Continuing the Research and Development of Parent Treatment for Child Social
继续研究和发展儿童社会家长治疗
基本信息
- 批准号:7725680
- 负责人:
- 金额:$ 1.71万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2002
- 资助国家:美国
- 起止时间:2002-05-01 至 2011-08-31
- 项目状态:已结题
- 来源:
- 关键词:AddressAdvocateAgeAreaBehavioralChildChild Mental HealthChronicCommunicationControl GroupsDataDevelopmentEconomicsEducational CurriculumEducational process of instructingEmotionalEnsureEvaluationExperimental DesignsFacilities and Administrative CostsFamilyFeedbackFinancial costGoalsGroup TherapyHealthcareHome environmentIndividualInstitutesInternetInterventionLeadLearningLeftLifeLightManualsMarketingMental HealthMental Health ServicesMental disordersOnline SystemsOutcomeParentsPersonsPhasePopulationPositioning AttributePreventionPreventive InterventionPrivate PracticeProblem SolvingProblem behaviorProfessional counselorProviderPsychopathologyPublic HealthRandomizedRelative (related person)ReportingResearchResearch Project GrantsResearch SupportResourcesRiskSalesSchoolsScientific EvaluationSeriesSocial BehaviorSocial ConceptsSocial DevelopmentSocial EnvironmentSocial ProblemsSocietiesStreamSuggestionSystemTechnologyTestingTimeTrainingTranslationsTreatment EffectivenessTreatment EfficacyUpdateVictimizationWaiting ListsWorkbasecommercializationcommunity settingcostdesigneffectiveness trialefficacy researchefficacy testingemotional adjustmentevidence basefallsflexibilitygroup interventionimprovedinnovationpeerproduct developmentprogramsprototypepublic health relevanceresearch and developmentresource guidessocialsocial skillstooltreatment effectweb site
项目摘要
DESCRIPTION (provided by applicant): Problematic peer relations, particularly when chronic, can have a tremendous impact on children's functioning and mental health. Decades of research indicate that peer rejection, isolation, and victimization negatively impact adjustment and place children at increased risk for a myriad of later negative outcomes. Prevention and treatment research supports the use of social skills group therapy for improving children's peer relations, social behavior, and emotional adjustment. However, focusing exclusively on the child is not as effective as multi-component intervention efforts that extend beyond the group setting. This Competing Renewal project will continue the research and development of a parent-focused intervention, Parent Guide to SSGRIN, which parallels an established child-focused intervention [Social Skills Group Intervention (S.S. GRIN); for children ages 5-12years], in order to teach and reinforce the same social skills and concepts within the home environment. Phase II objectives of creating the complete Parent Guide intervention product and conducting pilot efficacy research were successfully accomplished. However, the limited scope of the Phase II research project leaves critical questions unanswered regarding the treatment's effectiveness, particularly its relative impact above and beyond the SSGRIN intervention alone. As 3-C ISD has moved the Parent Guide product into Phase III commercialization, it has become increasingly evident that further R&D is critical to commercializing this product. Therefore, a primary goal of this Competing Renewal is to conduct a rigorous, large-scale, longitudinal research project that is adequately powered to address questions of relative impact, longer-term treatment benefits, and differential treatment effects across settings and populations. Another lesson learned during Phase II and subsequent commercialization efforts is that the Parent Guide's current design is impractical for the school setting. Though schools often struggle with how to increase parent involvement in school-based programs, school officials report that it is infeasible for them to conduct the full series of in-person parent training groups as the Parent Guide's current curriculum demands. As a result, the commercial potential for the product is greatly restricted. Therefore, a second goal of this Competing Renewal is to incorporate Phase II findings, commercialization feedback, and stakeholder input into the creation of a Home-study version of the Parent Guide, which would utilize 3-C's innovative web- and video- based technology to bridge training into the home environment. Once developed, the Home-study version of the Parent Guide will be included as a separate treatment condition within the effectiveness trial and will also be evaluated for feasibility specifically within the school setting. The proposed Competing Renewal project will support further product development so that the Parent Guide can be successfully extended into the school setting, a primary mental health service sector for children, and will also ensure extensive, large-scale testing of this product to address key research questions that are imperative for achieving both scientific and commercial goals. PUBLIC HEALTH RELEVANCE: Problematic peer relations, particularly when chronic, can have a tremendous impact on children's mental health as well as their behavioral and emotional functioning. Without intervention, social and behavioral problems tend to persist and escalate over time which, in turn, has a tremendous impact on the development of psychopathology. Ultimately, socio-emotional deficits and the consequent emergence of a myriad of negative outcomes, including heightened risk for psychiatric disorders and use of mental health services have a negative impact not only on the individual, but also on the family and society as a whole, and are considered a serious public health issue. Mental illnesses come with a devastatingly high financial cost. In the US, the annual economic, indirect cost of mental illnesses is estimated to be $79 billion. In 1997, the latest year comparable data are available, the US spent more than $1 trillion on health care, including almost $71 billion on treating mental illnesses. Given the costs associated with psychiatric disorders and use of mental health services, the development and testing of innovative and flexible interventions for children with applications to varied settings are especially important. At the first sign of difficulties, preventive interventions can be started to keep problems from escalating. Offering an effective, parallel parent-focused product as part of a comprehensive, multi-component intervention to enhance the social, emotional, and behavioral adjustment of children will provide a valuable resource for providers in school and community settings as well as parents seeking an evidence-based tool for working with their children.
描述(由申请人提供):有问题的同伴关系,特别是当长期存在时,可能会对儿童的功能和心理健康产生巨大影响。几十年的研究表明,同伴拒绝、孤立和受害会对适应产生负面影响,并使儿童面临更高的风险,从而产生无数后来的负面结果。预防和治疗研究支持使用社交技能团体疗法来改善儿童的同伴关系、社会行为和情绪调整。然而,只专注于儿童并不像超越群体环境的多成分干预努力那样有效。这一相互竞争的更新项目将继续研究和开发以家长为重点的干预措施--SSGRIN家长指南,与既定的以儿童为重点的干预措施[针对5-12岁儿童的社交技能小组干预(S.S.GRIN)]平行,以便在家庭环境中教授和加强同样的社交技能和概念。第二阶段的目标是创建完整的家长指南干预产品并进行试点疗效研究。然而,第二阶段研究项目的范围有限,没有回答关于治疗有效性的关键问题,特别是它在SSGRIN干预之外的相对影响。随着3-C ISD将母公司的Guide产品进入第三阶段商业化,进一步的研发对该产品的商业化至关重要,这一点变得越来越明显。因此,这次竞争性更新的一个主要目标是进行一项严格的、大规模的纵向研究项目,该项目要有足够的能力来解决相对影响、长期治疗益处以及不同环境和人群的不同治疗效果等问题。在第二阶段和随后的商业化工作中学到的另一个教训是,《家长指南》目前的设计对学校环境是不切实际的。尽管学校经常为如何让家长更多地参与校本项目而苦苦挣扎,但学校官员报告称,他们不可能像《家长指南》目前的课程要求那样,开展完整系列的亲身家长培训小组。因此,该产品的商业潜力受到了极大的限制。因此,这一竞争性更新的第二个目标是将第二阶段的发现、商业化反馈和利益相关者的意见纳入到家庭学习版的家长指南的创建中,该版本将利用3-C的创新网络和基于视频的技术将培训连接到家庭环境中。一旦制定,家庭学习版的家长指南将作为单独的治疗条件包括在有效性试验中,并将专门在学校环境下进行可行性评估。拟议的竞争性更新项目将支持进一步的产品开发,从而使《家长指南》能够成功地扩展到学校环境中,这是一个主要的儿童心理健康服务部门,还将确保对这一产品进行广泛、大规模的测试,以解决对实现科学和商业目标至关重要的关键研究问题。公共卫生相关性:有问题的同伴关系,特别是在长期存在的情况下,可能会对儿童的心理健康以及他们的行为和情绪功能产生巨大影响。如果没有干预,社会和行为问题往往会持续存在,并随着时间的推移而升级,这反过来又对精神病理学的发展产生了巨大的影响。归根结底,社会情感缺陷以及随之而来的无数负面后果的出现,包括精神疾病风险的增加和精神卫生服务的使用,不仅对个人,而且对整个家庭和社会都产生了负面影响,被认为是一个严重的公共卫生问题。精神疾病伴随着极高的经济成本。在美国,每年因精神疾病造成的间接经济损失估计为790亿美元。1997年,也就是有可比数据的最近一年,美国在医疗保健方面的支出超过1万亿美元,其中近710亿美元用于治疗精神疾病。鉴于与精神疾病和精神健康服务的使用有关的费用,为儿童开发和测试适用于不同环境的创新和灵活的干预措施尤为重要。一旦出现困难迹象,就可以开始采取预防性干预措施,以防止问题升级。提供有效的、平行的、以家长为中心的产品,作为全面、多成分干预的一部分,以增强儿童的社交、情绪和行为适应,将为学校和社区环境中的提供者以及寻求与孩子合作的循证工具的父母提供宝贵的资源。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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MELISSA E. DEROSIER其他文献
MELISSA E. DEROSIER的其他文献
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