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: 6596854
• 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/6596854
• 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）：该R21为三年探索/开发赠款进行干预研究的申请旨在开发，标准化和提供对寄养9-11岁儿童的新型干预措施的初步测试。有虐待史和随后在寄养的儿童和青少年面临着巨大的心理健康和行为问题的风险。在我们先前与儿童寄养的纵向工作中，我们描述了人群，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。这些受主要研究者职业发展奖支持的干预前活动使我们能够解决重要的方法论问题，这些问题阻碍了针对这种高风险人群的干预工作的发展。基于这项干预前的研究，焦点小组参与者的反馈以及对高风险青年的其他有效计划的审查，我们建议在寄养青年的寄养青年中设计干预措施，包括三个主要组成部分：评估，指导/倡导/倡导和治疗技能组。 拟议的R21活动包括制定评估电池和干预方案，手动处理治疗，估算招募和流失率，以及对干预措施进行小规模的随机控制试验研究。干预的目标将是改善心理健康功能和学术成就，并减少青年对问题行为的启动和参与。我们将对这些近端结果是否由基线特征和/或由干预措施靶向的过程变量介导的初步检查。效应大小的估计值将用于确定进行足够的功率进行全尺度随机对照试验所需的样本量。试点研究还将集中在可行性，程序的吸收和可复制性问题上，我们将在试点阶段和申请R01之前修改评估电池，协议和手册，以进行大规模的功效试验。