Project Connect: Adapting PCIT to Foster Care

Project Connect:使 PCIT 适应寄养服务

基本信息

  • 批准号:
    8180501
  • 负责人:
  • 金额:
    $ 45.11万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2011
  • 资助国家:
    美国
  • 起止时间:
    2011-07-05 至 2014-06-30
  • 项目状态:
    已结题

项目摘要

DESCRIPTION (provided by applicant): Parent-Child Interaction Therapy (PCIT) is an empirically validated treatment for externalizing behavior problems in young children. Foster children are at an especially high risk of developing externalizing problems, difficulties that their foster parents are not often trained to manage effectively. PCIT is typically delivered by therapists in 12-14 individual, weekly sessions. Although efficacious, standard PCIT is resource intensive, so it is unlikely to be adopted as a routine service by child welfare agencies. Therefore, the objective of this study is to implement and test the efficacy of a novel adaptation of PCIT with foster families using group-based and in- home treatment. The intervention will couple two innovative treatment modalities: (1) an intensive PCIT group training with foster parent-child dyads, and (2) daily in-home rehearsal of PCIT skills reinforced by regular telephone counseling sessions. A total of 132 foster families will be randomly assigned to three equal groups (n=44), including two experimental conditions receiving different treatment doses. Both treatment groups will receive a two-day training followed by 8 weeks of in-home clinical services. One of the two treatment groups will then receive a one-day booster session of PCIT training along with 6 more weeks of in-home services. The two experimental groups will be compared to each other and a third waitlist control group. The study has three central aims: (a) to examine whether two treatment conditions receiving different doses of PCIT demonstrate gains in parent and child outcomes compared to each other and to a control group receiving child welfare services as usual, (b) to identify predictors of treatment non-response, and (c) to explore mediators of main- effect findings. Assessments will be conducted at baseline and several subsequent time points for each group. Multiple informants and measures will be used to assess study outcomes, which include children's externalizing behaviors, compliance, and emotion regulation as well as caregivers' behavior management skills, parenting attitudes and stress. This investigation will make several significant practical and scientific contributions. Analyses will show whether PCIT can be implemented successfully in a community setting with foster families using group-based training and follow-up in-home activities. Through the use of the same therapeutic modalities across treatment conditions, it will also be possible to detect dosage effects. Furthermore, the proposed intervention builds on existing child welfare service structures, thereby increasing the likelihood of successful (a) implementation of the intervention, (b) replication in future effectiveness trials, and (c) integration into the child welfare service system. Methodologically, the use of a randomized, controlled design along with psychometrically validated measures, triangulated assessments, and fidelity safeguards will increase internal validity and strengthen statistical conclusions. Likewise, the proposed analytic approach will enhance causal inferences and contribute to future program development and design.111 PUBLIC HEALTH RELEVANCE: Young foster children are at a high risk of externalizing problems, difficulties that foster parents typically are not trained to address with evidence-based behavior management techniques. This study will evaluate an innovative adaptation of Parent-Child Interaction Therapy (PCIT) with foster children and their caregivers using a group-based approach reinforced with in-home training. Results will produce new knowledge about the feasibility of translating PCIT, an empirically validated clinical treatment, into a community setting in order to mitigate externalizing problems in young foster children.
描述(申请人提供):亲子互动疗法(PCIT)是一种经验性验证的治疗幼儿外在行为问题的方法。寄养儿童出现外在问题的风险特别高,这些问题是他们的养父母经常没有接受过有效管理的培训。PCIT通常由治疗师以每周12-14次的个人课程进行。虽然有效,但标准的PCIT是资源密集型的,因此不太可能被儿童福利机构作为常规服务采用。因此,这项研究的目的是实施和测试一种新的适应PCIT与寄养家庭使用基于小组和家庭治疗的效果。这项干预将结合两种创新的治疗模式:(1)通过寄养亲子二人组进行密集的PCIT小组培训,以及(2)通过定期电话咨询加强PCIT技能的日常在家排练。总共132个寄养家庭将被随机分配到三个相等的组(n=44),包括两个接受不同治疗剂量的实验条件。两个治疗组都将接受为期两天的培训,然后接受为期8周的家庭临床服务。两个治疗组中的一个将接受为期一天的PCIT培训强化课程,同时还将接受6周的家庭服务。两个试验组将被相互比较,第三个等待名单控制组将被比较。这项研究有三个中心目标:(A)检查接受不同剂量PCIT的两种治疗条件是否显示出父母和子女的结果相较于彼此以及与照常接受儿童福利服务的对照组相比有所改善,(B)确定治疗无反应的预测因素,以及(C)探索主要效果结果的中介因素。每组将在基线和随后的几个时间点进行评估。将使用多种信息者和测量来评估研究结果,包括儿童的外化行为、遵从性和情绪调节,以及照顾者的行为管理技能、父母态度和压力。这项调查将做出几项重大的实践和科学贡献。分析将显示,通过以小组为基础的培训和后续家庭活动,PCIT能否在有寄养家庭的社区环境中成功实施。通过在不同的治疗条件下使用相同的治疗方式,也将有可能检测到剂量效应。此外,拟议的干预措施建立在现有的儿童福利服务结构的基础上,从而增加了成功的可能性:(A)实施干预措施,(B)在未来的有效性试验中推广,以及(C)融入儿童福利服务系统。在方法论上,使用随机对照设计以及心理测量学验证的测量、三角评估和保真度保障措施将提高内部有效性并加强统计结论。同样,拟议的分析方法将加强因果推论,并有助于今后的方案开发和设计。 公共卫生相关性:年幼的寄养儿童面临外部化问题的高风险,寄养父母通常没有接受过使用基于证据的行为管理技术来解决这些困难的培训。这项研究将评估亲子互动疗法(PCIT)对寄养儿童及其照顾者的创新适应,采用以小组为基础的方法,并加强家庭培训。结果将产生关于将经经验验证的临床治疗PCIT转化为社区环境以减轻寄养儿童外在问题的可行性的新知识。

项目成果

期刊论文数量(2)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Implementation of Parent Child Interaction Therapy Within Foster Care: An Attempt to Translate an Evidence-Based Program Within a Local Child Welfare Agency.
在寄养机构中实施亲子互动疗法:尝试在当地儿童福利机构内转化循证计划。
  • DOI:
    10.1080/15548732.2014.983288
  • 发表时间:
    2015
  • 期刊:
  • 影响因子:
    1.6
  • 作者:
    Topitzes,James;Mersky,JoshuaP;McNeil,CherylB
  • 通讯作者:
    McNeil,CherylB
Enhancing Foster Parent Training with Parent-Child Interaction Therapy: Evidence from a Randomized Field Experiment.
通过亲子互动疗法加强寄养父母培训:来自随机现场实验的证据。
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James Topitzes其他文献

James Topitzes的其他文献

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