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Intervening in the Lives of Foster Care Youth: Using Integrative Data Analysis to Examine Crossover and Long-Term Mental Health Benefits of Dual-Focused Caregiver–Youth Preventative Interventions

干预寄养青少年的生活：利用综合数据分析来检验双重点看护者的交叉和长期心理健康益处——青少年预防干预措施

基本信息

批准号：
10385757
负责人：
KATHERINE C PEARS
金额：
$ 54.57万
依托单位：
OREGON SOCIAL LEARNING CENTER, INC.
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-07-07 至 2025-04-30
项目状态：
未结题

项目摘要

Summary Youth with a history of foster care involvement (FCI) have a 200–400% greater chance of reporting a lifetime or past year mental health (MH) problem (Havlicek, Garcia, & Smith, 2013), and are 3.5 times more likely to commit suicide (Katz et al., 2011), than their peers. There are few preventive interventions specifically designed for these youth, and those that exist have generally examined effects on less specific, immediate “problem” behaviors rather than long-term specific MH disorders. The current proposal uses integrative data analysis (IDA) to harmonize data across seven dual-focused caregiver–youth randomized control trials of interventions designed specifically for FCI youth that shared underlying theories of change (yielding an ethnically diverse combined sample of 1,925 youth at baseline and over 6,500 person-by-time assessments that cover multiple periods of youth development from ages 5– 15 years at baseline). This study addresses key questions about both crossover and long-term intervention effects on multiple MH outcomes in FCI youth that no one study has examined in the past or could answer alone. Efficacy of the interventions on both symptoms and diagnoses of five classes of MH outcomes (depression and anxiety, suicidality, thought problems and psychosis, posttraumatic stress disorder, and aggression and violence) will be examined. Increased sample size will also allow for examination of the impact of interventions on low base rate MH outcomes (e.g., suicidality, psychoticism). Using IDA to leverage multiple datasets, the current proposal could positively impact the lives of FCI youth by enabling us to understand if and for how long (Aim 1) preventative interventions implemented early in life may have positive impacts on FCI youth MH, as well as the mechanisms through which (i.e., improved parenting skills and decreased youth emotional and behavioral dysregulation; Aim 2) and for which subpopulations those interventions might be most efficacious (i.e., for females versus males, in the developmental period in which the MH outcome typically manifests [e.g., childhood for violence and aggression, and early to late adolescence for all other MH outcomes], for FCI youth who have experienced more placement changes and received greater intervention dosage, and by ethnic subgroups; Aim 3).

概括有寄养经历 (FCI) 的青少年有 200-400% 的机会获得寄养服务报告一生或过去一年的心理健康 (MH) 问题（Havlicek、Garcia 和 Smith，2013），自杀的可能性是同龄人的 3.5 倍（Katz 等，2011）。有专门为这些年轻人设计的预防性干预措施很少，而且现有的预防性干预措施也很少通常检查对不太具体的、直接的“问题”行为的影响，而不是长期特异性 MH 疾病。当前的提案使用综合数据分析（IDA）来协调七项双重重点照顾者-青少年随机对照试验的数据专门为 FCI 青年设计的干预措施，分享变革的基本理论（得出基线时包含 1,925 名青少年和超过 6,500 名逐人评估，涵盖 5 岁至青少年发展的多个时期基线 15 年）。这项研究解决了有关交叉和长期的关键问题干预措施对 FCI 青少年多种 MH 结局的影响尚未有任何一项研究进行过检验过去还是可以单独回答。干预措施对症状和诊断的功效五类 MH 结果（抑郁和焦虑、自杀、思想问题和精神病、创伤后应激障碍、攻击性和暴力）将受到检查。增加样本量还可以检查干预措施对低基数的影响评估 MH 结果（例如自杀、精神病）。使用 IDA 来利用多个数据集，当前的提案可以通过使我们了解是否可以对 FCI 青年的生活产生积极影响以及生命早期实施的预防性干预措施可以持续多久（目标 1）对 FCI 青年 MH 的积极影响，以及通过其机制（即提高养育技能并减少青少年情绪和行为失调；目标2) 以及这些干预措施对于哪些亚人群可能最有效（即对于女性与男性，在 MH 结果通常表现出来的发育时期 [例如，童年时期存在暴力和攻击行为，青春期早期到晚期则存在所有其他 MH 结果]，对于经历了更多安置变化并获得更多帮助的 FCI 青少年干预剂量，以及按种族亚组划分；目标3）。