Service Delivery Innovations in Community Prevention

社区预防中的服务交付创新

• 批准号: 7860315
• 负责人: GERALD J AUGUST
• 金额: $ 44.88万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-06-15 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7860315
• 关键词: Academic achievement; Address; Affect; African American; Aggressive behavior; Behavior; Behavioral; Characteristics; Child; Client; Communities; Community Practice; Competence; Conflict (Psychology); Cost Analysis; Data; Development; Economically Deprived Population; Educational Curriculum; Effectiveness; Emotional; Exposure to; Family; Family Characteristics; Fee-for-Service Plans; Feeling; Funding; Future; Gender; Home environment; Improve Access; Informal Social Control; Interview; Knowledge; Lead; Life; Low income; Measures; Mediating; Mental Depression; Modality; Modeling; Neighborhoods; Nonprofit Organizations; Outcome; Parents; Participant; Pattern; Practice Management; Prevention; Prevention program; Preventive Intervention; Program Acceptability; Program Accessibility; Provider; Public Health; Randomized; Recruitment Activity; Relative (related person); Research; Research Personnel; Risk; Schedule; School Teachers; Schools; Self Efficacy; Series; Services; Social Adjustment; Social support; Stress; Structure; Subgroup; System; Testing; Time; Variant; Work; base; capitate bone; contextual factors; design; early onset; experience; improved; inner city; innovation; interest; kindergarten; male; outreach; outreach program; payment; prevention service; programs; psychosocial; skills; stressor; success; theories

The proposed study seeks to advance knowledge about community practice delivery systems that will enhance client participation and retention in the Early Risers "Skills for Success" conduct problems prevention program. The study will examine ways in which child, parent, and family characteristics associated with barriers to participation affect participation rates and outcomes in both center-based and outreach program delivery systems. The program will be implemented by Pillsbury United Communities [PUC], a nonprofit organization with neighborhood centers that serve economically disadvantaged, urban families, the vast majority of whom are African American. Children will be screened for aggressive/disruptive behavior during the kindergarten, 1st, and 2nd grades and PUC will implement the program over a three-year period. Project investigators will randomize these participants to either the Center-Based or Outreach program delivery models. Project investigators will conduct fidelity assessments of program implementation by agency staff and evaluate rates of client participation and retention, perceived barriers to participation and retention, and program outcomes. The specific aims are designed as a hierarchical series of steps to reflect a "goodness-of-fit" model that identifies specific patterns of child, parent, and family factors associated with significant improvements in the fit between psychosocial and demographic characteristics, rates of participation, and outcomes for each delivery system modality, controlling for levels of child aggression. Investigators will also perform an exploratory cost analysis of two reimbursement schedules (e.g., capitated model vs. fee-for-service model) associated with necessary differences in future funding of the two Early Risers program delivery models.

拟议的研究旨在提高有关社区实践交付系统的知识，以增强客户的参与和在早期提升者的“成功技能”进行预防问题计划中。该研究将研究与参与障碍相关的孩子，父母和家庭特征影响参与率和基于中心和外展计划交付系统的结果。该计划将由Pillsbury United Communities [PUC]实施，该社区是一个非营利性组织，其社区中心为经济弱势的城市家庭提供服务，其中绝大多数是非裔美国人。在幼儿园，一年级和二年级期间，将对儿童进行积极/破坏性行为，PUC将在三年内实施该计划。 项目调查人员将将这些参与者随机为基于中心或外展计划的交付模型。项目调查人员将通过代理商员工对计划实施的忠诚度评估，并评估客户参与和保留率，感知到参与和保留的障碍以及计划成果。该特定目的被设计为一系列层次的步骤，以反映一个“拟合优度”模型，该模型识别儿童，父母和家庭因素的特定模式，与心理社会和人口统计学特征，参与率以及每个分娩系统态度的结果之间的拟合度有显着改善相关，从而控制了儿童侵略水平。调查人员还将对两个报销时间表进行探索性成本分析（例如 模型与支付服务模型）与两种早期提升计划交付模型的未来资金的必要差异相关联。

项目成果

Moderating effects of parental well-being on parenting efficacy outcomes by intervention delivery model of the early risers conduct problems prevention program.

• DOI: 10.1007/s10935-014-0358-z
• 发表时间: 2014-10
• 期刊: JOURNAL OF PRIMARY PREVENTION
• 影响因子: 1.7
• 作者: Piehler, Timothy F.;Lee, Susanne S.;Bloomquist, Michael L.;August, Gerald J.
• 通讯作者: August, Gerald J.