权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Family Mediation Program for At-Risk Youth

针对高危青少年的家庭调解计划

基本信息

批准号：
8470610
负责人：
JOAN S TUCKER
金额：
$ 12.43万
依托单位：
RAND CORPORATION
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：
2011-07-01 至 2016-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8470610
关键词：
Address Adolescent Adolescent Behavior Alcohol or Other Drugs use Attention Attitude Baseline Surveys Behavior Child Communication Communities Conflict (Psychology)Consent Counseling Country County Data Disputes Educational process of instructing Evaluation Family Feedback Fostering Future Goals Intervention Journals Knowledge Law Enforcement Lifestyle-related condition Los Angeles Manuals Manuscripts Mediation Mediator of activation protein Methods Outcome Parent-Child Relations Parents Peer Review Prevention program Problem behavior Process Professional counselor Provider Resolution Risk Sample Size Sampling Schools Services Sex Behavior Students Surveys Training Variant Waiting Lists Youth adjudication adolescent drug use base clinical practice conflict resolution cost design experience follow-up high school improved intervention effect middle school probation programs randomized trial skills volunteer

项目摘要

DESCRIPTION (provided by applicant): Results from this pilot cluster-randomized trial will inform both scientific knowledge and clinical practice by providing preliminary evidence on the efficacy of parent-child mediation for improving problem behaviors and related attitudes among at-risk youth, as well as elucidating the process through which this occurs. Mediation is a method of dispute resolution in which the parties in conflict are assisted in reaching a settlement through a neutral third party. Parent-child mediation programs are currently offered throughout the country, but have not been rigorously evaluated in terms of their impact on family functioning and youth problem behaviors such as substance use. Further, little attention has focused on the mediation process itself in terms of assessing its fundamental components and investigating how each of these components is related to positive family and youth outcomes. The proposed study involves a pilot evaluation of a parent-child mediation program for at- risk middle and high school students and their parents/guardians. School counselors at eight participating schools will identify youth who are experiencing significant behavioral problems based on well-defined criteria. Identified youth at the four intervention schools will be referred by school counselors to the parent-child mediation program. Identified youth at the four control schools will be assigned to a wait-list control condition. All participating youth and parents will complete three brief surveys (baseline, 6-week follow-up, 12-week follow-up) to obtain preliminary evidence of the short-term impact of parent-child mediation on indicators of family functioning, as well as key youth problem behaviors and related attitudes. Families who participate in parent-child mediation will also provide feedback on the mediation process in order to examine its associations with these outcomes. We will use data from this pilot evaluation to address the following three aims: 1) To investigate whether families who receive parent-child mediation (150 parents/guardians and 150 youth) show greater improvement in family functioning over a 12-week period compared to a wait-list control sample of 150 families (parent/guardian and youth) not receiving parent-child mediation; 2) To investigate whether youth in families who receive parent-child mediation show greater improvement in substance use intentions and behavior, school-related behavior and attitudes, sexual activity intentions and behavior, and delinquency over a 12-week period compared to a wait-list control sample; and 3) to gain a better understanding of intervention effects by: a) exploring whether improvements in family functioning serve as an explanatory mechanism for changes in youth problem behaviors and related attitudes among families who participate in parent-child mediation versus controls; and b) identifying aspects of the parent-child mediation process that are most related to positive outcomes in family functioning and youth problem behaviors and related attitudes among families who participate in mediation. If results from this pilot evaluation are promising, we will submit an R01 application to conduct a randomized trial with a larger sample size and significantly longer follow-up period.

描述（由申请人提供）：该试点整群随机试验的结果将提供有关亲子调解对于改善高危青少年问题行为和相关态度的有效性的初步证据，并阐明其发生的过程，从而为科学知识和临床实践提供信息。调解是一种解决争端的方法，通过中立的第三方协助冲突各方达成和解。目前，亲子调解计划在全国范围内开展，但尚未对其对家庭功能和青少年问题行为（例如药物滥用）的影响进行严格评估。此外，很少有人关注调解过程本身，评估其基本组成部分并调查每个组成部分如何与积极的家庭和青少年结果相关。拟议的研究涉及对高危初中生和高中生及其父母/监护人的亲子调解计划进行试点评估。八所参与学校的学校辅导员将根据明确的标准来识别正在经历严重行为问题的青少年。四所干预学校的已确定青少年将由学校辅导员转介至亲子调解计划。四所控制学校的已确定青少年将被分配到候补名单控制条件。所有参与的青少年和家长将完成三项简短的调查（基线、6周随访、12周随访），以获得亲子调解对家庭功能指标的短期影响以及青少年关键问题行为和相关态度的初步证据。参与亲子调解的家庭还将提供调解过程的反馈，以检查其与这些结果的关联。我们将利用本次试点评估的数据来实现以下三个目标： 1) 调查接受亲子调解的家庭（150 名家长/监护人和 150 名青少年）与未接受亲子调解的 150 个家庭（家长/监护人和青少年）的候补对照样本相比，在 12 周内是否表现出更大的家庭功能改善； 2) 调查12周内接受亲子调解的家庭中的青少年与候补名单对照样本相比，在物质使用意图和行为、学校相关行为和态度、性活动意图和行为以及犯罪行为方面是否表现出更大的改善； 3) 通过以下方式更好地了解干预效果： a) 探讨家庭功能的改善是否可以作为参与亲子调解与控制的家庭中青少年问题行为和相关态度变化的解释机制； b) 确定亲子调解过程中与家庭功能积极成果、青少年问题行为以及参与调解的家庭的相关态度最相关的方面。如果这次试点评估的结果有希望，我们将提交 R01 申请，以进行更大样本量和显着更长随访期的随机试验。