Prevention of behavior problems among preschool children in foster care through group-based foster caregiver training at the time of placement

通过在安置时进行基于团体的寄养照顾者培训，预防寄养中的学龄前儿童的行为问题

基本信息

批准号：
10515711
负责人：
Sarah Beal
金额：
$ 72.85万
依托单位：
CINCINNATI CHILDRENS HOSP MED CTR
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-01 至 2027-08-31
项目状态：
未结题

项目摘要

Project Summary Most children in foster care experience multiple forms of maltreatment, increasing risk for behavior problems (e.g., aggression, noncompliance, suspensions/expulsions from preschool or daycare). The foster care system is over-burdened and crisis-response oriented, limiting capacity to focus on prevention of behavior problems with foster caregivers and children. The Chicago Parent Program (CPP) is an evidence-based 12-session program (11 concurrent weeks, 1 one-month booster) with demonstrated significant and sustained improvements in consistent discipline, parenting self-efficacy, and child behavior problems 1 year following training. If available to foster caregivers, CPP could prevent or reduce behavior problems in foster youth, decrease caregiver stress, increase self-efficacy and consistent discipline with caregivers, and prevent unnecessary placement changes. However, adaptations to the existing program are necessary. The goal of this study is to conduct a clinical trial of CPP adapted for foster caregivers of young children. This will be accomplished through three aims: Aim 1: Adapt CPP to meet the unique needs of children ages 2-5 years who are placed with foster caregivers (CPP-FC) and pilot delivery coordinated with mandated healthcare visits (2 groups, 6-8 families). CPP content will be adapted (e.g., additional content targeting trauma and child maltreatment, modified discussion of vignettes, additional role-play targeting specific foster care scenarios). A stakeholder adaptation team, including 6 caregivers, has been established to guide development of enhanced content. Aim 2: Assess the impact of CPP-FC on caregiver stress & confidence in managing child behavior. Families (N = 300) will be randomized to CPP-FC or usual care, with assessments at baseline, 3 months (end of training) and 6 months. CPP-FC is expected to reduce caregiver stress and increase confidence. Aim 3: Assess the impact of CPP-FC on child behavior. Observations of structured interactions between caregivers and children at baseline and 3-months will be collected along with caregiver reports of child behaviors at baseline, 3 months, and 6 months. CPP-FC is expected to decrease child behavior problems and result in fewer placement changes. If hypotheses are confirmed, this study will provide an evidence-based model to prevent behavior problems in young foster children that could be spread to other institutions.

项目概要大多数寄养儿童都经历过多种形式的虐待，增加了出现行为问题的风险（例如，攻击性、不遵守规定、从学前班或日托所停学/开除）。寄养制度负担过重且以危机应对为导向，限制了专注于预防行为问题的能力与寄养者和儿童。芝加哥家长计划 (CPP) 是一项循证的 12 期课程计划（11 周同时进行，1 个月加强计划）具有显着且持续的效果一年后一致性纪律、养育自我效能和儿童行为问题的改善训练。如果可用于寄养照顾者，CPP 可以预防或减少寄养青少年的行为问题，减轻护理人员的压力，提高自我效能并与护理人员保持一致的纪律，并预防不必要的放置更改。然而，对现有计划进行调整是必要的。目标是本研究旨在进行适用于幼儿寄养照顾者的 CPP 的临床试验。这将是通过三个目标来实现：目标 1：调整 CPP 以满足 2-5 岁儿童的独特需求被安置在寄养照顾者 (CPP-FC) 和试点交付协调的授权医疗保健就诊（2组，6-8个家庭）。 CPP 内容将进行调整（例如，附加内容定位创伤和儿童虐待、对小插曲的修改讨论、针对特定寄养的额外角色扮演护理场景）。已成立包括 6 名护理人员在内的利益相关者适应小组来指导开发增强内容。目标 2：评估 CPP-FC 对护理人员压力和信心的影响在管理儿童行为方面。家庭 (N = 300) 将被随机分配到 CPP-FC 或常规护理，其中基线、3 个月（培训结束）和 6 个月时的评估。 CPP-FC 预计将减少护理人员压力并增强信心。目标 3：评估 CPP-FC 对儿童行为的影响。观察结果将收集基线和 3 个月内看护者与儿童之间的结构化互动照顾者报告儿童在基线、3 个月和 6 个月时的行为。 CPP-FC预计将减少儿童行为问题并导致较少的安置变化。如果假设得到证实，这项研究将提供基于证据的模型，以防止年幼的寄养儿童中可能传播的行为问题到其他机构。