Integrating Evidence-based Approaches to Prevent Child Maltreatment in Kyrgyzstan

1项目概要/摘要 2 3 K 01奖的目的是为候选人提供过渡到 4.防止虐待儿童的研究独立性。该项目的核心是一个拟议的 5项研究将使用社区参与的方法来整合和测试三个基于证据的项目 6（EBP），以防止吉尔吉斯斯坦的CM、家庭暴力和其他ACE。该项目将具有创新性 为PI提供7次关于将EBP纳入儿童/家庭结局和进行纵向干预的培训 8、定量分析/测量。它还将具有强大的指导，从一组高级 9名导师，他们在NIH支持的研究方面有着出色的记录，并有着指导初级研究生的广泛历史。 10个教师，以及非政府组织，都具有丰富的经验/承诺，以防止CM。预防CM是 11对个人、家庭和社区福祉至关重要，特别是对那些 12受影响不成比例，例如中低收入国家的家庭， 13.虽然存在有前途的方法，但这些方法尚未在美国得到调整和严格评估。 14中亚（CA）人口。尽管有强有力的证据表明这些方法在治疗糖尿病方面的疗效， 在美国和其他全球背景下，这些互补和协同的方法 16个从未在研究中联合部署。为照顾高危长者的需要，建议 17计划将调整和试点以家庭为中心（多个家庭组）以学校为基础（学校儿童和他们的 18个家庭经济赋权方案，以促进积极的健康和社会经济成果， 19名儿童：1）MFG是一个以家庭为中心的团体EBP，专为家庭 20与贫困和相关压力源作斗争; 2）SAF已显示在（共同） 21育儿和儿童行为结果; 3）FEE通过以下方式为个人/家庭福祉建立保护因素： 22.解决经济压力，加强财政能力。MFG+SAF+FEE的组合为 23假设改善儿童和家庭福祉超过任何个别干预措施的影响， 24.每一种干预措施都能达到其自身的具体效果，并有助于其他干预措施的效力。这些EBPs 25.必须仔细调整，以适应目标群体的文化和独特需求。这项研究将建立 26通过将这些方法作为一个整体联合实施，对这项先前的研究进行了研究。开展这项创新研究 在专业培训和指导的背景下，将为PI提供利用的技能和经验 28个社区参与的实施科学，以便在全球范围内更广泛地应用。该奖项将装备 29首席执行官在预防中医方面担当领导角色，采用创新的混合方法措施， 30在全球卫生背景下调整和评估预防CM最有前途的方法的过程。

1 PROJECT SUMMARY/ABSTRACT 2 3 The purpose of this K01 Award is to provide the candidate with the training and expertise needed to transition to 4 research independence in prevention of child maltreatment (CM). The centerpiece of the project is a proposed 5 study which will use a community-engaged approach to integrate and test three evidence-based programs 6 (EBPs) to prevent CM, domestic violence (DV), and other ACEs in Kyrgyzstan. The project will feature innovative 7 training for the PI in integration and adaptation of EBPs to child/family outcomes, longitudinal intervention 8 research, and quantitative measurement/analysis. It will also feature strong mentoring from group of senior 9 mentors with an outstanding track record of NIH-supported research and an extensive history of mentoring junior 10 faculty, as well as NGOs, all with extensive experience/commitment to preventing CM. Prevention of CM is of 11 paramount importance to individual, family and community wellbeing, particularly among those 12 disproportionately affected, such as families in LMICs, and is relevant for immigrant and refugee populations in 13 the U.S. Although promising approaches exist, they have not been adapted and rigorously evaluated among 14 Central Asian (CA) populations. Although there is strong evidence about the efficacy of these approaches in the 15 general population in the U.S. and other global contexts, these complementary and synergistic approaches have 16 never been deployed jointly in research. To address the needs of the at-risk for ACEs families, the proposed 17 program will adapt and pilot a family-focused (Multiple Family Groups) school-based (School Children and Their 18 Families) economic empowerment (FEE) program to promote positive health and socioeconomic outcomes for 19 children: 1) MFG is a family-centered, group delivered EBP designed for children/adolescents whose families 20 struggle with poverty and associated stressors; 2) SAF has shown to have significant improvements in (co)- 21 parenting and child behavioral outcomes; 3) FEE builds protective factors for individual/family wellbeing by 22 addressing economic stressors and strengthening financial capability. Combining MFG+SAF+FEE is 23 hypothesized to improve child and family wellbeing more than any of the individual interventions’ effects, with 24 each intervention achieving its own specific effects and contributing to the efficacy of the others. These EBPs 25 must be carefully adapted to the culture and distinct needs of the target groups. The proposed study will build 26 on this prior research by implementing these approaches jointly as a package. Carrying out this innovative study 27 in a context of specialized training and mentoring will provide the PI with the skills and experience to leverage 28 community-engaged implementation science for wider application in global contexts. The award will equip the 29 PI to take on a leadership role in the prevention of CM through the use of innovative mixed-method measures in 30 the process of adapting and assessing the most promising approaches to prevent CM in global health contexts.