Feasibility of Substance Abuse Prevention in Foster Care Settings

寄养机构中预防药物滥用的可行性

• 批准号: 8144861
• 负责人: Kevin P Haggerty
• 金额: $ 20.92万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2013-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8144861
• 关键词: AIDS prevention; Address; Adherence; Adolescence; Adolescent; Adult; African American; Alcohol or Other Drugs use; Alcohols; Attitude; Behavior; Caregivers; Caring; Child; Child Welfare; Conflict (Psychology); Development; Diffusion; Distal; Drug usage; Evaluation; Evidence based program; Family; Feasibility Studies; Focus Groups; Fostering; Foundations; Frequencies; Future; Government Agencies; HIV; Intervention; Knowledge; Low income; Methods; Outcome; Parenting behavior; Parents; Pharmaceutical Preparations; Pilot Projects; Prevention; Prevention program; Problem behavior; Process; Provider; Randomized; Recording of previous events; Research; Risk; Risk Behaviors; Services; Sex Behavior; Social Development; Societies; Staging; Substance abuse problem; System; Teenagers; Testing; Theoretical model; Tobacco; Violence; Vulnerable Populations; Washington; Youth; adverse outcome; base; care systems; comparative trial; condoms; design; drug abuse prevention; efficacy testing; evidence base; experience; family management; foster care; foster parent; high risk sexual behavior; improved; information gathering; programs; research and development; research study; sex; skills; substance abuse prevention; substance use prevention

This R34 (PA-09-146) study is designed to evaluate the feasibility of disseminating an evidence- based, self¿ directed, family focused, substance abuse prevention program (Staying Connected with Your Teen) within the foster care system. A history of being in foster care has been found to be associated with a host of adverse outcomes and behaviors that increase the risk for HIV both during adolescence and into adulthood (Barth, 1990; D'Angelo et al., 2006; Hussey et al., 2006). Staying Connected with Your Teen (SCT) is a family-based, self-directed intervention to prevent substance use, risky sexual behavior, and violence during adolescence that has shown long-term (2-year) effects in reducing initiation into drug use and risky sexual activity, and has reduced the frequency of violent behaviors, especially among low-income African American teens (Haggerty et al., 2007). This proposed study is designed to build capacity within three Children¿s Services Administration regions in Washington State to adapt and implement this evidence-based prevention program. This study is unique in that it employs a theoretical model of behavior development (Catalano & Hawkins, 1996) with a process for adapting and implementing a tested and efficacious drug abuse prevention program with kinship care and non-relative foster care families (Wingood & DiClemente, 2008). This 3-year feasibility study will 1) use Wingwood & DiClimente¿s (2008) ADAPT-ITT method of adapting evidence-based HIV interventions, to document and augment the SCT intervention for foster families, 2) identify and evaluate barriers and enablers to successful implementation, and 3) use a small, randomized waitlist control pilot study to evaluate the impact of the program on key proximal family outcomes with foster care families. The ADAPT-IT process and the small randomized control pilot will be used to build capacity for conducting self-directed family programs among foster families with teens to reduce substance abuse and HIV risk behaviors. This proposal focuses on collaborating with child welfare practitioners and foster caregivers to identify the specific needs and unique implementation issues encountered in administering this evidence-based, selfdirected intervention to foster families in the child welfare system. It brings together two research groups, Social Development Research Group, which has developed and tested the efficacy of a number of prevention programs, with Partners for Our Children, a foster care research group. We expect that this collaborative evaluation of the feasibility of integrating substance abuse prevention into kinship care and non-relative foster care will set the stage for a future comparative trial with more intensive foster care drug abuse prevention parenting programs. This study will explore the feasibility of disseminating a self-directed substance abuse prevention program through the foster care system, and will generate valuable knowledge about adaptations, barriers, and enablers to effective implementation.

这项 R34 (PA-09-146) 研究旨在评估传播基于证据的自我测试的可行性 指导性的、以家庭为中心的药物滥用预防计划（与青少年保持联系） 寄养制度。已发现寄养史与许多不良症状有关 增加青春期和成年期间感染艾滋病毒风险的结果和行为（Barth， 1990；德安吉洛等人，2006；赫西等人，2006）。与青少年保持联系 (SCT) 是一项以家庭为基础的、 自我指导干预，以防止青春期药物使用、危险性行为和暴力 在减少吸毒和危险性行为方面显示出长期（2 年）效果，并且 减少暴力行为的频率，尤其是低收入非裔美国青少年（Haggerty et 等，2007）。这项拟议的研究旨在建设三个儿童服务管理局的能力 华盛顿州各地区调整并实施这一循证预防计划。这项研究是 其独特之处在于它采用了行为发展的理论模型（Catalano＆Hawkins，1996） 调整和实施经过测试且有效的亲属药物滥用预防计划的过程 照顾和非亲属寄养家庭（Wingood & DiClemente，2008）。这项为期 3 年的可行性研究将 1) 使用 Wingwood & DiClimente¿s (2008) ADAPT-ITT 方法来调整基于证据的艾滋病毒干预措施， 记录并加强对寄养家庭的 SCT 干预，2) 识别和评估障碍和推动因素 成功实施，以及 3) 使用小型随机候补名单控制试点研究来评估影响 关于寄养家庭的关键近亲家庭成果的计划。 ADAPT-IT 流程和 将使用小型随机对照试点来建设开展自主家庭计划的能力 在有青少年的寄养家庭中减少药物滥用和艾滋病毒危险行为。 该提案的重点是与儿童福利从业者和寄养照顾者合作，以确定 在管理这种基于证据的、自我指导的过程中遇到的具体需求和独特的实施问题 对儿童福利系统中的寄养家庭进行干预。它汇集了两个研究小组， 社会发展研究小组，已开发并测试了多项预防措施的功效 项目，与我们的孩子的合作伙伴，一个寄养研究小组。我们期待此次合作 评估将药物滥用预防纳入亲属照顾和非亲属寄养的可行性 护理将为未来进行更强化的寄养药物滥用预防比较试验奠定基础 育儿计划。本研究将探讨传播自我导向药物滥用的可行性 通过寄养系统进行预防计划，并将产生有关适应的宝贵知识， 有效实施的障碍和推动因素。