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临床试验/NCT03706014
NCT03706014进行中(未招募)不适用

Innovative Family Prevention With Latino Siblings in Disadvantaged Settings

Harvard University2 个研究点 分布在 1 个国家目标入组 270 人开始时间: 2018年9月29日最近更新:
适应症

试验速览

阶段
不适用
状态
进行中(未招募)
入组人数
270
试验地点
2
主要终点
Sibling Intimacy

研究概览

简要总结

The current study is a randomized intervention trial that tests the efficacy of a family-focused sibling relationship promotion program. The study includes a treatment group and a contact-equivalent attention control condition with 288 sibling dyads and data collection with target parents, target sibling dyads, and teachers at three time points (pre-test, post-test, and 18-month follow-up). Data will be collected using a three-cohort design with 96 families in each of the three cohorts.

详细描述

The proposed project tests the efficacy of a family-focused program. This innovative program is focused on sibling relationships and parenting of siblings as synergistic targets of change to promote positive interpersonal family dynamics and parent and youth psychosocial and behavioral health and well-being. This translational effort builds on strong theoretical and empirical premises including a successful pilot study (ASU SIBS Program). Using a rigorous design and measurement, aims are to: (a) test the efficacy of SIBS, delivered via 12 weekly afterschool sibling sessions and 3 family nights in the familiar elementary school setting, versus a contact-equivalent attention control condition. Mexican-origin sibling dyads (5th graders and younger siblings; N = 288 dyads) and their parents will be recruited from economically disadvantaged elementary schools and randomly assigned within school to intervention or contact-equivalent attention control conditions. Assessments will be conducted at pre-test, post-test, and 18-month follow-up. Program effects will be tested on primary and secondary outcomes, including sibling relationship quality (i.e., warmth and negativity), sibling relationship skills, children's efficacy (social, emotional), children's internalizing symptoms, parents' stress and depressive symptoms, parent-child warmth and conflict, and family cohesion. Findings will advance prevention science by identifying an efficacious program that capitalizes on cultural assets to promote positive family dynamics and psychosocial well-being among Latinos, including by incorporating daily measurements of intervention targets (sibling relationship skills) to identify mechanisms underlying program effects.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
None

入排标准

年龄范围
5 Years 至 —(Child, Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Target child has to be a 5th grader
  • Target child has to be of Latino/Hispanic heritage
  • Target child has to have a younger sibling enrolled in the same school in the 1st through 4th grade
  • Target child and younger sibling have to be enrolled students in a participating elementary school.

排除标准

  • - Enrollment in a self-contained special education setting

结局指标

主要结局

Sibling Intimacy

时间窗: 16 weeks

The measure assesses siblings' ratings of intimacy/emotional support (Blyth \& Foster-Clark, 1987). Scores range from 1 to 5. Higher scores indicate target child's perceptions of higher sibling intimacy and closeness (i.e., better outcome).

Parenting of Siblings Measure

时间窗: 16 weeks

The measure assesses parents' perceptions of three constructs: Parents' positive guidance, authoritarian control, and involvement (McHale et al., 2000; Updegraff et al., 2016). For each subscale, scores range from 1 to 5. Higher subscale scores indicate more positive guidance (i.e., better outcome), higher involvement (i.e., better outcome), and higher authoritarian control (i.e., worse outcome). Subscales are not combined into a total score.

Sibling Prosocial Behavior

时间窗: 16 weeks

The measure assesses parents' perceptions of one construct: Parents' ratings of children's supportive and prosocial behaviors (Stormshak, Bellanti, \& Bierman, 1996; Updegraff et al., 2016). Scores range from 1 to 6. Higher scores indicate parents' perceptions of target child's more prosocial behaviors toward their sibling (i.e., better outcome).

Sibling Relationship Inventory: Negativity Subscale

时间窗: 16 weeks

The measure assesses parents' ratings of sibling conflict and negativity (Stocker \& McHale, 1992). Scores range from 1 to 5. Higher scores indicate parents' perceptions of target child's greater negativity toward their sibling (i.e., worse outcome).

次要结局

  • Behavior Problem Index(16 weeks)
  • Parent-Child Conflict measure(16 weeks)
  • Family Adaptability and Cohesion Evaluation Scales II(16 weeks)
  • Children's Depression Inventory(16 weeks)
  • Children's Reports of Parental Behavior Inventory - Harsh Discipline(16 weeks)
  • Self-efficacy Measure(16 weeks)
  • Children's Reports of Parental Behavior Inventory - Parent-Child Warmth(16 weeks)
  • Center for Epidemiological Depression Scale(16 weeks)
  • Parenting Stress Index(16 weeks)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Adriana Umaña-Taylor

Professor

Harvard University

研究点 (2)

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