Child Behavior Clinical Trial
Official title:
Randomized Trial of KEEP-P, a Preventive Intervention for Foster Preschoolers
Randomized Trial of KEEP-P, a Preventive Intervention for Foster Preschoolers (KEEP-P). The goal of the proposed study is to conduct a randomized clinical trial of a new, low-cost, manualized, group-based intervention for preschoolers and their caregivers. The investigators will examine the extent to which the two intervention conditions show improved parenting, reduced rates of disrupted placements, and improved child outcomes.
Randomized Trial of KEEP-P, a Preventive Intervention for Foster Preschoolers (KEEP-P).
Preschool-aged foster and other high-risk children are at increased risk for numerous
negative outcomes. However, there is very limited use of evidence-based interventions for
these young children. Major barriers to progress in this area include a lack of available
evidence-based programs for high-risk children across the preschool years and the tendency
for the few existing evidence-based interventions to be resource intensive in terms of
funding and the level of staff expertise required to be implemented with fidelity. Readily
scalable, evidence-based interventions for foster and other high-risk preschoolers are
clearly needed to reduce the widespread disparities. The goal of the proposed study is to
conduct a randomized clinical trial of a new, low-cost, manualized, group-based intervention
for caregivers of preschool aged children. The investigators propose to evaluate two versions
of the intervention: (a) a basic version that employs a curriculum consisting of 12 weekly
psychoeducational caregiver support groups and (b) an augmented version that consists of the
caregiver support groups with extended curriculum including with the addition of information
about recent findings in early brain development and the elements of the Filming Interactions
to Nurture Development (FIND) video coaching program. Across four waves of data collection
(baseline, immediately postintervention, and 12 and 18 months postbaseline), the
investigators will examine the extent to which the two intervention conditions show improved
parenting, reduced rates of disrupted placements, and improved child outcomes. The
investigators will conduct multivariate modeling to examine mediating mechanisms underlying
the hypothesized immediate and longer- term intervention effects.
Finally, the investigators will conduct a comprehensive economic evaluation to examine the
incremental costs associated with implementing the intervention and the benefits realized in
the intervention conditions in terms of increased positive outcomes for children.
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