Early intervention for children adopted internationally

对国际收养儿童的早期干预

• 批准号: 7998217
• 负责人: Mary Dozier
• 金额: $ 64.25万
• 依托单位: UNIVERSITY OF DELAWARE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-01-01 至 2013-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7998217
• 关键词: 4 year old; Address; Adopted; Adoption; Age-Months; Area; Attention; Attention deficit hyperactivity disorder; Behavior; Behavior Disorders; Caregivers; Caring; Child; Child Behavior Disorders; Country; Development; Diagnostic and Statistical Manual; Disease; Early treatment; Education; Effectiveness of Interventions; Enrollment; Evidence based intervention; Evidence based treatment; Family; Health; Home environment; Hormones; Hydrocortisone; Incidence; Infant; Intervention; Life; Mediating; Mental disorders; Outcome; Parents; Participant; Pattern; Physiology; Population; Preventive Intervention; Production; Randomized; Reactive Attachment Disorder; Risk; Secure; Training Programs; United States; adopted child; behavior disorder diagnosis; biobehavior; design; early experience; experience; group intervention; inattention; service intervention; treatment program

DESCRIPTION (provided by applicant): The number of children adopted into the United States internationally has increased dramatically over the last two decades, with many of these children experiencing institutional care prior to adoption. Problems associated with early institutional care include inattention, deficits in inhibitory control, and insecure attachments. Although rapid gains are seen in some areas, many problems persist. It is critical that interventions be developed that address the specific issues faced by these children and their parents. Attachment and Biobehavioral Catch-up for Children Adopted Internationally (ABC-I) is a 10 session parent training program designed to enhance children's ability to regulate attention, behavior, and physiology, and develop secure, organized attachments to their parents. The proposed study will examine the effectiveness of this intervention through a randomized control design. Initially 220 young children who have lived in institutional care prior to adoption will be enrolled in the study. They will be randomly assigned to the ABC-I intervention or to a control intervention. At least 180 children will be assessed in various contexts annually until they are 4-years- old. Children's ability to regulate attention, behavior, and physiology will be assessed throughout the study period. Children in the ABC-I intervention are expected to show fewer problems with inattention, better inhibitory control, more secure attachments, more normative patterns of hormone production, and lower incidence of diagnosed behavior disorders, than children in the control intervention. PUBLIC HEALTH RELEVANCE: Young children who are adopted after living in institutional care are at increased risk for a range of psychiatric and behavioral disorders, but there are few evidence-based treatment programs that address such problems. The preventive intervention assessed in this study targets issues that have been identified as particularly problematic for these children.

描述（由申请人提供）：在过去的二十年中，国际收养的儿童人数急剧增加，其中许多儿童在收养前经历了机构护理。与早期机构护理相关的问题包括注意力不集中，抑制控制缺陷以及不安全的依恋。尽管在某些领域看到了快速增长，但许多问题仍然存在。至关重要的是要开发干预措施，以解决这些孩子及其父母所面临的具体问题。依恋和生物行为的追赶是针对国际收养（ABC-I）的儿童的10个会话父母培训计划，旨在增强儿童调节关注，行为和生理学的能力，并发展对父母的安全，有组织的依恋。拟议的研究将通过随机控制设计检查这种干预的有效性。最初，在收养之前居住在机构护理中的220名幼儿将入学。它们将被随机分配到ABC-I干预措施或控制干预措施中。每年至少在各种情况下评估180名儿童，直到他们4岁。在整个研究期间，将评估儿童调节注意力，行为和生理学的能力。与控制干预措施相比，ABC-I干预中的儿童预计将显示出更少的问题，更好的抑制性控制，更安全的依恋，更安全的激素产生模式以及诊断行为障碍的发病率较低。公共卫生相关性：在机构护理中居住后被收养的幼儿对一系列精神病和行为障碍的风险增加，但是很少有基于证据的治疗计划解决此类问题。本研究中评估的预防性干预措施目标是对这些儿童特别有问题的问题。