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(由申请人提供) 考虑到他们的家庭逆境历史，寄养儿童是负面兄弟姐妹的高危人群。 对兄弟姐妹的人际关系和频繁的身体攻击会增加罹患 对其他孩子的身体攻击，即非兄弟姐妹的同伴。寄养安置环境 为及时和顺从地预防青少年暴力提供了一个重要的窗口，以改变 有忽视史儿童的向下行为轨迹。这项研究使用了 兄弟姐妹关系的背景，以制定和评估青少年暴力的效力 预防干预。这个应用程序的目标是减少兄弟姐妹的攻击性 在寄养家庭中被忽视的儿童中普遍存在，并预测青少年面临重大风险 暴力。受虐待儿童的兄弟姐妹攻击仍然是一种高度不被识别和 未经治疗的问题。未能进行干预是一个重大的公共卫生问题。这 干预利用一个跨理论模型，该模型涉及儿童脆弱性(皮质醇改变 和情绪失调)，兄弟姐妹配对风险-(积极程度低，冲突管理不善)，以及 在可测试的干预模型中培养父母(非中介)因素，以降低兄弟姐妹的风险 以及被忽视的儿童之间的同龄人身体攻击。《促进兄弟姐妹债券》 干预结合了两个有希望的短期心理社会兄弟项目：SIB一起 (Bank，2000；2004)和基于调解的兄弟姐妹冲突干预策略(Smith&Ross， 2007年)进行调整，以满足寄养系统中被忽视儿童的需要。这项研究 包括两个阶段。在第一阶段干预开发中，我们将完善和扩展 干预方案、改编和整合手册、培训治疗师(干预师)、制定 从迭代工作中进行更改，并尝试行为结果度量。在第二阶段 实施对照试验，我们将招募N=144名儿童(嵌套在72名 配对)；收集基线数据(第1波)；随机化兄弟姐妹配对和 他们的家人(在团聚的情况下是养父母或亲生父母)进行干预和 对照组，并收集干预后(波2)和6个月随访(波3) 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(波3)，与被分配到对比组的通常护理的儿童进行比较 ‘(UC)，分配到实验干预条件(IC)的儿童将在 报告的兄弟姐妹攻击性、非兄弟姐妹同伴攻击性、情绪失调；以及儿童将 更有可能表现出典型的白天皮质醇模式。兄弟姐妹对将显示出改进 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、妥协和和解策略的人将在 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旨在整合RICH的第二代研究的一部分 行为科学和神经生物学的进展以更好地理解多水平的变化 预防试验中的机制。