Cognitive Skills Training to Improve Vocational Outcome in Homeless Youth

认知技能培训可改善无家可归青年的职业成果

基本信息

批准号：
8512791
负责人：
Alice Medalia
金额：
$ 23.02万
依托单位：
NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-07-18 至 2015-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8512791
关键词：
21 year old Achievement Address Adult Aftercare Age Caring Childhood Chronic Clinic Cognition Cognitive Cognitive deficits Cognitive remediation Communities Community Psychiatry Community Services Computers Control Groups Controlled Study Counseling Data Development Disadvantaged Emotional Employment Exploratory/Developmental Grant Goals Healthcare High Prevalence Homeless Youth Homelessness Hour Housing Impaired cognition Impairment Independent Living Individual Intervention Investigation Learning Longitudinal Studies Measures Medical Neurocognition New York City Occupations Outcome Participant Population Problem behavior Readiness Relative (related person)Remedial Teaching Reporting Research Rights Risk Risk Factors Secure Services Structure Training Unemployment United States Vulnerable Populations Work Youth active control base cognitive function computerized critical developmental period experience follow-up functional disability functional loss functional outcomes improved meetings physical conditioning programs prospective psychosocial skills skills training successful intervention

项目摘要

DESCRIPTION (provided by applicant): Recent meta-analytic findings demonstrate that homeless youth evidence significant cognitive impairment and decremented vocational achievements. Cognitive impairment limits the benefit from available vocational services such as job readiness training, thereby contributing to chronic unemployment and enduring homelessness. At present, empirical data support the use of treatments to target cognition that are integrated with other community services for homeless adults. Cognitive remediation implemented in a range of adult populations has yielded positive outcomes with respect to cognitive improvement and acquisition of goals for community functioning. However, as of yet, such cognitive interventions have not been employed in homeless youth. Cognitive gains provide a necessary platform for learning to support the development of skills needed for employment in the community. Successful intervention at this critical developmental period is thus crucial to halt a potentially detrimental trajectory of accumulating functional disability and enduring homelessness. The aim of this research is to conduct a controlled study of cognitive remediation, to provide feasibility data on adapting an established empirically-based cognitive intervention for homeless youth to help them attain vocational goals. The ultimate purpose is that youth will improve in cognitive functioning and have better functional outcomes including jobs to sustain independent living. The results of this study will inform a larger trial on the efficacy of cognitive remediation in homeless youth to improve cognition and vocational outcomes. The proposed study will involve 90 participants, ages 18 to 21, at the Rights of Passage program at Covenant House, a community agency that offers job training, remedial education, housing, medical care, and counseling to unemployed and under-educated homeless youth. Hypotheses are that, compared to those in an active control group receiving computerized work-skills training, individuals who receive cognitive remediation will show greater cognitive benefits on proximal measures of neurocognition and evidence better vocational outcome as defined by greater number of hours worked. This study will address the service gap in the use of integrated psychosocial interventions for homeless populations as the first investigation of cognitive remediation in homeless youth.

描述（由申请人提供）：最近的荟萃分析发现表明，无家可归的青年证据证明了严重的认知障碍和降低的职业成就。认知障碍限制了可用职业服务（例如工作准备培训）的好处，从而导致长期失业和持久无家可归。目前，经验数据支持使用治疗来针对与无家可归成年人其他社区服务集成的认知。在一系列成人人群中实施的认知补救措施在认知能力的改善和获得社区功能目标方面产生了积极的结果。但是，到目前为止，无家可归的青年尚未采取这种认知干预措施。认知收益为学习支持社区就业所需技能的发展提供了必要的平台。因此，在这个关键发展时期的成功干预对于制止积累功能残疾和持久无家可归的潜在有害轨迹至关重要。这项研究的目的是对认知补救的对照研究，以提供可行性数据，以适应既定的基于经验的认知干预措施，以帮助无家可归的青年帮助他们实现职业目标。最终目的是，年轻人将改善认知功能，并具有更好的功能成果，包括维持独立生活的工作。这项研究的结果将为无家可归青年认知补救的有效性提供更大的试验，以改善认知和职业结果。拟议的研究将涉及90名18至21岁的参与者参加Covenant House的通行权，该计划是一家社区机构，该机构提供职业培训，补习教育，住房，医疗保健和咨询咨询，以期为失业和受过教育的无家可归者青年。假设是，与接受计算机化工作技能培训的活跃对照组相比，接受认知补救的个人将在神经认知的近端测量和证据方面表现出更大的认知益处，这是由更多小时数定义的更好的职业结果。这项研究将解决无家可归者人群使用综合的心理心理干预措施的服务差距，作为对无家可归青年认知补救的首次调查。