Integrating Evidence-based Approaches to Prevent Child Maltreatment in Kyrgyzstan

1个项目摘要/摘要 2. 3此K01奖项的目的是为候选人提供过渡到 4预防虐待儿童(CM)的研究独立性。该项目的核心是一项拟议的 5项研究，将使用社区参与的方法来整合和测试三个循证项目 6(EBPS)，以防止吉尔吉斯斯坦的CM、家庭暴力(DV)和其他A级。该项目将以创新为特色 7对初级专业人员进行关于循证政策与儿童/家庭结果的融合和适应、纵向干预的培训 8研究，定量测量/分析。它还将有来自高年级学生团体的强有力的指导 9名导师，在NIH支持的研究方面有出色的记录，并有指导青少年的广泛历史 10名教员以及非政府组织，他们都具有预防CM的丰富经验/承诺。预防CM是一种 11对个人、家庭和社区福祉至关重要，特别是在 12受影响不成比例，例如低收入中等收入国家的家庭，与#年的移民和难民人口有关 13美国虽然存在有希望的方法，但它们还没有被采用，并在 14个中亚(CA)群体。尽管有强有力的证据表明这些方法在 15在美国和其他全球背景下，这些互补和协同的方法具有 16从未在研究中联合部署。为满足高危家庭的需要，建议的 17计划将改编和试行以家庭为中心(多个家庭小组)的校本(学童和他们的 18个家庭)经济赋权(FE费)方案，以促进#年的积极健康和社会经济成果 19名儿童：1)MFG是一个以家庭为中心的团体分娩的EBP，专为其家庭的儿童/青少年设计 20与贫困和相关的压力源作斗争；2)SAF已显示出在(Co)- 21父母养育和儿童行为结果；3)费用通过以下方式为个人/家庭幸福建立保护因素 22解决经济压力来源和加强财政能力。MFG+SAF+FEY组合为 23假设比任何个别干预措施的效果都更能改善儿童和家庭的福祉， 24.每一种干预措施都实现了自己的具体效果，并有助于其他干预措施的效果。这些EBP 25必须认真适应目标群体的文化和不同需要。拟议的研究将建立 26通过将这些方法作为一揽子方案联合实施，对这项先前的研究进行了总结。开展这项创新性研究 27在专门培训和指导的背景下，将为PI提供可利用的技能和经验 28.社区参与的执行科学，以便在全球范围内更广泛地应用。该奖项将为 29 PI将通过采用创新的混合方法措施，在预防CM方面发挥领导作用 30在全球卫生背景下调整和评估预防CM的最有前景的方法的过程。

1 PROJECT SUMMARY/ABSTRACT 2 3 The purpose of this K01 Award is to provide the candidate with the training and expertise needed to transition to 4 research independence in prevention of child maltreatment (CM). The centerpiece of the project is a proposed 5 study which will use a community-engaged approach to integrate and test three evidence-based programs 6 (EBPs) to prevent CM, domestic violence (DV), and other ACEs in Kyrgyzstan. The project will feature innovative 7 training for the PI in integration and adaptation of EBPs to child/family outcomes, longitudinal intervention 8 research, and quantitative measurement/analysis. It will also feature strong mentoring from group of senior 9 mentors with an outstanding track record of NIH-supported research and an extensive history of mentoring junior 10 faculty, as well as NGOs, all with extensive experience/commitment to preventing CM. Prevention of CM is of 11 paramount importance to individual, family and community wellbeing, particularly among those 12 disproportionately affected, such as families in LMICs, and is relevant for immigrant and refugee populations in 13 the U.S. Although promising approaches exist, they have not been adapted and rigorously evaluated among 14 Central Asian (CA) populations. Although there is strong evidence about the efficacy of these approaches in the 15 general population in the U.S. and other global contexts, these complementary and synergistic approaches have 16 never been deployed jointly in research. To address the needs of the at-risk for ACEs families, the proposed 17 program will adapt and pilot a family-focused (Multiple Family Groups) school-based (School Children and Their 18 Families) economic empowerment (FEE) program to promote positive health and socioeconomic outcomes for 19 children: 1) MFG is a family-centered, group delivered EBP designed for children/adolescents whose families 20 struggle with poverty and associated stressors; 2) SAF has shown to have significant improvements in (co)- 21 parenting and child behavioral outcomes; 3) FEE builds protective factors for individual/family wellbeing by 22 addressing economic stressors and strengthening financial capability. Combining MFG+SAF+FEE is 23 hypothesized to improve child and family wellbeing more than any of the individual interventions’ effects, with 24 each intervention achieving its own specific effects and contributing to the efficacy of the others. These EBPs 25 must be carefully adapted to the culture and distinct needs of the target groups. The proposed study will build 26 on this prior research by implementing these approaches jointly as a package. Carrying out this innovative study 27 in a context of specialized training and mentoring will provide the PI with the skills and experience to leverage 28 community-engaged implementation science for wider application in global contexts. The award will equip the 29 PI to take on a leadership role in the prevention of CM through the use of innovative mixed-method measures in 30 the process of adapting and assessing the most promising approaches to prevent CM in global health contexts.