Department of Psychology, University of Missouri - Kansas City, Kansas City, MO, USA.
Department of Psychology, University of Missouri - Kansas City, 5030 Cherry St, Cherry Hall Room 309, Kansas City, MO, 64110, USA.
Child Psychiatry Hum Dev. 2023 Oct;54(5):1373-1385. doi: 10.1007/s10578-022-01341-8. Epub 2022 Mar 18.
Engagement in mental health-focused preventive interventions is understudied. Demographic, child, and system-level predictors of engagement were explored in a study with children in foster care (N = 222, M = 10.3) who participated in a 30-week intervention. Attendance and engagement in mentor visits and skills groups were rated weekly. Only 4 of 21 predictors showed bivariate associations with attendance/engagement: child sex, IQ, behavior problems, and trauma symptoms. SEM models with these three variables and a measure of adverse childhood experience (ACEs), were used to develop a model of engagement. Males had poorer mentor visit and group engagement. Group attendance was positively associated with trauma symptoms and negatively associated with ACEs. Group engagement was associated with higher IQ and fewer behavior problems. A contextually-sensitive intervention can result in high engagement for a vulnerable and diverse population, yet a few child factors still impacted engagement, and when identified could be ameliorated.Trial Registration ClinicalTrials.gov, Identifiers: NCT00809315 & NCT00810056.
参与以心理健康为重点的预防干预措施的研究还很少。本研究探讨了寄养儿童（N=222，M=10.3）中与参与度相关的人口统计学、儿童和系统水平预测因素，这些儿童参加了一项为期 30 周的干预措施。每周对导师访问和技能小组的出勤率和参与度进行评分。只有 21 个预测因素中的 4 个与出勤率/参与度呈双变量相关：儿童性别、智商、行为问题和创伤症状。使用包含这三个变量和儿童期逆境量表（ACEs）的 SEM 模型，开发了一个参与度模型。男性在导师访问和小组参与方面表现较差。小组出勤率与创伤症状呈正相关，与 ACEs 呈负相关。小组参与与较高的智商和较少的行为问题相关。一个具有上下文敏感性的干预措施可以使弱势和多样化的人群高度参与，但仍有一些儿童因素会影响参与度，当这些因素被识别出来后，可以加以改善。
试验注册ClinicalTrials.gov，标识符：NCT00809315 & NCT00810056。
