The Village Model of Care

乡村护理模式

• 批准号: 6931138
• 负责人: THOMAS E HANLON
• 金额: $ 51.52万
• 依托单位: FRIENDS RESEARCH INSTITUTE, INC.
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-01 至 2009-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6931138
• 关键词: African American; adolescence (12-20); alcoholism /alcohol abuse; clinical research; community mental health services; counseling; culture; disease /disorder prevention /control; drug abuse; high risk behavior /lifestyle; human subject; human therapy evaluation; longitudinal human study; middle childhood (6-11); outcomes research; parent offspring interaction; patient oriented research; peer group; role model; schools; sex behavior; social facilitation; social group process; social support network; substance abuse related disorder; violence

DESCRIPTION (provided by applicant): This proposed research examines the application of a multifaceted after-school approach, within an alternative learning setting, designed to prevent both the initiation and escalation of alcohol, tobacco, and other drug use (ATOD), risky sexual behaviors, and violence among high-risk inner-city, African- American youth who have been expelled from traditional public schools because of violence or other serious rule infractions. Evolving from our earlier preventive interventions implemented in both clinic and school settings in Baltimore City, the intervention. The Village Model of Care involves structured group mentoring, parental empowerment and support services, and community outreach services. The prevention program will be implemented with students and their primary caregiver(s) over a seven-month period during the school year, from November through May, and will involve four days per week of after-school programming, together with scheduled gatherings of students with their families and community volunteers, organized field trips, and community participation in planning and activities. Over the four-year implementation phase, 280 youth will be enrolled in the study, including 112 boys and 28 girls who will participate in the after-school program, and an additional 112 boys and 28 girls who will serve as comparison participants for program evaluation purposes. Using a counterbalanced design, one of two participating alternative learning schools will be randomly selected to receive the experimental intervention in the first project year and to serve as a no-intervention control school in the second year, while the second school will serve as a control school the first year and will receive the experimental intervention in the second year. This selection procedure will be repeated in the third and fourth years of the project. Baseline measures, including information regarding students' risk and protective factors, will be administered prior to program implementation and outcome measures will be administered at baseline, post-intervention and nine-months following the conclusion of intervention. A process evaluation will examine the fidelity to the planning process, the integrity of the intervention and the relationship between degree of youth/family participation and outcome. Outcome assessment will focus not only on the effectiveness of the Village Model of Care in comparison to no after-school care, but also on the extent to which risk and protective factors differentially predict success in the Village Model of Care program. To facilitate replication elsewhere, manuals will be developed, with the input of school officials and other community members, documenting both training and implementation procedures. Results of the project will be disseminated in written reports, scientific articles, and presentations.

描述（由申请人提供）：本拟议研究探讨了在替代性学习环境中采用多方面的课后方法的应用，旨在防止因暴力或其他严重违规行为而被传统公立学校开除的高风险内城非裔美国青年中酒精、烟草和其他药物使用（ATOD）、危险性行为和暴力的开始和升级。该干预措施是从我们早期在巴尔的摩市的诊所和学校环境中实施的预防干预措施演变而来的。乡村护理模式包括结构化的团体指导、家长赋权和支持服务以及社区外展服务。该预防计划将在学年期间（从 11 月到 5 月）的七个月内与学生及其主要照顾者一起实施，并将包括每周四天的课后计划，以及安排学生与其家人和社区志愿者的聚会、组织实地考察以及社区参与规划和活动。在为期四年的实施阶段，将有 280 名青少年参加该研究，其中 112 名男孩和 28 名女孩将参加课后项目，另外 112 名男孩和 28 名女孩将作为项目评估的比较参与者。采用平衡设计，两所参与替代学习学校中的一所将被随机选择在第一个项目年接受实验干预，并在第二年作为无干预对照学校，而第二所学校将在第一年作为对照学校，并在第二年接受实验干预。该选择程序将在项目的第三年和第四年重复进行。基线措施，包括有关学生风险和保护因素的信息，将在计划实施之前进行管理，而结果措施将在基线、干预后和干预结束后九个月内进行管理。过程评估将检查规划过程的忠实度、干预的完整性以及青少年/家庭参与程度与结果之间的关系。结果评估不仅将重点关注乡村护理模式与无课外护理相比的有效性，还将关注风险和保护因素在多大程度上预测乡村护理模式计划的成功。为了便于在其他地方复制，将根据学校官员和其他社区成员的意见制定手册，记录培训和实施程序。该项目的结果将以书面报告、科学文章和演示文稿的形式传播。