Implementation and Scale-Up of a Caregiver Intervention for Mothers who have Survived Intimate Partner Violence: the Mediational Intervention for Sensitizing Caregivers

针对亲密伴侣暴力幸存者的母亲实施和扩大看护者干预措施：提高看护者敏感性的调解干预

• 批准号: 10752297
• 负责人: Madeleine Elise Allman
• 金额: $ 3.84万
• 依托单位: UNIVERSITY OF HOUSTON
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10752297
• 关键词: Adopted; Adoption; African American; Age; Architecture; Area; Buffers; Caregivers; Characteristics; Child; Child Mental Health; Child Rearing; Client; Clinical Psychology; Communication; Communities; Consolidated Framework for Implementation Research; County; Data; Doctor of Philosophy; Domestic Violence; Environment; Evaluation; Evidence based treatment; Exposure to; Faculty; Family; Feedback; Fellowship; Focus Groups; Funding Agency; Future; Genetic Transcription; Guidelines; High Prevalence; Housing; Incentives; Infrastructure; Intervention; Interview; Investments; Letters; Literature; Mental Health; Mental disorders; Methodology; Methods; Mothers; National Institute of Mental Health; Nature; Outcome; Patients; Perception; Policies; Population; Population Heterogeneity; Prevention; Psychopathology; Public Health; Qualitative Research; Randomized, Controlled Trials; Recommendation; Regulation; Reporting; Research; Research Personnel; Research Proposals; Resources; Risk; SET Domain; Social Network; Source; Structure; Students; Surveys; Survivors; Training; Training Programs; Translational Research; Trauma; Underserved Population; Woman; Workload; caregiver interventions; caregiving; community organizations; community partnership; coordinated violence; cost; design; evidence base; experience; implementation facilitators; implementation intervention; implementation outcomes; implementation process; implementation science; implementation strategy; intimate partner violence; opportunity cost; programs; protective factors; psychosocial; scale up; social; stakeholder perspectives; traumatic stress; treatment effect; uptake; violence exposure

PROJECT SUMMARY Exposure to intimate partner violence (IPV) constitutes a traumatic stress environment and incurs profound impacts on both mothers’ caregiving and children’s’ mental health outcomes. Children who are exposed to IPV are more likely to develop a variety of psychopathology. Sensitive and responsive caregiving has been identified as an important protective factor that may buffer the negative impact of IPV exposure. The Mediational Intervention for Sensitizing Caregivers (MISC) has demonstrated positive treatment effects on child mental health problems and is currently being adapted and evaluated in the sponsor’s RCT (R01HD102436; PI: Sharp) for African American IPV-exposed mothers in a community partner organization’s rehousing program. While MISC holds promise for this population, no data has yet been collected to evaluate whether MISC is amenable to scale-up for delivery in community organization settings. This translational research gap is significant because of the high prevalence of IPV exposure in African American families (1 in 4 African American children in the U.S. are exposed to IPV) and the paucity of available data on factors related to the adoption of IPV-parenting interventions. Consistent with the NIMH’s strategic objectives 3 (prevention of mental illness) and 4 (public health impact), the proposed research will evaluate the evidence-based MISC parenting intervention for implementation using mixed methodology and the Consolidated Framework for Implementation Research (CFIR) for scale-up in two IPV-community organization settings. This project will identify key barriers and facilitators to the implementation of MISC that will be incorporated in a future scale-up and evaluation project in an additional research proposal. Using CFIR constructs in a parallel convergent design , the following mixed method aims will be completed. For Aim 1, we will identify MISC Characteristics for scale-up suitability using qualitative interviews (N=10) with MISC-Implementation experts (caseworkers and administrative leaders who are implementing MISC in their IPV organization in the sponsor’s RCT). Interviews will focus on the perception of MISC and how it may fit into their existing workload. For Aim 2, we will assess outer setting characteristics for MISC scale-up suitability via quantitative survey of stakeholders (N=50) in the IPV field. Surveys will focus on policies and incentives that drive IPV initiatives. For Aim 3, we will assess inner setting characteristics at two community partner agencies via focus groups with IPV caseworkers (N=20) to explore factors related to workload and culture. Each aim will identify salient barriers and facilitators to implementation related to each CFIR construct and comprehensive recommendations will be created based on these findings for future scale-up. The proposed project will be the first to evaluate the capacity and feasibility of adoption of an evidence-based caregiver intervention in an IPV-community organization setting and will extend the literature to consider multi-level factors in implementing community-based interventions.

项目摘要 暴露于亲密伴侣暴力（IPV）构成了创伤性压力环境，并产生了深刻的 对母亲的护理和儿童心理健康成果的影响。接触IPV的孩子 更有可能发展各种心理病理学。敏感和响应迅速的护理一直 被确定为重要的受保护因素，可以缓解IPV暴露的负面影响。这 敏化护理人员的中介干预措施（MISC）表现出对 儿童心理健康问题，目前正在赞助商的RCT中进行调整和评估 （R01HD102436; PI：SHARP）在社区合作伙伴组织中暴露于非裔美国人的母亲 Rehouse计划。尽管MISC对该人群抱有承诺，但尚未收集任何数据来评估 MISC是否可以在社区组织环境中扩大规模。这种翻译 由于非裔美国人家庭的IPV暴露率很高，研究差距很大（四分之一 美国的非洲裔美国儿童暴露于IPV），并且缺乏有关相关因素的可用数据 采用IPV父母的干预措施。与NIMH的战略目标一致（预防 精神疾病）和4（公共卫生影响），拟议的研究将评估基于证据的MISC 育儿干预用于实施 混合方法 以及合并的框架 实施研究（CFIR），用于在两个IPV社区组织设置中扩大规模。这个项目将 确定将在以后的扩大规模中纳入MISC的关键障碍和促进者 和评估项目在其他研究建议中。使用CFIR构造 在平行转换中 设计 ， 下列 混合方法 目标将完成。对于AIM 1，我们将确定杂项特征 使用定性访谈（n = 10）的规模适用性（n = 10）与误解专家（案例工作者和 在赞助商的RCT中在其IPV组织中实施MISC的行政领导者。访谈 将专注于对MISC的感知以及它如何适合其现有工作量。对于AIM 2，我们将评估 通过对利益相关者的定量调查（n = 50），MISC扩大适用性的外部设置特征（n = 50） IPV字段。调查将集中于推动IPV计划的政策和激励措施。对于目标3，我们将评估内部 通过与IPV案例工作者（n = 20）的焦点小组在两个社区合作伙伴机构设置特征 探索与工作量和文化有关的因素。 每个目标都会确定明显的障碍和促进者 将根据每个CFIR结构和全面建议相关的实现 这些发现，用于将来扩大规模。 拟议的项目将是第一个评估能力和可行性的项目 在IPV社区组织设置中采用基于证据的护理人员干预措施，并将 扩展文献以考虑实施基于社区的干预措施的多层次因素。