CE23-003 - Caregiver Relational Responsiveness (RR): An Understudied Fidelity Construct as a Mechanism to Increase Protective Factors Against Maltreatment.

项目摘要/摘要 虐待预防计划可以通过建立保护措施促进公共健康 高危家庭中的因素。为了使他们的利益最大化，计划应该是 通过保持忠诚来达到预期的效果。参与者响应(PR)是一种 被定义为参与者在多大程度上的忠诚度 对行为、态度和行为的干预 关系级别。然而，以前的研究大多集中在行为和 态度反应，如出勤率、跟进和满意度。 这项研究的目的是检验参与者关系的作用 反应性(RR)作为一种增加儿童保护因素的机制 参加家庭成功网络的照顾者受到的虐待 (FSN)。FSN是一个以社区为基础的虐待预防计划，试点旨在 为俄亥俄州3个服务不足的县提供服务，这些县的虐待发生率很高。在FSN中， 教练和家庭协作制定量身定做的服务计划，旨在 增加家庭保护因素。以一级预防和二级预防为重点， FSN为没有确凿虐待史的家庭提供服务。利用 由儿童局资助的随机对照试验，建议 研究将追求以下目标：1)检验 在FSN参与者中测量关系响应性(RR)；2) 确定RR在多大程度上调节FSN效应，以及RR是否 调解效果受照顾者种族和性别的影响；3)确定 类激活或禁止RR的调解效果的上下文 现实主义知情混合方法。随之而来的培训目标包括 培养进行严谨实验研究和检验的能力 实施结果和方案有效性；2)机械性研究 采用现实主义知情的混合方法设计；3)利益相关者参与的研究。 培训和研究将由教授Johnson-Motoyama博士监督 在俄亥俄州立大学社会工作学院工作(主要导师)。这个 这项研究的结果将支持R21/RO1 II型混合动力车的提议 实施和有效性试验，我将让利益相关者参与 制定并编写针对RR的量身定制的实施策略。

Project Summary/Abstract Maltreatment prevention programs can promote public health by building protective factors among at-risk families. To maximize their benefits, programs should be delivered as intended by maintaining fidelity. Participant responsiveness (PR) is an under-studied fidelity construct defined as the degree to which participants “respond to or are engaged by” intervention at the behavioral, attitudinal, and relational levels. However, previous studies mostly focus on behavioral and attitudinal responsiveness such as attendance, follow-through, and satisfaction. The purpose of this study is to examine the role of participant Relational Responsiveness (RR) as a mechanism to increase protective factors against child maltreatment among the caregivers participating in the Family Success Network (FSN). The FSN is a community-based maltreatment prevention program piloted to serve 3 under-served counties in Ohio with high maltreatment rates. In FSN, coaches and families collaboratively develop a tailored plan of services designed to increase family protective factors. Focusing on primary and secondary prevention, FSN serves families with no history of substantiated maltreatment. Leveraging a Randomized Controlled Trial (RCT) funded by the Children’s Bureau, the proposed study will pursue the following aims; 1) To examine the structural validity of the Relational Responsiveness (RR) measure among FSN participants; 2) To determine the degree to which RR mediates FSN effects and whether RR’s mediation effects are moderated by caregiver race and gender; 3) To identify contexts within which RR’s mediation effects are activated or inhibited using a realist informed mixed-method approach. The accompanying training goals include developing competence in conducting 1) rigorous experimental studies examining implementation outcomes and program effectiveness; 2) mechanistic research using a realist-informed mixed-method design; 3) stakeholder-engaged research. The training and research will be overseen by Dr. Johnson-Motoyama, a professor in the College of Social Work at the Ohio State University (primary mentor). The results from this study will support a proposal for an R21/RO1 type II hybrid implementation and effectiveness trial in which I will engage stakeholders to develop and text tailored implementation strategies targeting RR.