TREATING BEHAVIOR PROBLEMS IN PRIMARY CARE

在初级保健中治疗行为问题

• 批准号: 6323684
• 负责人: DAVID KOLKO
• 金额: $ 53.56万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-30 至 2005-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6323684
• 关键词: behavioral /social science research tag; child behavior disorders; child mental health service; clinical research; clinical trials; cognitive behavior therapy; conduct disorder; family structure /dynamics; family therapy; functional ability; health care service evaluation; health economics; health services research tag; human subject; human therapy evaluation; longitudinal human study; managed care; mental disorder diagnosis; middle childhood (6-11); outcomes research; patient care management; primary care physician; psychotherapy; social behavior disorders; social psychology; social support network

DESCRIPTION (Adapted from Applicant's Abstract): This application is being submitted in response to RFA MH-00-011 entitled "Implementation of Intervention Strategies for Children with Disruptive Behaviors". Children's psychosocial problems, such as oppositional behaviors or conduct problems, are often underidentified and underserved in healthcare settings. This application seeks to evaluate the application of a specialized psychosocial treatment protocol for children with disruptive behavior problems (DBP) in pediatric primary care. The treatment procedures are derived from the investigator's existing multimodal treatment protocol whose effectiveness is being examined in the community (MH 57727; "Effectiveness of Community Services for Conduct Problems"). A total of 150 patients will be recruited from five pediatric primary care practices affiliated with the Children's Community Care health network. Children exhibiting DBP would be randomly assigned to the specialty treatment protocol (STP) or treatment-as-usual (TAU) in each practice. Cases assigned to STP would receive services from trained nurse-clinicians who would administer selected treatment modules in the pediatric office with designated participants (children, parents/families, teacher calls). Planned analyses will examine differences in treatment participants/process, procedures, outcomes, and cost-effectiveness as a function of treatment condition. Relative to TAU, the investigator predicts that STP will be associated with higher treatment participation rates, greater improvements in multiple clinical outcomes related to child and family functioning, and greater cost-effectiveness. Such real-world information is timely in light of changes in the types of treatments being provided to this population in pediatric primary care, the evolution of an integrated pediatric mental health care service system, and developments in clinical practice and technique based on evidence from recent empirical outcome studies. These outcomes would empirically support decisions to integrate cost-effective, specialty treatment methods in pediatric health care settings.

描述（改编自申请人摘要）：本申请正在进行中