Efficacy trial of a school-based preventive intervention

校本预防干预的有效性试验

• 批准号: 7117648
• 负责人: Peter A Wyman
• 金额: $ 49.84万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-01 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7117648
• 关键词: behavioral /social science research tag; child mental disorders; child mental health service; child psychology; clinical research; community mental health services; coping; education evaluation /planning; emotional adjustment; ethnic group; family structure /dynamics; health care cost /financing; health care service utilization; health education; health services research tag; human subject; human therapy evaluation; longitudinal human study; mental disorder prevention; mentoring /mentor; middle childhood (6-11); outcomes research; parent offspring interaction; parents; social psychology; student health services; urban area

DESCRIPTION (provided by applicant): This project responds to the need for (1) affordable and sustainable 'indicated' preventive interventions for young children already showing emerging mental health problems, and for (2) interventions that can be delivered effectively in accessible, 'real-world' settings. This proposal seeks RO1 funding for a randomized controlled trial (RCT) to evaluate the efficacy of the Promoting Resilient Children Initiative (PRCI) in Deducing mental health problems among urban, minority children and in preventing future disorders and costly services. The PRCI is a second-generation adaptation of the Primary Mental Health Project (PMHP). The school-based PMHP was developed 40 years ago by Cowen and colleagues and has been disseminated to 1,500 schools in the U.S. The PMHP program's strengths include ecological validity for schools and moderate cost.. PRCI significantly modifies both the intervention content and method of implementation used in PMHP. In PRCI children learn behavioral and cognitive skills for emotion regulation and for coping in 24 sessions with school-based Mentors. In 10 home visits the Mentors teach parents to assist their children in developing skills. A preliminary trial of PRCI suggests that the intervention reduces children's problems in the short-term and has a larger impact than PMHP on targeted behavioral and emotional outcomes. This trial is needed to determine the longer-term efficacy of the PRCI intervention. For the proposed 5-year study, 200 children will be randomly assigned to PRCI intervention and 200 to control conditions from 75 classrooms in 5 urban schools. (1)"We will compare intervention and control levels of externalizing and internalizing problems, need for services, and indices of family functioning over 30 months to assess program efficacy. (2) We will seek to determine levels of implementation fidelity required to achieve positive outcomes. (3) We will test hypotheses about mechanisms that govern the impact of PRCI on children's development. This project can have a positive public health impact through the potential to expand an improved intervention to more than 1,000 schools currently implementing PMHP and to other schools in the U.S. From the standpoint of advancing prevention science, the proposed study can contribute to knowledge needed to improve interventions in communities and the effective use of specially trained non-professional intervenors.

描述（由申请人提供）：该项目响应需要（1）负担得起的和可持续的“指示”的预防性干预措施，为幼儿已经显示出新出现的心理健康问题，和（2）干预措施，可以有效地提供在访问，“现实世界”的设置。该提案旨在为一项随机对照试验（RCT）寻求RO 1资金，以评估促进弹性儿童倡议（PRCI）在城市少数民族儿童中推断心理健康问题以及预防未来疾病和昂贵服务方面的有效性。PRCI是初级心理健康项目（PMHP）的第二代改编。以学校为基础的PMHP是40年前由Cowen及其同事开发的，并已传播到美国的1,500所学校。PMHP计划的优势包括学校的生态有效性和适度的成本。PRCI显著修改了PMHP中使用的干预内容和实施方法。在PRCI儿童学习行为和认知技能的情绪调节和应对在24个会议与学校为基础的导师。在10次家访中，辅导员教导父母帮助子女发展技能。PRCI的初步试验表明，干预措施在短期内减少了儿童的问题，并且对目标行为和情绪结果的影响比PMHP更大。这项试验需要确定PRCI干预的长期疗效。在这项为期5年的研究中，200名儿童将被随机分配到PRCI干预组，200名儿童将被随机分配到5所城市学校的75个教室的控制组。(1)“我们将比较干预和控制水平的外部化和内部化的问题，需要的服务，和指数的家庭功能超过30个月，以评估计划的效力。(2)我们将努力确定实现积极成果所需的执行忠实度。(3)我们将测试有关机制的假设，管理PRCI对儿童的发展的影响。这个项目可以有一个积极的公共卫生影响，通过扩大改善干预的潜力，目前正在实施PMHP的1,000多所学校和其他学校在美国从推进预防科学的角度来看，拟议的研究可以有助于知识需要改善社区干预和有效利用受过专门训练的非专业干预者。