Children at Risk: A County-Based Study of Interventions

面临风险的儿童：基于县的干预措施研究

• 批准号: 6526429
• 负责人: TERRANCE J WADE
• 金额: $ 27.54万
• 依托单位: UNIVERSITY OF CINCINNATI
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-08-03 至 2004-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6526429
• 关键词: aggression; antisocial personality; behavioral /social science research tag; child abuse; child behavior disorders; child welfare; clinical research; disease /disorder proneness /risk; family structure /dynamics; health care service utilization; health services research tag; high risk behavior /lifestyle; human subject; infant human (0-1 year); interview; mental disorder prevention; mental health information system; outcomes research; preschool child (1-5); social behavior disorders; social service evaluation; socioeconomics; violence

DESCRIPTION: (adapted from Investigator's abstract) This study is a 3-year longitudinal study to examine how two sequential, county-based interventions that focus on high-risk families with children from birth to 5 years of age-Early Start and Head Start-intervene in the development and stability of pre-violent behaviors among children within an effectiveness research model. The complementary effect of these intervention programs on the development of pre-violent behaviors are examined within the context of background socio-economic, prenatal and birth risk factors, and the family environment. The proposed project will employ a quasiexperimental design and will focus on approximately 400 families with eligible children residing in Butler County, Ohio who are at risk for future developmental delay, child abuse, or neglect. Approximately 260 families with children between 30 and 47 months of age are currently receiving Early Start services. These families will be compared initially to an age- and risk-matched group of families with eligible children who have never been referred to Early Start. This comparison group will be randomly selected from state birth certificate records. The project has both an outcomes component and a database component. Outcomes Component: This component will examine the effect that these interventions and their combination have on reducing pre-violent behaviors among children during their early developmental years. In addition, we will examine the processes that influence the relationships between these interventions and children's behavior within the conceptual framework of the control paradigm. This will permit us to investigate how these interventions mediate the effects of background structural and maternal/prenatal risk factors on children's behavior and how the family environment may, in turn, mediate the effects of the interventions. Database Component: This component will develop a county-wide longitudinal database infrastructure system. This database will allow for both the analysis of multi-level data for this project and the long-term multi-level tracking of these children across other county agencies and institutions during childhood and adolescence. The database will be comprised of service utilization data from Early Start and Head Start, as well as service utilization data from other community social service agencies and secondary administrative data from county institutions (e.g., public school system, juvenile justice) as these children age. The development of this database will provide an excellent opportunity to integrate individual and institutional data for the current research project as well as provide the vehicle to follow this sample across time.

描述：（改编自研究者的摘要）这项研究为期 3 年 纵向研究，探讨两项连续的、基于县的干预措施如何 重点关注有出生至 5 岁儿童的高风险家庭 年龄——Early Start和Head Start——干预孩子的发展和稳定 有效性研究模型中儿童的暴力前行为。 这些干预计划对发展的互补作用 在背景背景下检查暴力前的行为 社会经济、产前和出生风险因素以及家庭环境。 拟议的项目将采用准实验设计，并将重点放在 大约 400 个有符合条件的孩子的家庭居住在巴特勒县， 俄亥俄州面临未来发育迟缓、儿童虐待或忽视风险的人。 大约 260 个有 30 至 47 个月大儿童的家庭 目前正在接受早期启动服务。这些家庭将被比较 最初针对年龄和风险匹配且有符合资格儿童的家庭组 从未被转介至 Early Start 的人。该对照组将 从州出生证明记录中随机选择。 该项目既有成果部分又有数据库部分。结果 组成部分：该组成部分将检查这些干预措施和 它们的结合可以减少儿童的暴力前行为 他们的早期发展岁月。此外，我们还将检查流程 影响这些干预措施与儿童的关系 控制范式的概念框架内的行为。这将 允许我们研究这些干预措施如何调节影响 影响儿童行为的背景结构性和孕产妇/产前危险因素 以及家庭环境如何反过来调节家庭的影响 干预措施。数据库组件：该组件将开发一个全县范围的数据库 纵向数据库基础设施系统。该数据库将允许 本项目多层次数据分析及长期多层次数据分析 在其他县机构和机构中跟踪这些儿童 童年和青春期。该数据库将由服务组成 Early Start 和 Head Start 以及服务的利用率数据 来自其他社区社会服务机构和中学的利用数据 来自县机构的行政数据（例如公立学校系统、 随着这些孩子年龄的增长，少年司法）。该数据库的开发将 提供整合个人和机构数据的绝佳机会 用于当前的研究项目并提供遵循该项目的工具 跨时间样本。