Early intervention for children adopted internationally

对国际收养儿童的早期干预

• 批准号: 8197082
• 负责人: Mary Dozier
• 金额: $ 62.25万
• 依托单位: UNIVERSITY OF DELAWARE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-01-01 至 2013-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8197082
• 关键词: 4 year old; Address; Adopted; Adoption; Age-Months; Area; Attention; Attention deficit hyperactivity disorder; Behavior; Behavior Disorders; Caregivers; Caring; Child; Child Behavior Disorders; Country; Development; Diagnostic and Statistical Manual; Disease; Early treatment; Education; Effectiveness of Interventions; Enrollment; Evidence based intervention; Evidence based treatment; Family; Home environment; Hormones; Hydrocortisone; Incidence; Infant; Intervention; Life; Mediating; Mental disorders; Outcome; Parents; Participant; Pattern; Physiology; Population; Preventive Intervention; Production; Randomized; Reactive Attachment Disorder; Risk; Secure; Training Programs; United States; adopted child; behavior disorder diagnosis; biobehavior; design; early experience; experience; group intervention; inattention; service intervention; treatment program

The number of children adopted into the United States internationally has increased dramatically over the last two decades, with many of these children experiencing institutional care prior to adoption. Problems associated with early institutional care include inattention, deficits in inhibitory control, and insecure attachments. Although rapid gains are seen in some areas, many problems persist. It is critical that interventions be developed that address the specific issues faced by these children and their parents. Attachment and Biobehavioral Catch-up for Children Adopted Internationally (ABC-I) is a 10 session parent training program designed to enhance children's ability to regulate attention, behavior, and physiology, and develop secure, organized attachments to their parents. The proposed study will examine the effectiveness of this intervention through a randomized control design. Initially 220 young children who have lived in institutional care prior to adoption will be enrolled in the study. They will be randomly assigned to the ABC-I intervention or to a control intervention. At least 180 children will be assessed in various contexts annually until they are 4-years- old. Children's ability to regulate attention, behavior, and physiology will be assessed throughout the study period. Children in the ABC-I intervention are expected to show fewer problems with inattention, better inhibitory control, more secure attachments, more normative patterns of hormone production, and lower incidence of diagnosed behavior disorders, than children in the control intervention.

国际收养的儿童人数 在过去的二十年中，有许多孩子急剧增加 在采用之前经历机构护理。与早期相关的问题 机构护理包括注意力不集中，抑制控制缺陷和不安全 附件。尽管在某些领域看到了快速增长，但许多问题 坚持。至关重要的是要开发出解决特定的干预措施 这些孩子及其父母面临的问题。附着和生物行为 追赶国际收养的儿童（ABC-I）是10个会议父母 旨在增强儿童调节注意力的能力的培训计划， 行为和生理学，并发展出安全的，有组织的依恋 父母。拟议的研究将研究此干预的有效性 通过随机控制设计。最初有220名年幼的孩子 在采用之前的机构护理中，将参加该研究。他们会的 随机分配给ABC-I干预或控制干预措施。至少 每年将在各种情况下对180个儿童进行评估，直到他们4年为止 老的。儿童调节注意力，行为和生理学的能力将是 在整个研究期间进行评估。 ABC-I干预中的孩子是 预计会显示出少于注意力，更好的抑制性控制，更多的问题 安全附件，激素产生的更多规范性模式以及较低的 诊断为行为障碍的发病率比控制的儿童 干涉。