Community Implementation of KEEP: Fidelity and Generalization of Parenting
Status: | Completed |
---|---|
Conditions: | Psychiatric |
Therapuetic Areas: | Psychiatry / Psychology |
Healthy: | No |
Age Range: | 5 - 12 |
Updated: | 2/7/2015 |
Start Date: | September 2009 |
End Date: | June 2014 |
Contact: | Norma Talamantes |
Email: | ntalamantes@casrc.org |
Phone: | 858-966-7703 |
The primary goal of this study is to examine the fidelity and generalization of parenting
effects of the KEEP foster parent training intervention as it is being delivered within a
child welfare system of care by a community mental health provider.
effects of the KEEP foster parent training intervention as it is being delivered within a
child welfare system of care by a community mental health provider.
The primary goal of this study is to utilize this opportunity as a real-world platform for
addressing three key questions that need to be answered prior to wide-scale implementation
of the KEEP intervention. First, do the effects of the KEEP parent training generalize
(concurrently) to other children currently in foster and kin intervention homes and lead to
reductions in overall levels of behavior problems? Second, does the KEEP intervention
continue to have effects after the completion of the intervention and generalize
(temporally) to new children who enter the homes of these families at a later point in time?
Finally, as the KEEP intervention is being implemented by a community agency in a
real-world system of care, can the intervention be delivered and maintained in a manner that
preserves the goals and quality of the intervention?
Children in foster care, between the ages of 5 and 12, will be randomly assigned to one of
two conditions - the KEEP intervention or a "services as usual" condition. In the KEEP
intervention condition, foster and kin caregivers will participate in 16 weekly group
meetings. Outcomes to be assessed include child problem behavior (of the focal child and
other children in the household), child functioning, parental stress, family functioning,
use of mental health services, child placement changes (e.g., reunification with biological
parents, move to another foster home), and foster parent retention rates. In addition, for
a year following the completion of the intervention, new children entering the home of
foster/kin caregiver will be included in the assessments, along with the impact of these
additional children on parental stress and family functioning. Finally, several dimensions
of intervention fidelity (e.g., facilitator adherence and group engagement) will be assessed
and examined in relation to child, family, and system outcomes.
addressing three key questions that need to be answered prior to wide-scale implementation
of the KEEP intervention. First, do the effects of the KEEP parent training generalize
(concurrently) to other children currently in foster and kin intervention homes and lead to
reductions in overall levels of behavior problems? Second, does the KEEP intervention
continue to have effects after the completion of the intervention and generalize
(temporally) to new children who enter the homes of these families at a later point in time?
Finally, as the KEEP intervention is being implemented by a community agency in a
real-world system of care, can the intervention be delivered and maintained in a manner that
preserves the goals and quality of the intervention?
Children in foster care, between the ages of 5 and 12, will be randomly assigned to one of
two conditions - the KEEP intervention or a "services as usual" condition. In the KEEP
intervention condition, foster and kin caregivers will participate in 16 weekly group
meetings. Outcomes to be assessed include child problem behavior (of the focal child and
other children in the household), child functioning, parental stress, family functioning,
use of mental health services, child placement changes (e.g., reunification with biological
parents, move to another foster home), and foster parent retention rates. In addition, for
a year following the completion of the intervention, new children entering the home of
foster/kin caregiver will be included in the assessments, along with the impact of these
additional children on parental stress and family functioning. Finally, several dimensions
of intervention fidelity (e.g., facilitator adherence and group engagement) will be assessed
and examined in relation to child, family, and system outcomes.
Inclusion Criteria:
- Any child between ages 5 and 12 in relative or non-relative foster care
Exclusion Criteria:
- Only medically fragile children
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