Randomized Trial of KEEP-P, a Preventive Intervention for Foster Preschoolers

KEEP-P 的随机试验，一种针对寄养学龄前儿童的预防性干预措施

• 批准号: 8470040
• 负责人: Philip A Fisher
• 金额: $ 62.81万
• 依托单位: UNIVERSITY OF OREGON
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-01 至 2018-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8470040
• 关键词: Age; Alcohol or Other Drugs use; Area; Behavioral; Caregivers; Caring; Child; Child Behavior; Child Welfare; Costs and Benefits; Data Collection; Development; Developmental Delay Disorders; Discipline; Early Intervention; Educational Curriculum; Evidence based intervention; Evidence based program; Family; Fostering; Funding; Goals; HIV; Health; Intervention; Juvenile Delinquency; Life Cycle Stages; Mediating; Mediator of activation protein; Modeling; Nursery Schools; Outcome; Parenting behavior; Parents; Participant; Pilot Projects; Population Programs; Positive Reinforcements; Preventive Intervention; Problem behavior; Psychopathology; Randomized; Randomized Clinical Trials; Recording of previous events; Relative (related person); Research; Resources; Risk; School-Age Population; Services; Special Education; Stress; Support Groups; System; Training Support; Translating; Vulnerable Populations; Work; aged; base; community setting; cost; cost effectiveness; demographics; design; dosage; economic evaluation; effectiveness measure; executive function; experience; foster care; foster child; high risk; improved; intervention effect; literacy; maltreatment; post intervention; programs; psychoeducational; public health relevance; randomized trial; skills; social; therapeutic target

DESCRIPTION (provided by applicant): Preschool-aged foster children are at high risk for numerous negative outcomes, and these risks are heightened for children who experience foster placement disruptions. However, there is very limited use of evidence-based interventions for young children in the child welfare system. Major barriers to progress in this area include a lack of available evidence-based programs for foster children across the preschool years and the tendency for the few existing evidence-based interventions to be resource intensive in terms of funding and the level of staff expertise required to be implemented with fidelity. Readily scalable, evidence-based interventions for foster preschoolers are clearly needed to reduce the widespread disparities. The goal of the proposed study is to conduct a randomized clinical trial of a new, low-cost, manualized, group-based intervention for foster preschoolers and their caregivers. We propose to evaluate two versions of the intervention: (a) a basic version that employs a curriculum consisting of 16 weekly psychoeducational foster/kinship caregiver support groups and (b) an augmented version that consists of the caregiver support groups and 16 weekly, curriculum-based, child playgroups targeting executive functioning, early literacy, and socioemotional development. Across four waves of data collection (baseline, immediately post intervention, and 12 and 18 months post baseline), we will examine the extent to which the two intervention conditions show improved parenting, reduced rates of disrupted placements, and improved child outcomes. We will conduct multivariate modeling to examine mediating mechanisms underlying the hypothesized immediate and longer- term intervention effects. Finally, we will conduct a comprehensive economic evaluation to examine the incremental costs associated with implementing each intervention condition (compared to services as usual) and the benefits realized in the intervention conditions in terms of increased positive outcomes for children.

描述（由申请人提供）：学龄前寄养儿童对许多负面结果的风险很高，并且对于经历寄养放置干扰的儿童而言，这些风险也会增加。但是，在儿童福利系统中，对幼儿的基于证据的干预措施的使用非常有限。该领域的进步的主要障碍包括缺乏为整个学龄前年份的寄养儿童提供可用的循证计划，以及少数现有的基于证据的干预措施在资金方面进行资源的趋势以及以富裕程度实施的员工专业知识水平。显然需要对寄养学龄前儿童进行易于扩展的，基于证据的干预措施，以减少广泛的差异。拟议的研究的目的是对寄养学龄前儿童及其护理人员进行新的，低成本，基于群体的干预措施的随机临床试验。我们建议评估两个版本的干预措施：（a）使用课程的基本版本，该课程由16个每周的心理教育寄养/亲属护理人员支持小组组成，以及（b）由Caregiver支持小组和每周16个，课程基于课程的儿童娱乐型，儿童娱乐型的早期识字率，早期识字术和社会的增强版本组成。在四个数据收集浪潮中（基线，立即干预后以及基线后的12个月和18个月），我们将研究两种干预条件在多大程度上显示出改善的育儿，降低的位置率降低以及儿童结果的改善。我们将进行多元建模，以检查假设的即时和长期干预效应的基础的中介机制。最后，我们将进行全面的经济评估，以研究与实施每种干预条件相关的增量成本（与往常一样相比）以及在干预条件下实现的收益，以增加儿童的积极成果。