Fostering Healthy Futures Efficacy Trial for Preadolescent Youth in Foster Care

寄养中青春期前青少年促进健康未来功效试验

• 批准号: 7365116
• 负责人: HEATHER N TAUSSIG
• 金额: $ 51.33万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-03-01 至 2012-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7365116
• 关键词: 11 year old; Address; Adolescent; Advocacy; Affect; Alcohol or Other Drugs use; Area; Attitude; Behavioral; Biological; Burn injury; Caregivers; Characteristics; Child; Child Welfare; Cognitive; Coping Skills; County; Data; Development; Distal; Effectiveness of Interventions; Emotional; Ethics; Ethnic Origin; Exploratory/Developmental Grant for Diagnostic Cancer Imaging; Family; Fostering; Funding; Future; Gender; Goals; Group Processes; Intervention; Intervention Studies; Interview; Investigation; Justice; Learning; Life; Life Cycle Stages; Manuals; Measurement; Mediating; Mediator of activation protein; Mental Health; Mentors; Modeling; Morbidity - disease rate; National Institute of Mental Health; Numbers; Outcome; Pilot Projects; Placement; Population; Prevention Research; Preventive Intervention; Principal Investigator; Problem behavior; Procedures; Process; Protocols documentation; Public Health; Quality of life; Randomized; Randomized Controlled Clinical Trials; Randomized Controlled Trials; Range; Rate; Recording of previous events; Records; Regulation; Research Personnel; Risk; Sample Size; Sampling; School-Age Population; Screening procedure; Sex Behavior; Social Functioning; Social Problems; Student Dropouts; To specify; Treatment Efficacy; United States National Institutes of Health; Visit; Work; Youth; abstracting; base; design; disability; efficacy trial; eligible participant; experience; follow-up; foster care; improved; indexing; innovation; intervention program; maltreatment; mortality; novel; pilot trial; programs; satisfaction; service utilization; size; skills; social; sound; teacher; therapy design; uptake

DESCRIPTION (provided by applicant): Youth with a history of maltreatment and foster care placement are at risk for a host of mental health, behavioral, and social problems, resulting in adverse life-course outcomes of great public health significance. This R01 application seeks support for a 5-year efficacy trial of the Fostering Healthy Futures Program (FHF), a preventive intervention designed to promote prosocial development, and to reduce problem behaviors for youth in foster care. FHF is an innovative, culturally-sensitive and multi-component intervention for 9-11-year-old children who have been maltreated and placed in foster care. Through a 9- month intervention that includes screening assessments, one-on-one mentoring, and skills groups, FHF targets cognitive, social and behavioral domains in order to build competencies, improve mental health functioning and quality of life, and reduce problem behaviors and adverse life outcomes (e.g. arrests, school dropout, restrictive placements). Assessments with youth, caregivers and teachers will be conducted at baseline (pre-randomization), post-intervention, and 1-year follow-up. Data will also include child welfare, educational, and juvenile justice records. A randomized controlled pilot trial of FHF in one county has produced program manuals for the mentoring and skills group components, and evidence of program feasibility, with high recruitment and retention rates. The FHF pilot study has demonstrated positive preliminary effects on putative mediators, including youths' social functioning, attitudes, coping skills, behavioral regulation, and extracurricular involvement (cfe from .23-72). It has also demonstrated positive effects on distal outcomes, including problem behaviors, competencies, number of restrictive placements, and life satisfaction (cfe from .2S-.75). Finally, the pilot study has generated preliminary effect sizes that have enabled us to specify the sample size necessary for a full-scale efficacy trial. A multi-county randomized controlled trial of the FHF program with 256 youth will enable us to: 1) examine intervention effects on both proximal and distal outcomes, 2) examine potential moderators of the intervention, 3) conduct mediational analyses to identify the mechanisms by which the program may enhance outcomes, and 4) conduct within-group analyses. The goal is to design more efficacious interventions, thereby reducing disability, morbidity, and mortality, not only for youth in foster care, but for all high-risk youth.

描述（由申请人提供）：有虐待史和寄养安置的青少年有许多心理健康、行为和社会问题的风险，导致对公共卫生具有重大意义的不良生命历程结果。本R01申请旨在支持一项培育健康未来计划（FHF）的5年疗效试验，FHF是一项旨在促进亲社会发展和减少寄养青少年问题行为的预防性干预措施。FHF是一项创新的、文化敏感的、多成分的干预措施，针对的是9-11岁被虐待并被寄养的儿童。通过9个月的干预，包括筛选评估、一对一辅导和技能小组，FHF以认知、社会和行为领域为目标，以建立能力，改善心理健康功能和生活质量，减少问题行为和不良生活结果（如被捕、辍学、限制性安置）。对青少年、照顾者和教师的评估将在基线（随机化前）、干预后和1年随访期间进行。数据还将包括儿童福利、教育和少年司法记录。在一个县进行的FHF随机对照试点试验编制了指导和技能小组组成部分的项目手册，以及项目可行性的证据，招聘率和保留率都很高。FHF试点研究已经证明了对假定的中介因素的积极初步影响，包括青少年的社会功能、态度、应对技能、行为调节和课外参与（参见0.23 -72）。它还显示出对远端结果的积极影响，包括问题行为、能力、限制性安置数量和生活满意度（从0.2s到0.75）。最后，试点研究产生了初步的效应量，使我们能够指定全面疗效试验所需的样本量。一项涉及256名青少年的FHF项目的多县随机对照试验将使我们能够：1)检查干预对近端和远端结果的影响，2)检查干预的潜在调节因子，3)进行中介分析以确定该项目可能提高结果的机制，4)进行组内分析。目标是设计更有效的干预措施，从而减少残疾、发病率和死亡率，不仅针对寄养青年，而且针对所有高风险青年。