Innovative Family Prevention With Latino Siblings in Disadvantaged Settings
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
- 1
- 主要终点
- Sibling Relationship Inventory: Negativity Subscale
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
- 是
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
研究组 & 干预措施
SIBS Program
The program condition includes 12 weekly 90-minute afterschool group sessions for siblings. Sessions are structured as psycho-educational groups and include social interactional activities, role-playing, discussion, and didactic presentation. The focus is on sibling relationship skills, cognitions, and activities. During a total of 3 family nights, parents attend with their children. Part of the family night session involves parents and children together. Another part of the session involves parents being separated from children. Family Nights promote parents' understanding of sibling relationships, review concepts, provide strategies for parental support of siblings, and teach parents skills for dealing with sibling problems. Family Nights include dinner and last 2 hours.
干预措施: SIBS Program (Behavioral)
Contact-Equivalent Attention Control
The Contact-Equivalent Attention Control condition includes 12 weekly 90-minute afterschool group sessions for siblings led by two co-leaders. Students work on educational games and activities. Groups begin with an icebreaker and continue with games and projects. This condition also includes 3 family nights, where parents attend with their children. Activities of the Family Nights include children showing their parents the activities they have been engaging in during the sessions. Family Nights include dinner and last 2 hours. Part of the family night session involves parents and children together. Another part of the session involves parents being separated from children; during this part, parents will break out with one group leader, and siblings will work with the other group leader.
干预措施: Control (Behavioral)
结局指标
主要结局
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).
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).
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
Adriana Umaña-Taylor
Professor
Harvard University