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使用多系统疗法降低犯罪剥削风险(RESET研究):可行性研究和过程评估的研究方案

Reducing the risk of criminal exploitation using multi-systemic therapy (the RESET Study): study protocol for a feasibility study and process evaluation.

作者信息

Hayden N K, Flynn S, Blumenfeld F, Hastings R P, Gray K M, Cullen S, Cullen M A, Langdon P E

机构信息

Centre for Research in Intellectual and Developmental Disabilities (CIDD), University of Warwick, Coventry, UK.

School of Health and Social Care, University of Essex, Colchester, UK.

出版信息

Pilot Feasibility Stud. 2023 Nov 27;9(1):193. doi: 10.1186/s40814-023-01409-9.

DOI:10.1186/s40814-023-01409-9
PMID:38012747
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10680250/
Abstract

BACKGROUND

Child criminal exploitation is a form of child abuse that poses a serious risk to the welfare, safety, and wellbeing of young people. Multisystemic therapy (MST) is an intensive family and community-based intervention for young people with anti-social behavioral problems, many of whom will be at risk of criminal exploitation. This protocol describes a pilot feasibility study and process evaluation, designed to examine MST for children at risk of criminal exploitation.

METHODS

This pilot feasibility study and process evaluation involves two phases with associated subphases: phase 1.1 involved the collaborative refinement of the logic model adapting MST for children at risk of criminal exploitation; phase 1.2 involved pre-pilot interviews with MST therapists, families, and young people; phase 2.1 is a pilot modeling study of MST for children at risk of criminal exploitation, and; Phase 2.2 is a process evaluation that will involve interviewing stakeholders, MST therapists and employees, families, and young people. The dataset for the process evaluation will include questionnaires completed by parents and young people at baseline, mid-treatment, end of treatment, and 6 months after treatment. We will supplement these data with participant-level data linkage from MST sites and services.

RESULTS

Accrual to the pilot stage of this project opened on 6th August 2021 and is due to close on 31st May 2022. We aim to publish the results of this feasibility study and process evaluation in 2023.

CONCLUSIONS

The results of this feasibility study and process evaluation will inform the decision as to whether it is advisable to progress to a pilot clinical trial of MST for children at risk of criminal exploitation.

TRIAL REGISTRATION

Trial registration: ISRCTN registry, ISRCTN16164816 on 25th January 2021- https://doi.org/10.1186/ISRCTN16164816 .

摘要

背景

儿童犯罪剥削是一种虐待儿童的形式,对年轻人的福利、安全和幸福构成严重风险。多系统疗法(MST)是一种针对有反社会行为问题的年轻人的强化家庭和社区干预措施,其中许多人有遭受犯罪剥削的风险。本方案描述了一项试点可行性研究和过程评估,旨在研究针对有犯罪剥削风险儿童的多系统疗法。

方法

这项试点可行性研究和过程评估包括两个阶段及相关子阶段:第1.1阶段涉及对逻辑模型进行协作完善,使多系统疗法适用于有犯罪剥削风险的儿童;第1.2阶段涉及对多系统疗法治疗师、家庭和年轻人进行试点前访谈;第2.1阶段是针对有犯罪剥削风险儿童的多系统疗法试点建模研究;第2.2阶段是一项过程评估,将涉及对利益相关者、多系统疗法治疗师和工作人员、家庭以及年轻人进行访谈。过程评估的数据集将包括父母和年轻人在基线、治疗中期、治疗结束时以及治疗后6个月填写的问卷。我们将通过多系统疗法服务点和服务的参与者层面数据链接来补充这些数据。

结果

该项目试点阶段的招募工作于2021年8月6日开始,预计于2022年5月31日结束。我们计划在2023年公布这项可行性研究和过程评估的结果。

结论

这项可行性研究和过程评估的结果将为是否宜对有犯罪剥削风险的儿童开展多系统疗法试点临床试验的决策提供依据。

试验注册

试验注册:ISRCTN注册库,2021年1月25日ISRCTN16164816 - https://doi.org/10.1186/ISRCTN16164816 。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a6/10680250/118a26732b3f/40814_2023_1409_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a6/10680250/118a26732b3f/40814_2023_1409_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a6/10680250/118a26732b3f/40814_2023_1409_Fig1_HTML.jpg

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Multisystemic therapy versus management as usual in the treatment of adolescent antisocial behaviour (START): a pragmatic, randomised controlled, superiority trial.
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