Computer Assisted Adaptation of the SafeCare Model to Improve the Outcomes

2007年，约有794，000起经证实的虐待儿童案件。调查数据 实际的虐待率要高得多，大约七分之一的年轻人报告说， 童年或青春期的虐待。CM不成比例地影响穷人，残疾儿童，单亲 家庭和某些少数群体。SafeCare计划是一项由政府支持的 行为父母培训，重点是防止儿童的身体虐待和忽视， 最高风险年龄组，即0 - 5岁。大多数研究评估的有效性 SafeCare的重点是母亲。然而，国家数据表明，父亲参与了36%的 每年都有虐待案件得到证实。我们建议增加和调整父亲的安全护理， 检查干预措施对改善儿童虐待相关结局的有效性， 父亲（年轻、贫穷、教育程度低、非裔美国人）。在第一年，我们将参与 在开发阶段，我们将通过动机性面试来增强SafeCare模型 (Ml)技术，一种以证据为基础的激励行为改变的方法，将通过 计算机软件。我们还将调整SafeCare PCI模块的组件，通过 计算机技术将利用单个病例对计算机辅助MI-PCI干预进行确认 设计方法，有6个父亲。一旦适应性干预措施得到验证，我们将随机分配120名 MI-PCI干预组或等待名单对照组的父亲。参与者的父亲将被提前评估 至MI-PCI、介入治疗期间、介入治疗后即刻和3个月随访时。初级 感兴趣的结果包括父亲的养育行为，父亲的孩子虐待风险，父亲-孩子 互动和儿童行为结果。如果MI-PCI成功降低了父亲的CM风险， 一个项目可以通过国家安全护理培训和研究， 中心

In 2007, there were approximately 794,000 substantiated cases of Child Maltreatment (CM). Survey data suggests that actual rates of maltreatment are much higher, with approximately 1 in 7 youth reporting maltreatment in childhood or adolescence. CM disproportionately affects the poor, disabled children, singleparent households, and certain minority groups. The SafeCare program is an empirically-supported behavioral parent training that focuses on prevention of physical abuse and neglect for children in the highest risk age group, those 0-5 years of age. The majority of research evaluating the effectiveness of SafeCare has focused on mothers. However, national data indicate that fathers are involved in 36% of substantiated cases of maltreatment annually. We propose to augment and adapt SafeCare for fathers, and to examine the effectiveness of the intervention for improving child maltreatment-related outcomes with atrisk fathers (young, poor, low education attainment, African American). During the first year, we will engage in a development phase during which we will augment the SafeCare model with Motivational Interviewing (Ml) techniques, an evidence-based method for motivating behavior change, which will be delivered through computer software. We will also adapt components of the SafeCare PCI module to be delivered through computer technology. The computer-assisted MI-PCI intervention will be validated, utilizing single-case design methodology, with 6 fathers. Once the adapted intervention is validated, we will randomly assign 120 fathers to either the MI-PCI intervention or a wait-list control group. Father participants will be assessed prior to MI-PCI, during intervention delivery, immediately post-intervention, and at 3 month follow-up. Primary outcomes of interest include father parenting behaviors, father child maltreatment risk, father-child interaction, and child behavioral outcomes. If MI-PCI is successful in reducing CM risk for fathers, the program could reach thousands of at-risk fathers through the National SafeCare Training and Research Center.