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改善涉法青少年的生计:功能家庭治疗-帮派的复制和扩展研究方案。

Improving the livelihoods of justice-involved youth: Study protocol for a replication and extension of Functional Family Therapy-Gangs.

机构信息

Institute of Behavioral Science, University of Colorado Boulder, 1440 15th St., Boulder, CO 80309, United States of America; Department of Sociology, University of Colorado, 1440 15th St., Boulder, CO 80309, United States of America.

Institute of Behavioral Science, University of Colorado Boulder, 1440 15th St., Boulder, CO 80309, United States of America.

出版信息

Contemp Clin Trials. 2023 Jun;129:107186. doi: 10.1016/j.cct.2023.107186. Epub 2023 Apr 13.

Abstract

BACKGROUND

This study will evaluate Functional Family Therapy-Gangs (FFT-G), an extension of a family-based therapeutic intervention-Functional Family Therapy (FFT)-designed to help troubled youth exhibiting mild to severe behavior problems overcome delinquency, substance abuse, and violence. FFT-G, however, addresses risk factors that are typically more salient among gang than delinquent populations. A randomized control trial with adjudicated youth in Philadelphia revealed reductions in recidivism over an 18-month period. The purposes of this paper are to outline the protocol for replicating FFT-G in the Denver metropolitan area, document the design and challenges of the prospective research, and promote transparency.

METHODS

As a condition of pre-trial or probation supervision, 400 youth/caregiver dyads will be randomly assigned to FFT-G or a treatment-as-usual control group. Preregistered confirmatory outcomes include recidivism (i.e., criminal/delinquent charges and adjudications/convictions) measured using official records (Open Science Framework: https://osf.io/abyfs). Secondary outcomes include measures of gang embeddedness, non-violent and violent recidivism, and substance use measured using interview-based surveys and arrest, revocation, incarceration, and crime type indicators of recidivism from official records. Exploratory mediation and moderation analyses are also planned. Intent-to-treat regression analyses will estimate intervention effects 18 months post-randomization.

CONCLUSION

This study will contribute to advancing high-quality evidence-based knowledge on gang interventions for which there are few known effective responses.

摘要

背景

本研究将评估功能性家庭治疗-帮派(FFT-G),这是一种基于家庭的治疗干预措施——功能性家庭治疗(FFT)的延伸,旨在帮助表现出轻度至重度行为问题的问题青年克服犯罪、药物滥用和暴力。然而,FFT-G 针对的是帮派群体中通常更为突出的风险因素,而不是犯罪群体。一项在费城对被判决的青年进行的随机对照试验显示,在 18 个月的时间里,累犯率有所下降。本文的目的是概述在丹佛大都市区复制 FFT-G 的方案,记录前瞻性研究的设计和挑战,并提高透明度。

方法

作为审前或缓刑监督的条件,400 名青年/照顾者对将被随机分配到 FFT-G 或常规治疗对照组。预先注册的确认性结果包括累犯(即刑事/犯罪指控和判决/定罪),使用官方记录进行测量(开放科学框架:https://osf.io/abyfs)。次要结果包括帮派嵌入度、非暴力和暴力累犯以及药物使用的衡量,使用基于访谈的调查以及累犯的官方记录中的逮捕、撤销、监禁和犯罪类型指标进行测量。还计划进行探索性中介和调节分析。意向治疗回归分析将在随机分组后 18 个月估计干预效果。

结论

本研究将有助于推进针对帮派干预的高质量循证知识,而针对帮派干预,目前已知的有效应对措施很少。

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