Pilot Randomized Trial of a Family Management Efficacy Intervention for Caregivers of African American Adolescents with Disruptive Behaviors

Autor/inn/en	Oruche, Ukamaka Marian; Robb, Sheri L.; Draucker, Claire Burke; Aalsma, Matt; Pescosolido, Bernice; Chacko, Anil; Ofner, Susan; Bakoyannis, Giorgos; Brown-Podgorski, Brittany
Titel	Pilot Randomized Trial of a Family Management Efficacy Intervention for Caregivers of African American Adolescents with Disruptive Behaviors
Quelle	In: Child & Youth Care Forum, 47 (2018) 6, S.803-827 (25 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Oruche, Ukamaka Marian)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1053-1890
DOI	10.1007/s10566-018-9462-1
Schlagwörter	Caregivers; Adolescents; Behavior Disorders; Intervention; Interaction; Health Behavior; Program Effectiveness; Family Programs; Self Efficacy; Stress Variables; Quality of Life; Family Environment; African Americans; Homework; Attendance; Enrollment; Satisfaction; Interpersonal Communication + Suchen Sie Ihr Suchwort? Caregiver; Carer; Betreuungsperson; Pfleger; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Interaktion; Health behaviour; Gesundheitsverhalten; Family program; Familienprogramm; Self-efficacy; Selbstwirksamkeit; Lebensqualität; Familienmilieu; Afroamerikaner; Hausaufgabe; Anwesenheit; Einschulung; Zufriedenheit; Interpersonale Kommunikation
Abstract	Background: Caregivers of adolescents diagnosed with Oppositional Defiant Disorder and/or Conduct Disorder (ODD/CD) experience unique challenges when interacting with child service systems involved in their adolescents' care. Absent from the literature are interventions to improve these interactions, which in the long term may improve adolescent behavioral health outcomes. Objective: To examine feasibility/acceptability of Family Management Efficacy (FAME) intervention content, structure, delivery, and appropriateness of selected measures for caregivers of African American adolescents with ODD/CD. Secondary aim was to explore changes in FAME caregivers' interaction self-efficacy, stress, quality of life, and family functioning scores relative to caregivers receiving treatment as usual (TAU). Method: A pilot two-group randomized trial was conducted with caregivers of African American adolescents (ages 12-18 years) diagnosed with ODD/CD receiving FAME (n = 11) or TAU (n = 9). Feasibility outcomes of enrollment/attrition, measurement completion, session attendance, and homework completion were assessed using tracking logs and field notes, and acceptability through caregiver satisfaction scores and interviews. Preliminary outcomes were assessed at baseline, post- and 2-months post intervention. Results: FAME was highly acceptable and met a priori thresholds for feasibility in enrollment (56%), attrition (35%), caregiver attendance (55%), and homework completion (50%), with lower than anticipated kin attendance (42%) and measurement completion (55%). Preliminary outcomes suggest FAME may benefit caregivers in areas of family communication, cohesion, and quality of life, but lacked observed benefit for self-efficacy and problem solving indicating need for refinement. Conclusion: Results inform changes to FAME content, measurement, and delivery schedule in preparation for a fully powered randomized controlled trial. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01