在行为、学业、社交或身体健康方面表现出障碍或延迟。 然而，寻求更好地了解PTE暴露与 儿童的福祉继续从PTE暴露评估的不充分实践中发展， 在依赖照顾者报告儿童的经历时，普遍接受和验证的方法。 从护理报告中了解PTE评估的最佳实践对于创建准确和 关于儿童PTE暴露的可复制研究，以及指导临床实践， 服务，同时最大限度地减少服务成本和负担。拟议的研究将解决这些差距， 通过提供经验数据，检查儿童的信息的内容和准确性， 在问卷和访谈格式之间获得PTE暴露（目标1），并测试 在不同的评估细节或深度级别之间获得的信息（目标2）。与会者将包括160名 3-7岁的儿童和他们的照顾者，从一个更大的纵向R 01，“学龄前儿童的调整和 代际风险”项目。目前的研究将通过以下方式改进以往方法上的弱点： 使用跨格式的等效评估工具来隔离与格式相关的因素，而不是简单地 内容的措施，同时也利用新的统计方法来确定信息的效用 在儿童的PTE上获得（例如，类型、频率、严重性）。这项研究的结果将有助于推动 通过确定PTE评估方法的优势和劣势， PTE对儿童功能的影响。为该项目制定的培训计划将使成功的 项目的完成和申请人对申请人的研究的下一阶段的发展 事业该项目将允许对申请人进行以下方面的培训：（a）广泛的创伤评估工具， (b)先进的统计技术，（c）创伤知情护理实践，（d）负责任的研究行为，以及 (e)手稿和赠款写作。参与拟议项目的培训团队非常适合实现 这些培训目标和解决该项目的研究目标。此外，培训环境在 堪萨斯大学和通过PAIR项目建立的基础设施将为申请人提供 成功实施拟议项目所需的资源。

Project Summary/Abstract Exposure to potentially traumatic events (PTEs) has become an important public health issue given that as much as 75% of children experience at least one PTE before reaching adolescence and approximately half of these children will demonstrate impairments or delays in their behavioral, academic, social, or physical health. However, the field of research that seeks to better understand the connection between PTE exposure and children's well-being continues to develop from inadequate practices in PTE exposure assessment with no commonly accepted and validated approaches when relying on caregiver report for a child's experiences. Understanding best practices of PTE assessment from caregiver report is essential for creating accurate and replicable research on PTE exposure in children, as well as guiding clinical practice in identifying children for services while also minimizing service cost and burden. The proposed study will address these gaps in understanding by providing empirical data that examines the content and accuracy of information on children's PTE exposure obtained between questionnaire and interview formats (Aim 1) and tests the predictive power of information obtained between different levels of assessment detail or depth (Aim 2). Participants will include 160 children ages 3-7 and their caregiver, drawn from a larger, longitudinal R01, the “Preschoolers' Adjustment and Intergenerational Risk” (PAIR) Project. The current study will improve on past methodological weaknesses by using equivalent assessment tools across formats to isolate factors associated with format and not simply content of the measure, while also utilizing novel statistical approaches to determine the utility of information obtained on children's PTEs (e.g., type, frequency, severity). The results from this study will help advance the field by determining the strengths and weaknesses of PTE assessment approaches in their ability to predict the influence of PTE on children's functioning. The training plan developed for the project will allow for the successful completion of the project and development of the applicant toward the next stages in the applicant's research career. This project will permit training for the applicant in (a) a wide array of trauma assessment instruments, (b) advanced statistical techniques, (c) trauma informed care practices, (d) responsible conduct of research, and (e) manuscript and grant writing. The training team involved on the proposed project is well-suited for achieving these training goals and addressing the research aims of the project. Further, the training environment at the University of Kansas and established infrastructure through of the PAIR Project will provide the applicant with the necessary resources to successfully carry out the proposed project.