Promoting Sibling Bonds in Foster Care

促进寄养中的兄弟姐妹关系

• 批准号: 7681474
• 负责人: LOURDES ORIANA LINARES
• 金额: $ 29.99万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-01 至 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7681474
• 关键词: Promoting; Sibling; Bonds; Foster; Care

Description (Provided by Applicant) Given their history of family adversity, foster children are a high-risk population for negative sibling relationships and frequent physical aggression toward a sibling leading to increased risk for physical aggression toward other children i.e., non sibling peers. The foster placement context provides a critical window for timely and amenable youth violence prevention to alter the downward behavioral trajectories of children with histories of neglect. This study uses the context of the sibling relationship to develop and evaluate the effectiveness of a youth violence prevention intervention. The goal of this application is to reduce sibling aggression which is prevalent in neglected children placed in foster homes and forecasts significant risk for youth violence. Sibling aggression among maltreated children remains a highly under identified and untreated problem. The failure to intervene represents a major public health concern. This intervention utilizes a tran-stheoretical model that implicates child vulnerabilities (altered cortisol and emotion dysregulation), sibling pair risk- (low positively, and poor conflict management), and foster parent- (non mediation) factors into a testable intervention model to decrease risk for sibling and peer physical aggression among young neglected children. The 'Promoting Sibling Bonds' intervention combines two promising short-term psychosocial sibling programs: Sibs Together (Bank, 2000; 2004) and Mediation-Based Intervention Strategy for Sibling Conflict (Smith & Ross, 2007) adapted to meet the needs of neglected children in the foster care system. The study involves two phases. In Phase 1 Intervention Development, we will refine and expand the intervention protocol, adapt and integrate manuals, train therapists (interventionists), make changes from iteration work, and try-out behavioral outcome measures. In Phase 2 Implementation of a controlled trial, we will recruit a sample of N = 144 children (nested in 72 pairs) between ages 5-8 years old; collect baseline data (wave1); randomize sibling pairs and their families (foster parent or biological parent for cases who reunite) to intervention and comparison groups, and collect post-intervention (wave2) and 6 months follow-up (wave3) outcome data of the adapted intervention. We hypothesize that at post-intervention (wave2), and again at follow-up (wave3), as compared to children assigned to the comparison 'usual care '(UC), children assigned to the experimental intervention condition (IC) will show improvement in reported sibling aggression, non sibling peer aggression, emotion dysregulation; and children will be more likely to exhibit a typical diurnal cortisol pattern. Sibling pairs will show improved relationship quality (positivity and negativity). The proportion of foster parents and sibling pairs who engage in conflict mediation, compromise, and reconciliation strategies will be higher in the intervention group. The public health impact of this intervention for violence prevention is high. Our innovative outcome model is a part of a second generation of studies aimed at integrating rich behavioral science and advances in neurobiology to better understand the multilevel change mechanisms in prevention trials.

描述（申请人提供） 由于寄养儿童的家庭不幸史，他们是负性兄弟姐妹的高危人群 关系和对兄弟姐妹的频繁身体攻击导致增加的风险， 对其他孩子的身体攻击，即，非同胞对等体。寄养环境 提供了一个关键窗口，及时和顺应青年暴力预防，以改变 有被忽视历史的孩子的行为轨迹。本研究采用 在兄弟姐妹关系的背景下发展和评估青年暴力的有效性 预防干预。这个应用程序的目标是减少兄弟姐妹的侵略， 在寄养家庭中被忽视的儿童中普遍存在，并预测青年面临重大风险 暴力虐待儿童中的兄弟姐妹攻击仍然是一个高度低估， 未处理的问题。未能进行干预是一个重大的公共卫生问题。这 干预利用了一个跨理论模型，涉及儿童的脆弱性（改变皮质醇 和情绪失调），兄弟姐妹对风险-（低积极，和冲突管理不良），和 养父母-（非中介）因素纳入可测试的干预模型，以降低兄弟姐妹的风险 和同伴身体攻击的关系。“促进兄弟姐妹关系” 干预结合了两个有前途的短期心理社会兄弟姐妹计划：兄弟姐妹在一起 (Bank，2000年; 2004年）和基于调解的兄弟冲突干预战略（史密斯和罗斯， 2007年），以满足寄养系统中被忽视儿童的需求。研究 包括两个阶段。在第一阶段的干预发展中，我们将完善和扩大 干预协议，改编和整合手册，培训治疗师（干预师），使 迭代工作的变化，以及尝试行为结果测量。在阶段2中 实施对照试验，我们将招募N = 144名儿童（嵌套在72个 年龄在5-8岁之间;收集基线数据（第1波）;随机化兄弟姐妹对， 对家庭（养父母或亲生父母，如团聚）进行干预， 对照组，并收集干预后（第2波）和6个月随访（第3波） 适应性干预的结果数据。我们假设在干预后（波2）， 再次在随访时（第3波），与分配到比较“常规护理”的儿童相比， “（UC），分配到实验干预条件（IC）的儿童将显示出改善， 报告的兄弟姐妹攻击，非兄弟姐妹同伴攻击，情绪失调;儿童将 更有可能表现出典型的昼夜皮质醇模式。兄弟姐妹会表现出改善 关系质量（积极和消极）。养父母和兄弟姐妹的比例 参与冲突调解、妥协和和解战略的人在 干预组。这种预防暴力的干预措施对公共卫生的影响很大。 我们的创新成果模型是第二代研究的一部分，旨在整合丰富的 行为科学和神经生物学的进展，以更好地了解多层次的变化， 预防审判机制。