Promoting Infant Mental Health in Foster Care

促进寄养婴儿的心理健康

• 批准号: 7068166
• 负责人: Susan Joan Spieker
• 金额: $ 64.14万
• 依托单位: UNIVERSITY OF WASHINGTON
• 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/7068166
• 关键词: audiotape; behavior test; behavior therapy; behavioral /social science research tag; caregivers; child foster care /adoption; child mental health service; clinical research; community mental health services; developmental psychology; dyadic interaction; early experience; emotions; focus groups; health care service evaluation; health services research tag; human subject; infant human (0-1 year); interview; longitudinal human study; mental disorder prevention; parent offspring interaction; patient oriented research; personal log /diary; quality of life; questionnaires; videotape /videodisc

DESCRIPTION (provided by applicant): Our goals in this 5-year project in response to PAR-05-026, Community Participation in Research, are to acquire crucially needed evidence to support interventions promoting infants' mental health in foster care, while building community capacity to deliver infant mental health interventions and services to foster families. The specific aims are: 1. to collaborate with Pierce County, Washington multi-system partners by continuing a process of formative research and stakeholder participation, to modify existing relationship and attachment-based interventions for implementation with infants in foster care and their caregivers. 2. To work with community partners to establish the necessary research infrastructure to conduct a comparative effectiveness study (CES) measuring the effectiveness of the agreed upon intervention. 3. To conduct a CES to test the effectiveness of the agreed upon intervention on the following outcomes: foster caregiver sensitivity, infant attachment security and emotional, behavioral, and developmental functioning, and placement stability. 4. To examine qualitative and quantitative research findings related to Aims 1-3 with community partners in order to plan system-wide next steps to promote social-emotional well-being and relationship stability for infants and young children in the child welfare system. The proposed research is a community-based longitudinal comparative effectiveness study. Foster families (N=210) will be enrolled over the course of 27 months when their infants are 7 months old. The foster families will be randomly assigned to experimental and comparison conditions involving two different prevention programs. The experimental group will receive an attachment theory based program; the comparison group will receive early education support services. Both groups will receive a pretest prior to random assignment and 12-, 18-, and 24-month assessments of caregiver sensitive caregiving, parenting stress, and commitment to this infant; and infant emotional and behavioral regulation, attachment security, and developmental status. Placement and child welfare data will be obtained from the state child welfare data base. A process evaluation will be conducted of the collaborative partnership.

描述（由申请人提供）：我们在这个为期 5 年的项目中的目标是响应 PAR-05-026（社区参与研究），获取急需的证据，以支持促进寄养婴儿心理健康的干预措施，同时建立社区向寄养家庭提供婴儿心理健康干预和服务的能力。具体目标是： 1. 通过继续形成性研究和利益相关者参与的过程，与华盛顿州皮尔斯县多系统合作伙伴合作，修改现有的关系和基于依恋的干预措施，以对寄养婴儿及其照顾者实施。 2. 与社区合作伙伴合作，建立必要的研究基础设施，以进行比较有效性研究 (CES)，衡量商定的干预措施的有效性。 3. 进行 CES 来测试商定的干预措施对以下结果的有效性：培养护理人员的敏感性、婴儿依恋安全性和情绪、行为和发育功能以及安置稳定性。 4. 与社区合作伙伴一起审查与目标 1-3 相关的定性和定量研究结果，以便规划全系统的后续步骤，以促进儿童福利系统中婴幼儿的社会情感福祉和关系稳定。拟议的研究是一项基于社区的纵向比较有效性研究。寄养家庭 (N=210) 将在其婴儿 7 个月大时在 27 个月的时间内登记。寄养家庭将被随机分配到涉及两种不同预防计划的实验和比较条件。实验组将接受基于依恋理论的项目；对照组将接受早期教育支持服务。两组患者都将在随机分配之前接受预测试，并在 12、18 和 24 个月内对护理人员的敏感护理、养育压力和对该婴儿的承诺进行评估；以及婴儿的情绪和行为调节、依恋安全感和发育状态。安置和儿童福利数据将从州儿童福利数据库获得。将对合作伙伴关系进行过程评估。