Laezer Katrin Luise, Leuzinger-Bohleber Marianne, Rüger Bernhard, Fischmann Tamara
University of Kassel, Sigmund-Freud-Institut, IDeA Center, Frankfurt am Main, Germany.
Trials. 2013 Aug 22;14:268. doi: 10.1186/1745-6215-14-268.
While early programs to prevent aggression and violence are widely used, only a few controlled trials of effectiveness of psychoanalytically based prevention programs for preschoolers have been evaluated. This study compares 'Faustlos' (a violence prevention program) and 'Early Steps' (a psychoanalytically based, whole daycare center intervention to prevent violence) in daycare centers in socioeconomically deprived neighborhoods.
METHODS/DESIGN: Preschoolers in 14 daycare centers in Frankfurt, Germany, participate in a cluster randomized controlled trial (CRCT). The daycare centers were randomly chosen from a representative baseline survey of all Frankfurt's daycare centers carried out in 2003 (n = 5,300) with the following stratifying factors: children's aggressiveness, hyperactivity, anxiety and socioeconomic status. Additionally, the geographic identification of socioeconomically deprived neighborhoods regarding low-income children was taken from the Frankfurt Municipality Statistics. Children's attachment classification and children's aggressiveness, hyperactivity, anxiety and social competence are measured as outcome criteria before and after 2 years of intervention. The programs in the study aim to reach a high-risk population. Therefore, the combination of a random sampling of daycare centers out of a representative baseline survey in all daycare centers in Frankfurt and the application of official data on the local distribution of low-income children are unique features offered by the EVA study design. Data on preschooler's attachment representations are collected in socioeconomically deprived neighborhoods for the first time.
TRIAL REGISTRATION DRKS-ID: DRKS00003500.
虽然早期预防攻击和暴力的项目被广泛使用，但针对学龄前儿童的基于精神分析的预防项目有效性的对照试验却很少得到评估。本研究在社会经济条件较差社区的日托中心比较了“Faustlos”（一个暴力预防项目）和“Early Steps”（一个基于精神分析的、针对整个日托中心的暴力预防干预项目）。
方法/设计：德国法兰克福14所日托中心的学龄前儿童参与了一项整群随机对照试验（CRCT）。这些日托中心是从2003年对法兰克福所有日托中心进行的代表性基线调查（n = 5300）中随机选取的，采用了以下分层因素：儿童的攻击性、多动、焦虑和社会经济地位。此外，关于低收入儿童的社会经济条件较差社区的地理标识来自法兰克福市统计数据。在干预2年前后，测量儿童的依恋分类以及儿童的攻击性、多动、焦虑和社会能力作为结果标准。本研究中的项目旨在针对高危人群。因此，从法兰克福所有日托中心的代表性基线调查中随机抽取日托中心，并应用关于低收入儿童当地分布的官方数据，是EVA研究设计的独特之处。首次在社会经济条件较差社区收集了学龄前儿童依恋表征的数据。
试验注册DRKS编号：DRKS00003500。
