Prevention of behavior problems among preschool children in foster care through group-based foster caregiver training at the time of placement

通过在安置时进行基于团体的寄养照顾者培训，预防寄养中的学龄前儿童的行为问题

• 批准号: 10515711
• 负责人: Sarah Beal
• 金额: $ 72.85万
• 依托单位: CINCINNATI CHILDRENS HOSP MED CTR
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2027-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10515711
• 关键词: Address; African American; Age; Aggressive behavior; Behavior; Behavioral; Caregivers; Caring; Chicago; Child; Child Abuse and Neglect; Child Behavior; Child Rearing; Child Welfare; Clinic; Clinical Trials; Development; Discipline; Effectiveness; Elements; Ensure; Evidence based program; Family; Fostering; Future; Gender; Goals; Health Care Visit; Home; Household; Incentives; Individual; Informal Social Control; Institution; Intervention; Latinx; Left; Length; Low income; Measures; Methods; Minority; Modeling; Modification; Nursery Schools; Parents; Play; Policies; Population; Preparation; Preschool Child; Prevention; Problem behavior; Race; Randomized; Randomized Controlled Trials; Recording of previous events; Reporting; Risk Behaviors; Role; Schools; Self Efficacy; Services; Source; Stress; Structure; Suspensions; Testing; Therapeutic; Time; Training; Transportation; Trauma; Trust; United States; Youth; adverse outcome; base; burnout; care systems; caregiver education; caregiver stress; design; evidence base; experience; family support; foster care; foster child; health care delivery; high risk behavior; improved; maltreatment; minority children; non-compliance; pragmatic trial; prevent; programs; public health relevance; real world application; response; social; synchronous delivery; treatment as usual; virtual platform

Project Summary Most children in foster care experience multiple forms of maltreatment, increasing risk for behavior problems (e.g., aggression, noncompliance, suspensions/expulsions from preschool or daycare). The foster care system is over-burdened and crisis-response oriented, limiting capacity to focus on prevention of behavior problems with foster caregivers and children. The Chicago Parent Program (CPP) is an evidence-based 12-session program (11 concurrent weeks, 1 one-month booster) with demonstrated significant and sustained improvements in consistent discipline, parenting self-efficacy, and child behavior problems 1 year following training. If available to foster caregivers, CPP could prevent or reduce behavior problems in foster youth, decrease caregiver stress, increase self-efficacy and consistent discipline with caregivers, and prevent unnecessary placement changes. However, adaptations to the existing program are necessary. The goal of this study is to conduct a clinical trial of CPP adapted for foster caregivers of young children. This will be accomplished through three aims: Aim 1: Adapt CPP to meet the unique needs of children ages 2-5 years who are placed with foster caregivers (CPP-FC) and pilot delivery coordinated with mandated healthcare visits (2 groups, 6-8 families). CPP content will be adapted (e.g., additional content targeting trauma and child maltreatment, modified discussion of vignettes, additional role-play targeting specific foster care scenarios). A stakeholder adaptation team, including 6 caregivers, has been established to guide development of enhanced content. Aim 2: Assess the impact of CPP-FC on caregiver stress & confidence in managing child behavior. Families (N = 300) will be randomized to CPP-FC or usual care, with assessments at baseline, 3 months (end of training) and 6 months. CPP-FC is expected to reduce caregiver stress and increase confidence. Aim 3: Assess the impact of CPP-FC on child behavior. Observations of structured interactions between caregivers and children at baseline and 3-months will be collected along with caregiver reports of child behaviors at baseline, 3 months, and 6 months. CPP-FC is expected to decrease child behavior problems and result in fewer placement changes. If hypotheses are confirmed, this study will provide an evidence-based model to prevent behavior problems in young foster children that could be spread to other institutions.

项目摘要 大多数寄养儿童都经历了多种形式的虐待，增加了行为问题的风险 (例如，攻击性、不遵守规定、从学前班或日托所停学/开除)。寄养制度 负担过重，以危机应对为导向，限制了专注于预防行为问题的能力 寄养照顾者和孩子。芝加哥家长计划(CPP)是一个以证据为基础的12期课程 计划(11个并行周，1个月助推器)，证明是重要的和持续的 1年后在一致性管教、父母自我效能感和儿童行为问题方面的改善 训练。如果可以提供给寄养照顾者，CPP可以预防或减少寄养青少年的行为问题， 减少照顾者的压力，提高自我效能，与照顾者保持一致的纪律，并防止 不必要的位置更改。然而，对现有计划进行调整是必要的。的目标是 本研究旨在进行适合幼儿寄养照料者的CPP临床试验。这将是 通过三个目标实现：目标1：调整CPP以满足2-5岁儿童的独特需要 谁被安置在寄养照顾者(CPP-FC)和试点分娩协调与授权 医疗访问(2组，6-8个家庭)。将调整CPP内容(例如，针对其他内容 创伤和虐待儿童，修改小插曲的讨论，针对特定寄养的额外角色扮演 护理场景)。已经成立了一个利益攸关方适应小组，其中包括6名照顾者，以指导 增强内容的开发。目标2：评估CPP-FC对照顾者压力和自信的影响 在管理孩子的行为方面。家庭(N=300)将被随机分配到CPP-FC或常规护理， 在基线、3个月(培训结束)和6个月时进行评估。CPP-FC预计将减少照顾者 施加压力，增强信心。目的3：评估CPP-FC对儿童行为的影响。观察到的 将收集照顾者和儿童在基线和3个月内的结构化互动 照顾者报告孩子在基线、3个月和6个月时的行为。预计CPP-FC将下降 儿童行为问题，并导致较少的位置变化。如果假设得到证实，这项研究将 提供循证模式，预防可能传播的寄养儿童行为问题 给其他机构。