EFFECTIVE THERAPY OF BEHAVIOR PROBLEMS IN PRIMARY CARE

初级保健中行为问题的有效治疗

• 批准号: 6657992
• 负责人: DAVID KOLKO
• 金额: $ 49.64万
• 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/6657992
• 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(改编自申请者摘要)：本申请正在进行中 提交以回应RFA MH-00-011，题为“干预措施的实施” 有破坏性行为的儿童的策略“，儿童的心理社会 问题，如对立的行为或行为问题，通常是 在医疗保健环境中缺乏认同感和服务不足。此应用程序寻求 评估专门的心理社会治疗方案的应用 适用于儿科初级保健中有破坏性行为问题(DBP)的儿童。 治疗程序是从调查员现有的 正在审查其有效性的多式联运治疗方案 社区(MH 57727；“社区行为服务的有效性” 共150名患者将从五个儿科医生中招募 附属于儿童社区保健保健的初级保健实践 网络。展示DBP的儿童将被随机分配到该专业 每个实践中的治疗方案(STP)或照常治疗(TAU)。案例 分配到STP的将接受训练有素的护士-临床医生的服务，他们将 在儿科办公室管理选定的治疗模块，并指定 参与者(儿童、家长/家庭、教师电话)。计划中的分析将 检查治疗参与者/过程、程序、结果、 以及作为治疗条件的函数的成本效益。相对于TAU， 研究人员预测，STP将与更高的治疗水平相关 参与率，相关多个临床结果的更大改善 对儿童和家庭的功能，以及更大的成本效益。是这样的 根据治疗类型的变化，现实世界的信息是及时的 在儿科初级保健中向这一人群提供服务， 综合儿科精神卫生保健服务体系，以及 基于最新经验结果的临床实践和技术 学习。这些结果将从经验上支持整合的决定 在儿科保健环境中具有成本效益的专科治疗方法。