MULTISITE PREVENTION OF CONDUCT DISORDER

多点预防行为障碍

• 批准号: 3442946
• 负责人: JOHN D COIE
• 金额: $ 498.71万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1990
• 资助国家: 美国
• 起止时间: 1990-09-30 至 1993-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3442946
• 关键词: antisocial personality; behavior modification; child behavior disorders; child mental health service; disease /disorder proneness /risk; elementary school; emotional adjustment; health service demonstration project; human subject; human therapy evaluation; interview; longitudinal human study; middle childhood (6-11); preschool child (1-5); psychometrics; psychosocial service; social adjustment

This project consists of the implementation and evaluation of a developmentally based, long-term, comprehensive intervention designed to prevent conduct disorder and social maladaptation in adolescence and adulthood. The hypotheses will be tested that such an intervention will lead to proximal improvements in child behavior and family ecology and, in turn, that these changes will lead to the long-term prevention of conduct disorder. The project will be carried out at four sites (Durham, NC/Duke, Nashville, TN/Vanderbilt, rural Pennsylvania/Penn State, and Seattle, WA/U. of Washington) with three successive cohorts of children who will be followed over 12 years. Kindergarten-age children who are at high risk for conduct disorder will be randomly assigned to an intervention (child n = 480) or control (child n = 480) group. The initial two-year-long intervention will attempt to promote children's compliant behavior, so- cial-cognitive skills, peer relations, and academic success; to promote parents' and teachers' skills in child behavioral management; to assist teachers in promoting children's social competence; and to develop coordination between families and schools. Effects of intervention will be evaluated in multiple theoretically based ways. In addition, a randomly selected group of low-risk children in both intervention and control schools will be followed to examine possible effects of intervention as well as risk factors in the development of conduct disorder. In the proposed three-year grant period, intervention will focus on the developmental period of school entry (grades 1 and 2). Further preventive intervention and evaluation is planned for the transition to middle school and early adolescence in a subsequent grant period.

该项目包括实施和评估 基于发展的、长期的、全面的干预措施，旨在 预防青春期的行为障碍和社会适应不良 成年期。假设将被检验，这样的干预将 导致儿童行为和家庭生态的近期改善，并且 反过来，这些变化将导致长期预防行为 紊乱。该项目将在四个地点进行（北卡罗来纳州达勒姆/杜克大学、 田纳西州纳什维尔/范德比尔特、宾夕法尼亚州乡村/宾夕法尼亚州立大学以及华盛顿州/美国西雅图。 华盛顿）与三组连续的儿童一起，他们将 追随了12年多。幼儿园适龄儿童是该病的高危人群 行为障碍将被随机分配到干预组（儿童 n = 480）或对照组（儿童 n = 480）组。最初为期两年 干预将试图促进儿童的顺从行为，所以- 社交认知技能、同伴关系和学业成功；促进 家长和老师在儿童行为管理方面的技能；协助 教师提高儿童的社交能力；并发展 家庭和学校之间的协调。干预的效果将是 以多种基于理论的方式进行评估。另外，随机 选择低危儿童组进行干预和控制 将跟踪学校，以检查干预措施可能产生的影响 以及行为障碍发展的危险因素。在 拟议的三年资助期，干预措施将集中于 入学发展期（一年级和二年级）。进一步预防 计划为过渡到中学进行干预和评估 以及随后资助期内的青春期早期。