EARLY PRIMARY PREVENTION OF CONDUCT PROBLEMS

行为问题的早期一级预防

• 批准号: 2873910
• 负责人: Laurie Miller Brotman
• 金额: $ 42.76万
• 依托单位: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-03-01 至 2002-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2873910
• 关键词: EARLY; PRIMARY; PREVENTION; CONDUCT; PROBLEMS

The overall goal is to evaluate a program of primary prevention in young children at high risk for developing conduct problems and later antisocial behavior. This investigation is prompted by 1) the serious nature of childhood conduct problems; 2) their poor long- term prognosis; 3) their resistance to treatment; 4) the absence of preventive interventions studies for very young high-risk children; and 5) the paucity of intervention programs tailored to inner-city families. The timing for prevention experiments is ideal, since their design can now rest on rational bases derived from our current knowledge about risk factors for conduct problems and antisocial behavior. A randomized controlled clinical trial of a multisystemic, intensive intervention for families of high-risk preschoolers is proposed. Ninety-six inner-city preschoolers who have older siblings with court-documented histories of antisocial behavior will be randomly assigned to a year-long family-based intervention or to a no contact control group. The intervention will consist o clinic and home-based parenting skills training. Immediate and long-term (1 year) outcome of children receiving intervention and controls will be compared. Outcome variables, including parenting practices, child conduct problems and child social competence, will be assessed with blind observations in multiple settings, as well as by parent and teacher ratings, and structured diagnostic interviews. This study is unique in that 1) the preventive intervention is truly primary-it targets preschoolers who are at high risk for developing conduct problems and later antisocial behaviors but who do not yet display these behaviors; 2) it assesses the efficacy of an intensive, family- based preventive intervention for reducing a key risk factor for conduct problems-inadequate parenting practices; 3) the intervention is tailored to inner-city families; 4) recruitment, assessment and intervention procedures have been tested for feasibility; and 5) the prevention program has been manualized.

总体目标是评估一项主要预防计划 有发展行为问题的高风险的幼儿 后来的反社会行为。这项调查是由1） 童年行为问题的严重性质； 2）他们贫穷的长期 术语预后； 3）他们对治疗的抵抗力； 4）缺席 针对非常年轻的高危儿童的预防性干预研究； 5）量身定制的干预计划的匮乏 家庭。预防实验的时机是理想的，因为 他们的设计现在可以基于从我们的理性基础上 有关行为问题风险因素的当前知识和 反社会行为。一项随机对照临床试验 高风险家庭的多系统，密集干预 提出了学龄前儿童。九十六名城市学龄前儿童 拥有较旧的兄弟姐妹，有法院记录的反社会历史 行为将随机分配给长达一年的家庭 干预或无联系对照组。干预 将组成o诊所和家庭育儿技能培训。 接收儿童的立即和长期（1年）的结果 将比较干预和控制。结果变量， 包括育儿惯例，儿童行为问题和儿童 社会能力将通过盲目观察评估 多个设置以及父母和教师评级，以及 结构化诊断访谈。这项研究是独一无二的1） 预防性干预是真正的主要目标 患有行为问题的高风险的学龄前儿童 后来的反社会行为，但尚未显示这些行为 行为； 2）它评估了一个密集的，家庭的功效 基于预防性干预措施减少关键风险因素 进行不育儿的育儿惯例； 3） 干预是针对市中心家庭量身定制的； 4）招聘， 评估和干预程序已进行了测试 可行性; 5）预防计划已手动。