The Impact of an Adapted Version of the Strengthening Families Program on Reducing IPV among Caregivers and ACEs among their Children

项目摘要/摘要 研究记录了不良童年经历(ACE)的关注率和负面后果。 到目前为止，我们对可能同时防止ACEs的两代程序知之甚少 儿童，包括其照顾者中的亲密伴侣暴力(IPV)。拟议的项目涉及 NICIPC倡议的目标3，评估纳入双代办法的战略 打破暴力和逆境的循环。该项目的目的是测试一个被广泛研究的 酒精和药物滥用预防计划，加强家庭计划(SFP)，关于减少ACEs 儿童(10-14岁)在其照顾者中包括虐待儿童和IPV(主要结果)。指导原则 社会学习和生态理论，感同身受的家庭环境的重要性， 这个多方利益相关者协作的成员认为，SFP具有在以下方面有效的强大潜力 降低照顾者的IPV和他们孩子的额外A，因为SFP侧重于减少无数 不仅是药物使用的风险和保护因素，而且是包括IPV和虐待儿童在内的ACE的风险和保护因素。作为这项工作的一部分 项目，为了增强计划的有效性，我们将调整SFP(为此项目重命名为： Is‘ake Tiwahe，Lakota，for“Strong Family”)包括更多基于证据的IPV预防战略 (例如，经济赋权)成人和对等暴力预防战略(例如，旁观者 干预)，除了文化适应外，还考虑到拉皮特的大量美国印第安人 南卡罗来纳州的城市，这个项目将在那里发生。在适应和规划阶段(第一年)，首先 团队将召集一个研究和实践咨询委员会，并领导焦点小组来适应该计划。 接下来，该团队将对调整后的计划进行公开试点试验，并让青年和照顾者参与 在随后的临床试验中使用的调查工具的认知测试。在结果期间和 过程评估阶段(第2年和第3年)，团队将实施和评估可行和可接受的 通过节目观察和保真度检查、关键线人采访和PhotoVoice，对Whas‘ake Tiwahe进行了审查。 除了深入的过程评估外，团队还将通过随机分配更高的 风险家庭，即美国印第安人和/或低收入家庭(N=320人登记并随机)，到等待名单对照或 治疗条件。事前、事后和8个月的跟踪调查将测试在 青年(N=320)，包括照顾者IPV的减少(N=320)。通过探索性分析，团队将 确定调解人(例如，增加成人监督、经济赋权)和主持人(例如， 性别)对方案成果的影响。最后，在修订和传播阶段(第3年)，该小组将 使用在前几个阶段收集的数据来修订计划。经修订的方案调整将是适当的 广泛传播到其他不同的社区，该团队将分享研究结果和项目 有不同的受众(例如，研究人员、从业者、政策制定者、感兴趣的公民)。

Project Summary/Abstract Research documents the concerning rates and negative outcomes of adverse childhood experiences (ACEs). To date, we know very little about two-generation programs that may simultaneously prevent ACEs among children including intimate partner violence (IPV) among their caregivers. The proposed project addresses objective 3 of NICIPC’s initiative, evaluation of strategies that incorporate a dual generation approach to break the cycle of violence and adversity. The project purpose is to test the impact of a widely researched alcohol and drug abuse prevention program, the Strengthening Families Program (SFP), on reducing ACEs in children (10-14) including child abuse and IPV among their caregivers (primary outcomes). Guided by social learning and ecological theories that empathize the importance of the proximal family environment, the members of this multi-stakeholder collaborative believe that the SFP has the strong potential to be effective in reducing IPV in caregivers and additional ACEs in their children given that the SFP focuses on reducing myriad risk and protective factors for not only drug use, but for ACEs, including IPV and child abuse. As part of this project and in order to bolster the program’s effectiveness, we will adapt the SFP (renamed for this project: Was’ake Tiwahe, Lakota for “strong families”) to include additional evidence-based IPV prevention strategies (e.g., economic empowerment) for adults and peer-to-peer violence prevention strategies (e.g., bystander intervention) for youth in addition to cultural adaptations given the large presence of American Indians in Rapid City, SD, where this project will take place. During the Adaptation and Planning Phase (Year 1), first the team will convene a Research and Practice Advisory Board and conduct focus groups to adapt the program. Next, the team will conduct an open pilot trial of the adapted program and engage youth and caretakers in cognitive testing of survey instruments to be used in the subsequent clinical trial. During the Outcome and Process Evaluation Phase (Years 2 and 3), the team will implement and evaluate the feasibly and acceptably of the Was’ake Tiwahe via program observations and fidelity checks, key informant interviews, and Photovoice. In addition to the in-depth process evaluation, the team will gather efficacy data by randomly assigning higher risk families, i.e., American Indian and/or low income (N=320 enrolled and randomized), to a wait-list control or treatment conditions. Pre-, immediate post-, and 8-month follow-up surveys will test for reductions in ACEs in youth (N=320), including reductions in IPV in their caregivers (N=320). With exploratory analyses, the team will identify mediators (e.g., increases in adult supervision, economic empowerment) and moderators (e.g., gender) of program outcomes. Finally, during the Revision and Dissemination Phase (Year 3), the team will use data collected in prior phases to revise the program. The revised program adaptation will be appropriate for widespread dissemination to other diverse communities, and the team will share findings and the program with varied audiences (e.g., researchers, practitioners, policymakers, interested citizens).