TREATING BEHAVIOR PROBLEMS IN PRIMARY CARE

在初级保健中治疗行为问题

• 批准号: 6323684
• 负责人: DAVID KOLKO
• 金额: $ 53.56万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-30 至 2005-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6323684
• 关键词: behavioral /social science research tag; child behavior disorders; child mental health service; clinical research; clinical trials; cognitive behavior therapy; conduct disorder; family structure /dynamics; family therapy; functional ability; health care service evaluation; health economics; health services research tag; human subject; human therapy evaluation; longitudinal human study; managed care; mental disorder diagnosis; middle childhood (6-11); outcomes research; patient care management; primary care physician; psychotherapy; social behavior disorders; social psychology; social support network

DESCRIPTION (Adapted from Applicant's Abstract): This application is being submitted in response to RFA MH-00-011 entitled "Implementation of Intervention Strategies for Children with Disruptive Behaviors". Children's psychosocial problems, such as oppositional behaviors or conduct problems, are often underidentified and underserved in healthcare settings. This application seeks to evaluate the application of a specialized psychosocial treatment protocol for children with disruptive behavior problems (DBP) in pediatric primary care. The treatment procedures are derived from the investigator's existing multimodal treatment protocol whose effectiveness is being examined in the community (MH 57727; "Effectiveness of Community Services for Conduct Problems"). A total of 150 patients will be recruited from five pediatric primary care practices affiliated with the Children's Community Care health network. Children exhibiting DBP would be randomly assigned to the specialty treatment protocol (STP) or treatment-as-usual (TAU) in each practice. Cases assigned to STP would receive services from trained nurse-clinicians who would administer selected treatment modules in the pediatric office with designated participants (children, parents/families, teacher calls). Planned analyses will examine differences in treatment participants/process, procedures, outcomes, and cost-effectiveness as a function of treatment condition. Relative to TAU, the investigator predicts that STP will be associated with higher treatment participation rates, greater improvements in multiple clinical outcomes related to child and family functioning, and greater cost-effectiveness. Such real-world information is timely in light of changes in the types of treatments being provided to this population in pediatric primary care, the evolution of an integrated pediatric mental health care service system, and developments in clinical practice and technique based on evidence from recent empirical outcome studies. These outcomes would empirically support decisions to integrate cost-effective, specialty treatment methods in pediatric health care settings.

描述（改编自申请人的摘要）：此申请正在 根据RFA MH-00-011提交的题为“干预实施” 具有破坏行为的儿童的策略”。儿童的社会心理 问题，例如对立行为或行为问题，通常是 在医疗机构中识别且服务不足。该应用程序寻求 评估专门的社会心理治疗方案的应用 针对小儿初级保健中有破坏性行为问题（DBP）的儿童。 治疗程序源自研究者的现有 多模式治疗方案的有效性正在检查 社区（MH 57727；“社区服务的有效性 问题”）。将总共从五名儿科招募150名患者 隶属儿童社区护理健康的初级保健实践 网络。展示DBP的孩子将随机分配给专业 在每种练习中，治疗方案（STP）或治疗态度（TAU）。案例 分配给STP将获得受过训练的护士临床医生的服务 用指定的儿科办公室管理选定的治疗模块 参加者（孩子，父母/家庭，老师电话）。计划的分析将 检查治疗参与者/过程，程序，结果的差异， 和成本效益作为治疗条件的函数。相对于tau， 研究人员预测STP将与更高的治疗相关 参与率，多个临床结果的改善有所改善 儿童和家庭功能以及更大的成本效益。这样的 鉴于治疗类型的变化，现实世界的信息及时 在小儿初级保健中提供给该人群 小儿精神卫生保健服务系统，以及 基于最近的经验结果的证据的临床实践和技术 研究。这些结果将在经验上支持整合的决策 小儿医疗保健环境中具有成本效益的专业治疗方法。