After-School Programs and Children's Mental Health

课外活动和儿童心理健康

• 批准号: 7025007
• 负责人: STACY L FRAZIER
• 金额: $ 26.35万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-03-01 至 2007-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7025007
• 关键词: behavioral /social science research tag; child mental health service; child psychology; clinical research; education evaluation /planning; educational resource design /development; human subject; schools; social behavior; statistics /biometry; training; urban area

DESCRIPTION (provided by applicant): This application proposes to adapt and pilot test an efficacy-based, manualized intervention to enhance the mental health benefits for children attending publicly funded, inner city, after-school programs. The proposed study is consistent with objectives of the R34 mechanism (1. Development and Pilot Testing of New or Adapted Interventions, and 2. Adaptation and Pilot Testing for Effectiveness) towards a planned program of research to study how mental health consultation and support can strengthen the benefits of after-school programs for inner city children's academic, social, and behavioral functioning. Despite extensive problems facing urban communities during after-school hours, few empirical studies have examined children's use of time, quantity and quality of programs available, participation rates, and the potential mental health benefits of programs. We propose to collaborate with a large, publicly funded provider of after-school programs - Chicago Park District's Park Kids program - toward three research goals. Children (n=318) in grades 1 to 8 who attend one of the participating programs will be enrolled in the study. First, we will collaborate with after-school program staff toward the adaptation and application of a manualized, efficacy-based intervention (Pelham, 1985) to meet the needs, capabilities, and constraints of their program, and we will provide training and ongoing support. Second, we will develop and implement a fidelity measure of staff adherence to the intervention. Third, we will use random-effects regression models to pilot test the impact of the intervention at three (experimental) after-school sites compared to three (comparison) after-school-as-usual sites on four domains of children's outcomes (Hoagwood et al., 1996): symptoms (children's externalizing and internalizing problems), functioning (children's academic, social, and behavioral outcomes), environmental outcomes (staff psychological climate), and satisfaction (parent and staff). This proposal responds to recent national concerns about after-school care, and the need for alternative venues for mental health service delivery in inner cities (Stephenson, 2000; Surgeon General's report).

描述（由申请人提供）：本申请建议调整和试点测试基于功效的手动干预措施，以增强参加公共资助的内城区课外项目的儿童的心理健康益处。拟议的研究符合 R34 机制的目标（1. 新的或适应的干预措施的开发和试点测试，以及 2. 有效性的适应性和试点测试），旨在研究心理健康咨询和支持如何加强的计划研究计划课外活动对内城区儿童的学业、社交和行为功能的好处。尽管城市社区在课余时间面临着广泛的问题，但很少有实证研究考察了儿童对时间的利用、可用项目的数量和质量、参与率以及项目的潜在心理健康益处。我们建议与大型公共资助的课后项目提供商——芝加哥公园区的公园儿童项目——合作实现三个研究目标。参加其中一项参与项目的 1 至 8 年级儿童 (n=318) 将参加该研究。首先，我们将与课外项目工作人员合作，调整和应用基于功效的手动干预措施 （Pelham，1985）以满足他们的计划的需求、能力和限制，我们将提供培训和持续的支持。其次，我们将制定并实施员工遵守干预措施的忠诚度措施。第三，我们将使用随机效应回归模型来试点测试三个（实验性）课后场所与三个（比较）课后照常场所的干预措施对儿童成果的四个领域的影响（Hoagwood 等人） al., 1996）：症状（儿童的外化和内化问题）、功能（儿童的学业、社会和行为结果）、环境结果（员工心理气候）和满意度（家长和员工）。该提案回应了最近全国范围内对课后护理的关注，以及在内城区提供心理健康服务替代场所的需求（Stephenson，2000 年；外科医生的报告）。