Preventing Conduct Disorder Among Children in the Child Welfare System

描述（由申请人提供）：儿童福利系统中的儿童存在严重破坏性行为问题的高风险，包括品行障碍。因此，预防或减少早期行为问题对于改善儿童福利系统中弱势儿童群体的长期结果至关重要。我们项目的目的是：(a)确定对于儿童福利系统中的非裔美国人和欧裔美国儿童，Pathways Triple P是否比常规治疗（TAU）产生更好的行为和安全结果；(b)评估Pathways Triple P与TAU相比的成本效益。具体而言，本研究的目的是：(1)对140名家长进行纵向随机对照试验。路易斯儿童福利系统（他们的孩子在学习开始时就在他们的照顾下）来测试Pathways Triple P在改善5到10岁儿童破坏行为方面的有效性，与TAU相比。(2)检验Pathways Triple P预防虐待再犯的有效性；(3)测量和评估与pathway Triple P和TAU相关的成本和收益。混合方法设计将用于测试假设和回答与每个目标相关的研究问题。本研究采用纵向设计，采用两种治疗条件和四个数据收集点：前测、后测、随访1 （F1，后测后6个月）和随访2 （F2， F1后12个月）。将使用多种评估方法：(1)对家长使用的计算机化标准化工具，(2)对家长进行半结构化访谈，(3)对教师使用的基于纸张的标准化工具，以及(4)将研究数据与多部门的州管理数据集联系起来。本研究的结果将确定路径3p是否能产生最佳的儿童行为结果，并防止弱势儿童福利人群中的虐待再犯，将确定路径3p在什么条件下对目标人群的父母最有利，并将帮助定位稀缺的联邦资金，为儿童福利系统中的儿童服务。

DESCRIPTION (provided by applicant): Children in the child welfare system are at high risk for serious disruptive behavior problems, including conduct disorder. Therefore, the prevention or reduction of early behavior problems is critical to improving long term outcomes for the vulnerable population of children in the child welfare system. The purpose of our project is to: (a) determine if Pathways Triple P results in better behavioral and safety outcomes than treatment as usual (TAU) for African American and European American children in the child welfare system and (b) evaluate how the cost-effectiveness of Pathways Triple P compares to TAU. Specifically, the aims of this study are to: (1) conduct a longitudinal, randomized control trial with 140 parents in the metro-St. Louis child welfare system (whose children are in their care at the time of study entry) to test the effectiveness of Pathways Triple P at improving child disruptive behavior among children between the ages of 5 and 10 compared to TAU. (2) Test the effectiveness of Pathways Triple P at preventing maltreatment recidivism; and (3) Measure and evaluate the costs and benefits associated with Pathways Triple P and TAU. A mixed method design will be used to test the hypotheses and answer the research questions associated with each aim. The study design is longitudinal with two treatment conditions and four data collection points: pre-test, post-test, follow-up 1 (F1, 6 months after post-test) and follow-up 2 (F2, 12 months after F1). Multiple assessment methods will be used: (1) computerized standardized instruments administered to parents, (2) semi-structured interviews with parents, (3) paper-based standardized instrument administered to teachers and (4) linking study data with a multi-sector state administrative dataset. Findings from this study will determine if Pathways Triple P results in optimal child behavior outcomes and prevents maltreatment recidivism among the vulnerable child welfare population, will identify for whom and under what conditions Pathways Triple P is most beneficial to parents to the target population, and will help target scarce federal dollars to serve children in the child welfare system.