Effectiveness Trial Project SafeCare for Child Neglec

SafeCare for Child Neglec 有效性试验项目

• 批准号: 7024965
• 负责人: MARK J. CHAFFIN
• 金额: $ 71.53万
• 依托单位: UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-03-01 至 2008-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7024965
• 关键词: behavioral /social science research tag; child abuse; child care; child rearing; child welfare; clinical research; data collection; depression; family; family structure /dynamics; human subject; interview; longitudinal human study; parent offspring interaction; questionnaires; social support network; substance abuse related disorder

DESCRIPTION (provided by applicant): The proposed study is an enhancement of a statewide controlled effectiveness trial of the Project SafeCare/12-Ways (SC/12) home-based family preservation model for families who are reported or are at risk for child neglect. Prior laboratory or University-based studies have supported model related behavioral changes and reduced maltreatment recidivism. The proposed study would be the first test of the model in actual agency or field settings. The SC/12 model will be compared to Services As Usual (SAU), which are loosely based upon a social support, empowerment and case management model. Two preparatory Phases of the trial are completed: (a) establishing a multi-wave data collection system for existing state-funded home-based service agencies serving over 1,200 new families annually and (b) securing state and provider buy-in for implementing a controlled trial of an evidence based intervention protocol. The current proposal, if funded, will expand the effectiveness trial in two critical ways. First, it will add independent data collectors to improve the quality of the data obtained, and enable us to collect post-treatment follow-up waves to evaluate maintenance of gains. Second, it will add an intervention fidelity monitoring and feedback component, which we propose to manipulate as a design effect in a 2 X 2 (monitoring X model) design. The study will dismantle the usually confounded effects of model and fidelity monitoring and provide critical information about the utility of the SC/12 model in large-scale agency settings and experimentally test the relative importance of intervention fidelity monitoring in exporting laboratory based models into child welfare field settings.

描述（由申请人提供）：拟议的研究是针对报告或有被报告或面临儿童忽视风险的家庭的全州受控效力试验的增强。先前的实验室或大学研究支持了相关的行为变化，并减少了虐待累犯。拟议的研究将是对实际代理或现场设置中模型的首次测试。 SC/12模型将与往常一样（SAU）进行比较，该模型基于社会支持，授权和案例管理模型而宽松地将其比较。该试验的两个预备阶段已完成：（a）为现有的由国家资助的家庭服务机构建立多波数据收集系统，每年为1,200多个新家庭提供服务，并（b）确保国家和提供商的购买以实施基于证据的干预协议的对照试验。当前的提案（如果资助）将以两种关键方式扩大有效性试验。首先，它将添加独立的数据收集器以提高获得的数据的质量，并使我们能够收集处理后的随访波以评估增益的维护。其次，它将添加干预保真度监视和反馈组件，我们建议在2 x 2（监视x型号）设计中操纵其作为设计效果。该研究将拆除通常混淆的模型和保真度监测的影响，并提供有关SC/12模型在大型代理机构中的效用的关键信息，并通过实验测试在将基于实验室的模型导出到儿童福利现场设置中的干预保真度监测的相对重要性。