Treatment of Child Physical Abuse: An Effectiveness Trial

儿童身体虐待的治疗：有效性试验

• 批准号: 7669248
• 负责人: DAVID KOLKO
• 金额: $ 58.83万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2011-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7669248
• 关键词: Achievement; Adherence; Administrator; Adopted; Adoption; Advocate; Aftercare; Aggressive behavior; Anger; Arousal; Audiotape; Behavior; Behavior Therapy; Burn injury; Characteristics; Child; Child Abuse; Child Traumatic Stress; Child Welfare; Client; Climate; Clinical; Clinical Services; Coercion; Communities; Consumer Satisfaction; County; Crime Victims; Data; Data Collection; Effectiveness; Ethnic Origin; Evaluation; Evidence based treatment; Family; Family Practice; Family Relationship; Family health status; Foundations; Functional disorder; Goals; Guidelines; Health; Healthy People 2010; Impairment; Individual; Injury; Intervention; Israel; Knowledge; Learning; Measures; Mediating; Mental Health; Methods; Modeling; Mosses; National Institute of Mental Health; Outcome; Outcomes Research; Parenting behavior; Parents; Patient Self-Report; Performance; Phase; Population Intervention; Protocols documentation; Public Health; Randomized; Readiness; Research; Research Personnel; Sample Size; Saran; Services; Severities; Social Work; Supervision; System; Techniques; Testing; Training; Treatment Effectiveness; United States Substance Abuse and Mental Health Services Administration; aged; base; burnout; child physical abuse; cognitive behavior therapy; community based participatory research; community setting; design; effective intervention; effectiveness trial; follow-up; functional status; hatching; high risk; implementation research; improved; innovation; interest; metropolitan; perpetrators; physical abuse; programs; psychosocial; recidivism; response; satisfaction; skills; skills training; tau Proteins; treatment adherence; treatment as usual

DESCRIPTION (provided by applicant): This revised application is being submitted in response to RFA PA-02-131, entitled "Dissemination and Implementation Research in Mental Health". Child physical abuse (CPA) is both common and associated with significant psychosocial and health problems. With the emergence of a few promising interventions for this population, efforts to transport empirically based treatments (EBT) to community settings have been strongly encouraged. In this application, we propose to evaluate the effectiveness of one intervention for CPA, recently described as Abuse-Focused Cognitive-Behavioral Therapy (AF-CBT; Kolko & Swenson, 2002), that has been identified as a "best practice" worthy of dissemination (Office of Victims of Crime, National Child Traumatic Stress Network; Kauffman Foundation Project). AF-CBT integrates complementary individual and family CBT protocols whose materials have recently been adapted by community practitioners to facilitate transportability and efficient application. Practitioners from seven community agencies in two counties will be randomized to one of two intervention conditions: 1) AF-CBT (6 agencies), or 2) Treatment-as-usual (TAU; 3 agencies). We project sample sizes of 100 practitioners and 333 families with at least one eligible perpetrator of physical abuse within the past 6 months and who is in regular contact with the abused child (aged 5-15 years). Treatment may vary in duration but generally will last approximately three to six months. Treatment adherence will be assessed using research staff observations of session audiotapes and self-reports from both supervisors and practitioners. Data collection across four timepoints will be directed towards the evaluation of two sets of effectiveness outcomes: 1) the impact of training in AF-CBT on practitioner repertoire/practices (pre-training assessment, post-training assessment, 1-year and 2-year follow-ups), and 2) the impact of AF-CBT on client (child, parent, family) mental health functioning and reabuse rates (pre-treatment assessment, post-treatment assessment, 1-year and 2-year follow-ups). The client effectiveness component will begin after practitioner training has been completed. Additional analyses seek to identify predictors of both practitioner adherence and adoption of AF-CBT, and client improvement through follow-up. This study will provide initial data on the transportability and adoption of EBTs in community settings serving the child welfare system.

描述（由申请人提供）：该修订后的申请正在响应RFA PA-02-131，标题为“心理健康中的传播和实施研究”。儿童身体虐待（CPA）既常见又与重大的社会心理和健康问题有关。随着对这一人群的一些有希望的干预措施的出现，强烈鼓励将基于经验的治疗（EBT）运送到社区环境中。在此应用中，我们建议评估CPA的一种干预措施的有效性，最近被描述为以虐待为中心的认知行为疗法（AF-CBT； Kolko＆Swenson，2002），被确定为值得传播的“最佳实践”（受害者的受害者，儿童犯罪压力网络的受害者办公室，国家创伤型网络；国家儿童； AF-CBT整合了互补的个人和家庭CBT方案，这些协议最近已由社区从业人员改编，以促进运输能力和有效的应用。来自两个县的七个社区机构的从业人员将被随机分为两个干预条件之一：1）AF-CBT（6个机构）或2）待遇（tau; 3个机构）。我们投射了100名从业者和333个家庭的样本量，在过去的6个月内至少有一名有资格的身体虐待犯罪者，并且与受虐儿童（5-15岁）定期接触。治疗的持续时间可能有所不同，但通常持续约三到六个月。将使用研究人员对主管和从业人员的自我报告的研究人员观察来评估治疗依从性。 Data collection across four timepoints will be directed towards the evaluation of two sets of effectiveness outcomes: 1) the impact of training in AF-CBT on practitioner repertoire/practices (pre-training assessment, post-training assessment, 1-year and 2-year follow-ups), and 2) the impact of AF-CBT on client (child, parent, family) mental health functioning and reabuse rates (pre-treatment assessment, post-treatment assessment, 1年和2年的随访）。在实践培训完成后，客户有效性组件将开始。其他分析旨在确定从业者遵守和采用AF-CBT的预测因素，以及通过随访的客户改进。这项研究将提供有关为儿童福利系统服务的社区环境中EBT的运输和采用的初步数据。