Intervention Development and Pilot for Foster Care Youth

青少年寄养干预措施开发和试点

• 批准号: 6711801
• 负责人: HEATHER N TAUSSIG
• 金额: $ 15.75万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-04-01 至 2006-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6711801
• 关键词: behavior disorders; behavior therapy; behavioral /social science research tag; child abuse; child foster care /adoption; clinical research; experimental designs; health services research tag; human subject; mental disorder prevention; mental health services; middle childhood (6-11); psychometrics

DESCRIPTION (provided by applicant): This R21 application for a 3-year exploratory/development grant for intervention research is designed to develop, standardize and provide a preliminary test of a novel intervention for children, ages 9-11, placed in foster care. Children and adolescents with a history of maltreatment and subsequent placement in foster care are at risk for substantial mental health and behavioral problems of great public health significance. In our prior longitudinal work with children in foster care, we have described the population, examined child welfare system impact, and identified modifiable psychosocial risk and protective factors. These preintervention activities, supported by the Principal Investigator's Career Development Award, have enabled us to address important methodological issues that have hampered the development of intervention efforts targeting this high-risk population. Based on this pre-intervention research, feedback from focus group participants, and a review of other efficacious programs for high-risk youth, we propose to design an intervention for preadolescent youth in foster care consisting of three primary components: assessment, mentoring/advocacy, and therapeutic skills groups. The proposed R21 activities include developing the assessment battery and intervention protocol, manualizing the treatment, estimating recruitment and attrition rates, and conducting a small-scale randomized-controlled pilot study of the intervention. The goals of the intervention will be to improve mental health functioning and academic achievement and to reduce youths' initiation of, and participation in, problem behaviors. We will conduct a preliminary examination of whether these proximal outcomes are moderated by baseline characteristics and/or mediated by the process variables targeted by the intervention. Estimates of effect size will be used to determine the sample size needed for adequate power to conduct a full-scale randomized controlled trial. The pilot study will also focus on issues of feasibility, program uptake, and replicability, and we will modify the assessment battery, protocol, and manuals following the pilot phase and prior to our application for an R01 to conduct a large-scale efficacy trial.

描述（由申请人提供）：此 R21 干预研究 3 年探索性/发展补助金申请旨在为 9-11 岁寄养儿童开发、标准化新型干预措施并提供初步测试。有虐待史并随后被安置在寄养家庭的儿童和青少年面临着严重的心理健康和行为问题的风险，这些问题具有重大公共卫生意义。在我们之前对寄养儿童进行的纵向研究中，我们描述了人口，检查了儿童福利系统的影响，并确定了可改变的社会心理风险和保护因素。这些预干预活动得到了首席研究员职业发展奖的支持，使我们能够解决阻碍针对这一高危人群的干预工作开展的重要方法问题。根据这项干预前研究、焦点小组参与者的反馈以及对其他针对高危青少年的有效计划的审查，我们建议为寄养中的青春期前青少年设计一项干预措施，包括三个主要组成部分：评估、指导/宣传和治疗技能小组。 拟议的 R21 活动包括开发评估组和干预方案、手动化治疗、估计招募率和流失率，以及进行干预的小规模随机对照试点研究。干预的目标是改善心理健康功能和学业成绩，并减少青少年出现和参与问题行为。我们将初步检查这些近期结果是否受到基线特征的调节和/或干预所针对的过程变量的调节。效应量的估计将用于确定进行全面随机对照试验所需的足够功效的样本量。试点研究还将重点关注可行性、计划采用和可复制性问题，我们将在试点阶段之后和申请 R01 进行大规模功效试验之前修改评估电池、方案和手册。