Adaptation, Refinement, and Open Trial of Parent Training for Veterans with PTSD
Adaptation, Refinement, and Open Trial of Parent Training for Veterans with PTSD
批准号:
10393483
负责人:
SUZANNAH K CREECH
金额:
$0.0万
依托单位国家:
美国
项目类别:
财政年份:
2018
资助国家:
美国
项目状态:
已结题
起止时间:
2018-06-01 至 2021-11-30
关键词:
AddressAfghanistanAftercareAgeBackBehavioralChildChild RearingClientClinicalCognitiveCommunitiesDiagnosisDisciplineDiseaseEducational InterventionEnrollmentEnsureEvidence based interventionFailureFamilyFeasibility StudiesFeedbackFemaleGenderGoalsHomeHospitalsImpairmentInterpersonal RelationsInterventionIraqLabelLettersLifeManualsMental HealthMental Health ServicesMethodsMotivationOutcomeOutcome AssessmentOutcome StudyParent-Child RelationsParentsPost-Traumatic Stress DisordersProceduresProcessQuality of lifeRecordsRecoveryRecovery of FunctionReportingResearchResourcesRiskSymptomsTestingTimeTrainingTraining ProgramsVeteransVeterans Health AdministrationWomen&aposs GroupWorkacceptability and feasibilityanger managementassociated symptomdesignefficacy trialemotion regulationevidence baseexperiencefeasibility testinggroup interventionimprovedinterestmalemenmen&aposs groupmilitary familymotivational enhancement therapyparental monitoringphysical conditioningpost-traumatic symptomsprogramsrecruitsatisfactionskillstheoriestreatment comparison
中文摘要
这项工作的总体目标是适应,完善,并进行一个公开试验的父母培训干预
英文摘要
The overall goal of this work is to adapt, refine, and conduct an open trial of a parent-training intervention
for Veterans with posttraumatic stress disorder (PTSD) using feedback from Veterans, VA clinicians, and
expert consultants as key stakeholders. PTSD symptoms are associated with parent-child functioning
difficulties, which are also an important determinant of quality of life and functional recovery. Unfortunately,
existing treatments for PTSD do not appear to improve family functioning. Several parent-training
interventions have been piloted within VHA, but none were developed specifically with Veterans as the
target group of consumers, and none address the unique challenges presented by PTSD symptoms. Some
interventions also presented feasibility challenges or they lacked studies attesting to their efficacy. To
overcome these limitations, this project will examine the feasibility and acceptability of an evidence-based
group intervention to improve parenting behaviors, parenting satisfaction, and family functioning in returning
Veteran parents who are diagnosed with PTSD and who have children between the ages of 3 and 12.
This intervention, labeled PTSD-Focused Parent Training (PFPT), is derived from an existing evidence-
based intervention to improve Veteran relationship functioning (Strength at Home; SAH), and it is informed
by the Cognitive Behavioral Theory of Interpersonal Functioning and the Military Family Attachment
frameworks for the association between PTSD and family functioning problems. PFPT emphasizes the
acquisition of parenting skills associated with positive child outcomes and healthy parent-child functioning
(e.g., positive parenting, consistent discipline, parental monitoring). Integrated throughout the treatment is
an emphasis on anger management, emotion regulation, and improved parent-child attachment. PFPT also
includes a pre-treatment Motivational Interviewing Assessment (MIA) to assist Veterans with PTSD in
strengthening and building motivation to change their parenting behaviors. The goals and change talk
identified in the pre-treatment MIA are then referred to throughout the PFPT treatment. Groups are gender-
specific, meaning that we will pilot the treatment in separate groups of women and men Veterans.
This project will be carried out through 2 specific aims that will be accomplished in 36 months. Aim 1 of
the study is to obtain and incorporate expert clinician and Veteran feedback on the intervention. The PFPT
manual will be reviewed and refined utilizing feedback from a panel of expert consultants and VA clinicians
with extensive experience in treatments to improve Veteran family functioning. The treatment will then be
piloted in two groups of Veterans (1 group of men, 1 group of women) for feedback on intervention content,
acceptability, credibility, and satisfaction after each session. The expert consultants will convene a second
time to review the Veteran feedback, the PFPT manual will be revised again, and the revised manual will be
piloted in two more groups of Veterans for final feedback on intervention content, acceptability, credibility,
and satisfaction after each session. This aim will culminate in a final PFPT treatment manual.
Aim 2 of the study is to evaluate the feasibility of study recruitment, retention, MIA procedures, and
proposed methods of the PFPT intervention and to conduct a preliminary examination of whether PFPT
results in improvements in our target outcomes. This will be accomplished by an open trial of the revised
treatment in 3 groups of women Veterans and 3 groups of men Veterans. Information collected on referral
rates, enrollment, and retention will be used to evaluate the overall feasibility and acceptability of the PFPT
intervention, MIA, and proposed methods. Pre- to post-treatment changes in the target outcomes of
parenting behaviors, parenting satisfaction and overall family functioning will help evaluate whether PFPT
has demonstrated sufficient promise to move toward an efficacy trial. We will also test the feasibility of
obtaining collateral partner report of parent-child functioning throughout both aims.
期刊论文(3)
专著(0)
科研奖励(0)
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批准号:10812890
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项目类别:
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资助金额:$47.29万
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依托单位:
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依托单位:
The impact of modifiable psychosocial factors on Veteransâ long-term trajectories of functioning and quality of life: Promoting recovery by targeting mindfulness and psychological flexibility
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批准号:10266064
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项目类别:
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资助金额:$0.0万
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财政年份:2010
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负责人:SUZANNAH K CREECH
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依托单位:
The impact of modifiable psychosocial factors on Veteransâ long-term trajectories of functioning and quality of life: Promoting recovery by targeting mindfulness and psychological flexibility
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批准号:10663776
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项目类别:
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资助金额:$0.0万
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财政年份:2010
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负责人:SUZANNAH K CREECH
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依托单位:
海外基金