[R01] An evidence-based family support program for parents and children: A theory-based intervention
Ente: National Institute of Mental Health
Scadenza: 2027-07-31
Importo max: 541.518 EUR
Paese: US
Descrizione
PROJECT SUMMARY/ABSTRACT
Few evidence-based treatments exist to support children and families affected by chronic violence, despite documented evidence of their heightened risk for emotional and behavioral adjustment problems. Thus, a critical need exists for evidence-based interventions aimed at ameliorating the impact of violence on the overall well-being of children and families. The current study is a rigorous evidence-based effectiveness trial of a theoretically driven, family-based intervention in Palestine. The long-term goal of this project is to provide a family-focused intervention (Promoting Positive Family Futures; PPFF) that may facilitate individuals’ sense of safety and support in the context of chronic adversity and to leverage these learnings for reciprocal innovation to contribute to the evidence-base for cost-effective and scientifically rigorous treatments for American children and families who have experienced chronic forms of violence. The objective is to evaluate this intervention in the context of a randomized clinical trial (RCT) in Palestine (N=300). The central hypothesis is that the intervention will have direct positive effects on family conflict, parent psychopathology and parental security in the family as well as on adolescent emotional security in the family, with cascading effects on adolescent adjustment. Consistent with family systems theory and Emotional Security Theory (Cummings & Davies, 2010; Davies & Cummings, 1994), we further hypothesize that treatment effects on parents will mediate the effects of the treatment on adolescent adjustment. The rationale is that bolstering resilience in family systems is a key approach to promoting positive functioning in families exposed to violence. We have three specific aims: 1) evaluate the efficacy of an evidence-based family support program; 2) examine process models of treatment change, and 3) examine interrelations between parent and child functioning. To achieve these aims with scientific rigor, the study is an RCT employing a longitudinal design (N=300) with multi-method assessments at baseline (T1), post-test (T2), 6-month follow-up (T3) and 12-month follow-up (T4). Families (N=300) were randomized into intervention (PPFF) or treatment as usual (TAU) control conditions. Data collection was conducted by trained research staff from a third-party survey and policy research organization. The proposal seeks to shift current research and clinical paradigms in these contexts by employing novel theoretical concepts, approaches, and methodologies. The contribution will be significant by 1) further developing new directions for empirically based interventions in these high-risk contexts, and 2) advancing a relatively brief, cost-effective program that can be readily implemented to help children and families, with the potential to be brought to scale in other contexts, including in the United States (Miller-Graff, Cummings & Bergman, 2016). Dissemination planning in the fi
Istituzione: UNIVERSITY OF NOTRE DAME
PI: EDWARD MARK CUMMINGS, Laura E. Miller-Graff
Progetto: 5R01MH128929-05
Settori: National Institute of Mental Health
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