An evidence-based family support program for parents and children in Palestine: A theory-based intervention

针对巴勒斯坦父母和儿童的循证家庭支持计划：基于理论的干预

• 批准号: 10704014
• 负责人: EDWARD MARK CUMMINGS
• 金额: $ 49.6万
• 依托单位: UNIVERSITY OF NOTRE DAME
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-13 至 2027-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10704014
• 关键词: Address; Adolescent; Affect; Aftercare; Behavioral; Caring; Child; Child Support; Child Welfare; Chronic; Clinical; Clinical Trials; Clinical Trials Design; Cognitive; Communities; Conflict (Psychology); Counseling; Data Collection; Development; Dimensions; Ecology; Ecosystem; Emotional; Ensure; Environment; Evaluation; Evidence based intervention; Evidence based program; Exposure to; Family; Future; Goals; Individual; Intervention; Mediating; Mental Health; Mental Processes; Methodology; Methods; Mission; Modeling; National Institute of Mental Health; Outcome; Parents; Pathway interactions; Personal Satisfaction; Pilot Projects; Policy Research; Politics; Population; Prevention; Procedures; Process; Program Acceptability; Program Evaluation; Psychopathology; Psychosocial Assessment and Care; Public Health; Randomized; Reaction; Recording of previous events; Research; Research Personnel; Research Training; Resource-limited setting; Resources; Risk; Safety; Security; Site; Social Processes; Surveys; System; Systems Theory; Testing; Time; Trauma; Violence; West Bank; Work; Youth; acceptability and feasibility; coping; cost effective; cost effective intervention; effective intervention; effectiveness evaluation; efficacy evaluation; evidence base; family support; follow-up; high risk; improved; innovation; intervention program; longitudinal design; low and middle-income countries; novel; programs; randomized, clinical trials; resilience; response; social; theories; treatment as usual; treatment effect; violence exposure

PROJECT SUMMARY/ABSTRACT Few evidence-based programs exist to support children and families affected by sociopolitical conflict, despite documented evidence of their heightened risk for emotional and behavioral adjustment problems associated with exposure to conflict and violence at multiple levels of the social ecology (e.g., political, community, and family). Thus, a critical need exists for an evidence-based program to ameliorate the impact of political violence on the overall well-being of children and families. The current study will conduct a rigorous evaluation of a theoretically-driven, family-based intervention program in Palestine, including both the West Bank and Gaza. Firmly grounded in the cultural context of Palestine but with broad implications for individuals exposed to sociopolitical violence, the long-term goal of this project is to provide a family-focused intervention program (Promoting Positive Family Futures; PPFF) that may facilitate individuals’ sense of safety and support in the context of chronic adversity. The objective is to evaluate this intervention program in the context of a randomized clinical trial (RCT) in the West Bank and Gaza (N=300). The central hypothesis is that the program will have direct positive effects on family conflict, parent psychopathology and parental security in the family as well as on adolescent emotional security in the family, with cascading effects on adolescent adjustment. Consistent with family systems theory, we further hypothesize that treatment effects on parents will mediate on the effects of the treatment on adolescent adjustment. The rationale is that bolstering resilience in family systems is a key approach to promoting positive functioning in families exposed to chronic violence. The hypothesis will be evaluated with three specific aims: 1) evaluate the efficacy of an evidence-based family support program; 2) examine process models of treatment change, and 3) examine interrelations between parent and child functioning. To achieve these aims, the study will be an RCT employing a longitudinal design (N=300) with multi-method assessments at baseline (T1), post-test (T2), 6-month follow-up (T3) and 12-month follow-up (T4). Families included in the study will be evenly divided between the West Bank (n=150) and Gaza Strip (n=150). Families will be randomized into the intervention condition (PPFF) or treatment as usual (TAU). Each territory will have an implementing partner, and implementing partners and investigators will work together to ensure the study procedures are implemented in parallel across sites. Data collection will be conducted by trained research staff from a third-party survey and policy research organization. The proposal seeks to shift current research and clinical paradigms in these contexts by employing novel theoretical concepts, approaches, and methodologies. The contribution will be significant by 1) further developing new directions for empirically-based interventions in these high-risk contexts, and 2) advancing a relatively brief, cost-effective program that can be readily implemented to help children and families exposed to continuing conflict in Palestine, with the potential to be brought to scale in other contexts.

项目摘要/摘要 很少有基于证据的计划来支持受社会政治冲突影响，绝望的儿童和家庭 记录了其情绪和行为调整问题风险增加的证据 在社会生态的多个层面上暴露于冲突和暴力（例如，政治，社区和 家庭）。这是基于证据的计划的迫切需求，以改善政治暴力的影响 关于儿童和家庭的整体福祉。当前的研究将对 理论驱动的，基于家庭的干预计划，包括西岸和加沙。 牢固地基于巴勒斯坦的文化背景，但对暴露的个人具有广泛的影响 社会政治暴力，该项目的长期目标是提供以家庭为中心的干预计划 （促进积极的家庭未来； PPFF），这可能有助于个人的安全感和支持 慢性逆境的背景。目的是在一个背景下评估此干预计划 西岸和加沙的随机临床试验（RCT）（n = 300）。中心假设是该程序 将对家庭冲突，父母心理病理学和家族的父母安全产生直接的积极影响 以及家庭中的青少年情感安全，对青少年调整产生层叠的影响。 与家庭系统理论一致，我们进一步假设对父母的治疗影响会进行调解 治疗对青少年调整的影响。理由是增强家庭的韧性 系统是促进暴露于慢性暴力的家庭积极功能的关键方法。这 假设将以三个具体目的评估：1）评估循证家庭的效率 支持计划； 2）检查治疗变化的过程模型，3）检查 父母和孩子的功能。为了实现这些目标，该研究将是使用纵向设计的RCT （n = 300）在基线（T1），测试后（T2），6个月随访（T3）和12个月时进行多方法评估 后续（T4）。研究中包括的家庭将在西岸（n = 150）和加沙（Gaza）之间平均分配 带（n = 150）。家庭将像往常一样被随机分为干预条件（PPFF）或治疗。 每个领域将有一个实施合作伙伴，实施合作伙伴和调查人员将工作 共同确保研究程序在跨站点并联实施。数据收集将是 由第三方调查和政策研究组织的训练有素的研究人员进行。提案 试图通过采用新的理论来转移当前的研究和临床范例 概念，方法和方法。 1）进一步开发新的贡献将是重要的 在这些高风险环境中基于经验的干预措施的方向，以及2）相对简短的简介， 具有成本效益的计划，可以轻松实施以帮助暴露于继续的儿童和家庭 巴勒斯坦的冲突，有可能在其他情况下进行扩展。