Prevention of behavior problems among preschool children in foster care through group-based foster caregiver training at the time of placement

项目摘要 大多数寄养儿童都经历过多种形式的虐待，增加了行为问题的风险 (e.g.,攻击、不服从、学前班或日托的停学/开除）。寄养系统 负担过重，以危机应对为导向，限制了专注于预防行为问题的能力 寄养家庭和孩子们一起生活芝加哥家长计划（CPP）是一个以证据为基础的12届 计划（11个同时周，1个一个月的加强），证明了显着和持续 1年后，一致的纪律，养育自我效能和儿童行为问题的改善 训练如果寄养照顾者可以使用，CPP可以预防或减少寄养青少年的行为问题， 减少照顾者的压力，提高自我效能和与照顾者一致的纪律，并防止 不必要的位置变化。然而，对现有方案的调整是必要的。的目标 摘要本研究旨在进行适合幼儿寄养照顾者使用的CPP临床试验。这将是 通过三个目标实现：目标1：调整CPP以满足2-5岁儿童的独特需求 与寄养照顾者（CPP-FC）一起安置，并与授权的 保健访问（2组，6-8个家庭）。CPP内容将进行调整（例如，附加内容定位 创伤和虐待儿童，修改小插曲的讨论，针对具体寄养家庭的额外角色扮演 护理场景）。成立了一个利益攸关方适应小组，其中包括6名护理人员， 开发增强的内容。目的2：评估CPP-FC对护理人员压力和信心的影响 管理孩子的行为。家庭（N = 300）将被随机分配至CPP-FC或常规治疗组， 在基线、3个月（培训结束）和6个月时进行评估。CPP-FC预计将减少护理人员 强调并增强信心。目标3：评估CPP-FC对儿童行为的影响。意见 沿着将收集基线和3个月时看护者与儿童之间的结构化互动， 看护者报告基线、3个月和6个月时的儿童行为。CPP-FC预计将减少 孩子的行为问题，导致更少的安置变化。如果假设得到证实，本研究将 提供一个以证据为基础的模式，以防止可能传播的年幼寄养儿童的行为问题 其他机构。

Project Summary Most children in foster care experience multiple forms of maltreatment, increasing risk for behavior problems (e.g., aggression, noncompliance, suspensions/expulsions from preschool or daycare). The foster care system is over-burdened and crisis-response oriented, limiting capacity to focus on prevention of behavior problems with foster caregivers and children. The Chicago Parent Program (CPP) is an evidence-based 12-session program (11 concurrent weeks, 1 one-month booster) with demonstrated significant and sustained improvements in consistent discipline, parenting self-efficacy, and child behavior problems 1 year following training. If available to foster caregivers, CPP could prevent or reduce behavior problems in foster youth, decrease caregiver stress, increase self-efficacy and consistent discipline with caregivers, and prevent unnecessary placement changes. However, adaptations to the existing program are necessary. The goal of this study is to conduct a clinical trial of CPP adapted for foster caregivers of young children. This will be accomplished through three aims: Aim 1: Adapt CPP to meet the unique needs of children ages 2-5 years who are placed with foster caregivers (CPP-FC) and pilot delivery coordinated with mandated healthcare visits (2 groups, 6-8 families). CPP content will be adapted (e.g., additional content targeting trauma and child maltreatment, modified discussion of vignettes, additional role-play targeting specific foster care scenarios). A stakeholder adaptation team, including 6 caregivers, has been established to guide development of enhanced content. Aim 2: Assess the impact of CPP-FC on caregiver stress & confidence in managing child behavior. Families (N = 300) will be randomized to CPP-FC or usual care, with assessments at baseline, 3 months (end of training) and 6 months. CPP-FC is expected to reduce caregiver stress and increase confidence. Aim 3: Assess the impact of CPP-FC on child behavior. Observations of structured interactions between caregivers and children at baseline and 3-months will be collected along with caregiver reports of child behaviors at baseline, 3 months, and 6 months. CPP-FC is expected to decrease child behavior problems and result in fewer placement changes. If hypotheses are confirmed, this study will provide an evidence-based model to prevent behavior problems in young foster children that could be spread to other institutions.