DEVELOPING CULTURALLY RESPONSIVE CHILD INTERVENTIONS

描述(改编自申请人的摘要)：最终目标 导师职业发展奖(K01)是为申请者提供 建立一个独立的研究项目的技能，专注于开发 以及测试针对少数族裔儿童的文化响应干预措施。 该奖项的直接研究目标是修改亲子互动 治疗(PCIT)--对青少年行为障碍的有效干预 儿童(2-7岁)，在文化上对墨西哥裔美国人更敏感 家人。该奖项将允许申请者在以下方面建立坚实的基础 发展性精神病理学与文化因素的研究培训 心理健康治疗以及广泛的临床背景 墨西哥裔美国儿童的行为治疗。拟议中的培训 目标在(1)干预中提供额外的指导和指导 开发和进行临床试验；(2)培养评估；(3) 将有效干预措施转化为有效性试验的方法； (4)临床试验的纵向数据分析。 该奖项的研究计划分为两个阶段，将 在上述培训的支持下实施。首先，PCIT 将对干预措施进行修改，使其在文化上合适，并进行测试 对少数墨西哥裔美国儿童(N=5)的可行性 行为障碍。第二，比较改进后的PCIT的试点效果试验 将与50个墨西哥裔美国家庭一起进行标准PCIT 在一家社区诊所治疗破坏性行为障碍。这个 最后阶段的结果将提供初步数据，无论是文化上的 基于对治疗的修改可以改善结果，并将提供一种模式 对一系列少数民族的治疗进行文化改造 组。数据还将提供将使用的效果大小的估计 为了确定在中国进行更大规模的有效性试验所需的样本量 未来。

DESCRIPTION (Adapted from the Applicant's Abstract): The ultimate goal of this Mentored Career Development Award (K01) is to provide the applicant with the skills to establish an independent program of research focused on developing and testing culturally responsive interventions for young minority children. The immediate research goal of this award is to modify Parent-Child Interaction Therapy (PCIT), an efficacious intervention for young behavior-disordered children (age 2-7), to be more culturally responsive to Mexican American families. The award will allow the applicant to build on a strong foundation of research training in developmental psychopathology and cultural factors in mental health treatment, as well as an extensive clinical background in behavioral treatments with Mexican American children. The proposed training goals provide additional instruction and mentoring in (1} intervention development and the conduct of clinical trials; (2) assessment of culture; (3) methods for translating efficacious interventions into effectiveness trials; and (4) longitudinal data analysis for clinical trials. The research plan for this award is divided into two phases that will be implemented with the support of the training described above. First, the PCIT intervention will be modified to be culturally appropriate and tested for feasibility with a small number (N=5) of Mexican American children with behavior disorders. Second, a pilot effectiveness trial comparing Modified PCIT to Standard PCIT will be conducted with 50 Mexican American families presenting for treatment of disruptive behavior disorders at a community clinic. The results of the final phase will provide preliminary data on whether culturally based modifications to treatments can improve outcomes and will provide a model for the cultural modification of treatments for a range of ethnic minority groups. The data will also provide an estimate of effect size that will be used to determine the necessary sample size for a larger effectiveness trial in the future.