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

项目总结/摘要 研究记录了不良童年经历（ACE）的相关比率和负面结果。 到目前为止，我们对两代程序知之甚少，这些程序可以同时防止ACE， 儿童，包括其照顾者之间的亲密伴侣暴力。拟议项目涉及 NICIPC倡议的目标3，评估采用双代方法的战略， 打破暴力和逆境的循环该项目的目的是测试一个广泛研究的 酒精和药物滥用预防计划，加强家庭计划（SFP），减少 儿童（10-14岁），包括其照顾者中的虐待儿童和IPV（主要结果）。指导 社会学习和生态理论，同情的重要性，近距离的家庭环境， 这个多方利益相关者合作组织的成员认为，SFP具有强大的潜力，可以有效地 减少照顾者的IPV和他们的孩子的额外ACE，因为SFP的重点是减少各种 风险和保护因素，不仅是药物使用，但为ACE，包括IPV和虐待儿童。作为其中的一部分 项目，为了提高该计划的有效性，我们将调整SFP（为该项目更名为： Was'ake Tiwahe，Lakota为“强大的家庭”），包括额外的循证IPV预防策略 (e.g.,经济赋权）和同伴暴力预防战略（例如，旁观者 鉴于拉皮特有大量美洲印第安人， 城市，SD，这个项目将发生。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，并进行焦点小组，以适应该计划。 接下来，该团队将对适应计划进行开放式试点试验，并让青少年和照顾者参与其中。 对后续临床试验中使用的调查工具进行认知测试。在成果和 过程评估阶段（第2年和第3年），团队将实施并评估可行性和可接受性 通过节目观察和忠诚度检查，关键线人访谈和照片语音，了解Was'ake Tiwahe。 除了深入的过程评估外，该团队还将通过随机分配较高的 风险家庭，即，美国印第安人和/或低收入者（N=320例入组和随机化），至等待名单对照组或 处理条件术前、术后即刻和8个月随访调查将检测以下患者的ACE减少情况： 青年（N=320），包括其照顾者的IPV降低（N=320）。通过探索性分析，该团队将 识别介体（例如，增加成人监督，经济赋权）和主持人（例如， （三）方案成果。最后，在修订和传播阶段（第3年），该小组将 利用前几个阶段收集到的数据来修改程序。修改后的程序适应将是适当的 广泛传播到其他不同的社区，该小组将分享调查结果和计划 对于不同的观众（例如，研究人员、从业人员、决策者、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).