Preventing Conduct Disorder Among Children in the Child Welfare System

预防儿童福利系统中儿童的行为障碍

• 批准号: 7887659
• 负责人: Patricia Lynn Kohl
• 金额: $ 40.13万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-05 至 2015-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7887659
• 关键词: Address; Adolescent; Adult; Affect; African American; Age; American; Anger; Area; Behavior; Behavioral; Belief; Caring; Caucasians; Caucasoid Race; Characteristics; Child; Child Abuse and Neglect; Child Behavior; Child Welfare; Childhood; Conduct Disorder; Cost Analysis; Cost Effectiveness Analysis; Costs and Benefits; Crime; Data; Data Collection; Data Set; Development; Direct Costs; Effectiveness; European; Exhibits; Facilities and Administrative Costs; Failure; Family; Freedom; Funding; Goals; Health Priorities; Health Services Research; Healthcare; Healthy People 2010; Home environment; Income; Intervention; Interview; Life; Link; Measures; Mediating; Mental Depression; Mental Health; Mental Health Services; Methods; Missouri; Outcome; Paper; Parent-Child Relations; Parenting behavior; Parents; Participant; Pathway interactions; Policies; Population; Pre-Post Tests; Prevention; Problem behavior; Provider; Psychopathology; Race; Randomized; Randomized Controlled Trials; Recurrence; Reliance; Reporting; Research; Research Design; Research Personnel; Resources; Risk; Safety; Services; Societies; Source; Stress; Structure; Substance abuse problem; System; Target Populations; Testing; Time; Time Study; Training; Training Programs; Universities; Violence; Vision; Vulnerable Populations; Washington; base; care systems; computerized; cost; cost effectiveness; design; evidence base; follow-up; hazard; high risk; high risk parents; improved; innovation; instrument; intimate partner violence; kohl; maltreated children; maltreatment; prevent; programs; public health relevance; ranpirnase; recidivism; response; skills; substance abuse treatment; teacher; therapy design; treatment as usual; violence prevention

DESCRIPTION (provided by applicant): Children in the child welfare system are at high risk for serious disruptive behavior problems, including conduct disorder. Therefore, the prevention or reduction of early behavior problems is critical to improving long term outcomes for the vulnerable population of children in the child welfare system. The purpose of our project is to: (a) determine if Pathways Triple P results in better behavioral and safety outcomes than treatment as usual (TAU) for African American and European American children in the child welfare system and (b) evaluate how the cost-effectiveness of Pathways Triple P compares to TAU. Specifically, the aims of this study are to: (1) conduct a longitudinal, randomized control trial with 140 parents in the metro-St. Louis child welfare system (whose children are in their care at the time of study entry) to test the effectiveness of Pathways Triple P at improving child disruptive behavior among children between the ages of 5 and 10 compared to TAU. (2) Test the effectiveness of Pathways Triple P at preventing maltreatment recidivism; and (3) Measure and evaluate the costs and benefits associated with Pathways Triple P and TAU. A mixed method design will be used to test the hypotheses and answer the research questions associated with each aim. The study design is longitudinal with two treatment conditions and four data collection points: pre-test, post-test, follow-up 1 (F1, 6 months after post-test) and follow-up 2 (F2, 12 months after F1). Multiple assessment methods will be used: (1) computerized standardized instruments administered to parents, (2) semi-structured interviews with parents, (3) paper-based standardized instrument administered to teachers and (4) linking study data with a multi-sector state administrative dataset. Findings from this study will determine if Pathways Triple P results in optimal child behavior outcomes and prevents maltreatment recidivism among the vulnerable child welfare population, will identify for whom and under what conditions Pathways Triple P is most beneficial to parents to the target population, and will help target scarce federal dollars to serve children in the child welfare system. PUBLIC HEALTH RELEVANCE: The child welfare system serves large numbers of maltreated children with or who are at risk of developing serious disruptive behavior problems that can carry lifelong consequences, and put society at risk of violent crime. Efficacious parent-mediated interventions are available for preventing and treating these problems; however, to date, have only been implemented and tested sporadically within child welfare settings. Findings from this study will inform best practice and policy related to providing mental health interventions within child welfare settings.

描述（由申请人提供）：儿童福利系统中的儿童面临严重破坏性行为问题（包括行为障碍）的高风险。因此，预防或减少早期行为问题对于改善儿童福利系统中脆弱儿童人群的长期结局至关重要。我们项目的目的是：（a）确定途径三重P是否比像往常一样（TAU）在儿童福利系统中对非裔美国人和欧美儿童的治疗（TAU）产生更好的行为和安全结果，并且（b）评估途径的成本效益如何与Tau相比。具体而言，这项研究的目的是：（1）在Metro-St中与140位父母进行纵向，随机对照试验。路易斯儿童福利系统（在学习时，他们的孩子正在照顾他们的孩子），以测试与tau相比，途径三重P在改善5至10岁儿童的儿童破坏性行为方面的有效性。 （2）测试途径三重P在防止虐待累犯时的有效性； （3）测量和评估与途径三重P和tau相关的成本和收益。混合方法设计将用于检验假设并回答与每个目标相关的研究问题。研究设计是纵向的，具有两个治疗条件和四个数据收集点：测试前，测试后，随访1（F1，测试后6个月）和随访2（F2，F2，F1后12个月）。将使用多种评估方法：（1）给父母管理的计算机化标准化工具，（2）与父母的半结构化访谈，（3）基于纸张的标准化工具，以及（4）将研究数据与多部门的国家行政数据集联系起来。这项研究的结果将确定途径三重P是否导致最佳的儿童行为结果，并防止弱势儿童福利人口之间的虐待犯罪主义，将确定谁和在哪些条件下，途径对父母对目标人群最有益，并将帮助目标稀缺的联邦金钱在儿童福利系统中为儿童提供服务。 公共卫生相关性：儿童福利系统为大量虐待儿童提供有可能带来严重的破坏性行为问题的风险，这些问题可能会带来终生后果，并使社会面临暴力犯罪的风险。有效的父母介导的干预措施可预防和治疗这些问题；但是，迄今为止，仅在儿童福利设置中进行了零星的实施和测试。这项研究的结果将为与儿童福利环境中提供心理健康干预有关的最佳实践和政策提供信息。