Efficacy trial of a school-based preventive intervention

校本预防干预的有效性试验

• 批准号: 7117648
• 负责人: Peter A Wyman
• 金额: $ 49.84万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-01 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7117648
• 关键词: behavioral /social science research tag; child mental disorders; child mental health service; child psychology; clinical research; community mental health services; coping; education evaluation /planning; emotional adjustment; ethnic group; family structure /dynamics; health care cost /financing; health care service utilization; health education; health services research tag; human subject; human therapy evaluation; longitudinal human study; mental disorder prevention; mentoring /mentor; middle childhood (6-11); outcomes research; parent offspring interaction; parents; social psychology; student health services; urban area

DESCRIPTION (provided by applicant): This project responds to the need for (1) affordable and sustainable 'indicated' preventive interventions for young children already showing emerging mental health problems, and for (2) interventions that can be delivered effectively in accessible, 'real-world' settings. This proposal seeks RO1 funding for a randomized controlled trial (RCT) to evaluate the efficacy of the Promoting Resilient Children Initiative (PRCI) in Deducing mental health problems among urban, minority children and in preventing future disorders and costly services. The PRCI is a second-generation adaptation of the Primary Mental Health Project (PMHP). The school-based PMHP was developed 40 years ago by Cowen and colleagues and has been disseminated to 1,500 schools in the U.S. The PMHP program's strengths include ecological validity for schools and moderate cost.. PRCI significantly modifies both the intervention content and method of implementation used in PMHP. In PRCI children learn behavioral and cognitive skills for emotion regulation and for coping in 24 sessions with school-based Mentors. In 10 home visits the Mentors teach parents to assist their children in developing skills. A preliminary trial of PRCI suggests that the intervention reduces children's problems in the short-term and has a larger impact than PMHP on targeted behavioral and emotional outcomes. This trial is needed to determine the longer-term efficacy of the PRCI intervention. For the proposed 5-year study, 200 children will be randomly assigned to PRCI intervention and 200 to control conditions from 75 classrooms in 5 urban schools. (1)"We will compare intervention and control levels of externalizing and internalizing problems, need for services, and indices of family functioning over 30 months to assess program efficacy. (2) We will seek to determine levels of implementation fidelity required to achieve positive outcomes. (3) We will test hypotheses about mechanisms that govern the impact of PRCI on children's development. This project can have a positive public health impact through the potential to expand an improved intervention to more than 1,000 schools currently implementing PMHP and to other schools in the U.S. From the standpoint of advancing prevention science, the proposed study can contribute to knowledge needed to improve interventions in communities and the effective use of specially trained non-professional intervenors.

描述（由申请人提供）：该项目满足以下需求：(1) 对已经出现新出现的心理健康问题的幼儿进行负担得起且可持续的“指定”预防性干预措施，以及 (2) 可以在易于获得的情况下有效提供的干预措施，“现实世界的设置。该提案寻求 RO1 资金用于一项随机对照试验 (RCT)，以评估促进复原力儿童计划 (PRCI) 在推断城市、少数民族儿童心理健康问题以及预防未来疾病和昂贵服务方面的功效。 PRCI 是初级心理健康项目 (PMHP) 的第二代改编版。以学校为基础的 PMHP 由 Cowen 及其同事于 40 年前开发，现已推广到美国 1,500 所学校。PMHP 计划的优点包括学校的生态有效性和适中的成本。 PRCI 显着修改了所使用的干预内容和实施方法在PMHP中。在 PRCI 中，孩子们在学校导师的 24 场课程中学习情绪调节和应对的行为和认知技能。在 10 次家访中，导师教导家长协助孩子发展技能。 PRCI 的初步试验表明，该干预措施可以在短期内减少儿童的问题，并且对目标行为和情绪结果的影响比 PMHP 更大。需要进行这项试验来确定 PRCI 干预的长期疗效。在拟议的为期 5 年的研究中，200 名儿童将被随机分配到 PRCI 干预组，200 名儿童将被随机分配到 5 所城市学校的 75 个教室进行条件控制。 (1)“我们将比较 30 个月内外化和内化问题的干预和控制水平、服务需求以及家庭功能指数，以评估计划效果。(2) 我们将寻求确定实现积极目标所需的实施忠诚度水平(3) 我们将检验关于控制 PRCI 对儿童发展影响的机制的假设 该项目可以通过将改进的干预措施扩大到目前实施 PMHP 的 1,000 多所学校和其他学校来产生积极的公共卫生影响。在美国，从推进预防科学的角度来看，拟议的研究可以为改善社区干预和有效利用经过专门培训的非专业干预者提供所需的知识。