Extension Study of the Family Spirit Program
2019年3月27日 更新者：Johns Hopkins Bloomberg School of Public Health
The aim of the proposed research is to implement and evaluate a follow-up study of the impact of the Family Spirit family strengthening program among a high-risk sample of Apache mothers and their children.
The Family Spirit intervention is a 52-session home-visiting curriculum administered by American Indian paraprofessionals to young mothers from 28 weeks gestation through the child's first 3 years of life.
In a series of pilot studies and a recently completed randomized controlled trial, the Family Spirit intervention has been found to positively impact several maternal, parenting and child outcomes up through three years postpartum.
In the proposed study, the investigators will implement the Family Spirit intervention to young mothers (12-20 years at conception), with revisions to several assessment measures and to the curriculum such that the substance abuse prevention curriculum modules will be taught earlier than in the original study.
研究概览
详细说明
This is a single group pre-post study designed to evaluate the impact of a home visiting intervention in improving parenting self-efficacy and a number of other maternal and child health and behavioral outcomes among a sample of young mothers, including maternal substance use.
The Family Spirit intervention consists of 52 sessions (30-60 minutes in duration) delivered during a 39-month intervention phase.
All sessions are designed to be taught at the participant's home, but they may also occur at another location chosen by the participant (e.g.
study office, vehicle).
Outcome data will be collected at Baseline and at 2 months, 6 months, 12 months, 24 months and 36 months postpartum.
研究类型
介入性
注册 (实际的)
92
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
-
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Maryland
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Baltimore、Maryland、美国、21205
- Johns Hopkins Center for American Indian Health
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
12年 至 20年 (孩子、成人)
接受健康志愿者
是的
有资格学习的性别
女性
描述
Inclusion Criteria:
- Pregnant American Indian female less than or equal to 32 weeks gestation.
- Reside within 60 miles of Whiteriver Indian Health Service unit.
- Age 12-20 years of age at time of conception
Exclusion Criteria:
- Completed previous randomized controlled trial of Family Spirit
- ≤11 years old or ≥21 years old at time of conception of index pregnancy.
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：预防
- 分配：不适用
- 介入模型：单组作业
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：Family Spirit Intervention
The Family Spirit intervention consists of 52 sessions (30-60 minutes in duration) delivered during a 39-month intervention phase and designed to positively impact a number of maternal and child behavioral and health outcomes.
|
The Family Spirit intervention consists of 52 sessions (30-60 minutes in duration) delivered during a 39-month intervention phase and designed to positively impact a number of maternal and child behavioral and health outcomes.
|
研究衡量的是什么？
主要结果指标
结果测量 |
大体时间 |
|---|---|
|
Increase in score on parenting self-efficacy scale
大体时间：24 months postpartum
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24 months postpartum
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Improved prenatal and infant medical care practices
大体时间：24 months postpartum
|
Includes: prenatal care utilization, prenatal use of alcohol/drugs, preconception care, inter-birth intervals, screening for maternal depressive symptoms, breastfeeding, well-child visit utilization, maternal and child health insurance status
|
24 months postpartum
|
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Reduction in emergency department visits due to childhood injuries
大体时间：24 months postpartum
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Includes: visits for children to emergency department for all causes and due to injury, home safety
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24 months postpartum
|
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Improved school readiness scores
大体时间：24 months postpartum
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Includes: parent support for children's learning and development, parent knowledge of child development, parenting behaviors, parent-child relationship, parent stress, child's communication and literacy, child's cognitive skills, child's approach to learning, child's social behavior, and child's physical health and development
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24 months postpartum
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Improved score on family economic self-sufficiency scale
大体时间：24 months postpartum
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24 months postpartum
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Increased referrals for community resources
大体时间：24 months postpartum
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24 months postpartum
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Allison Barlow, MPH, MA、Johns Hopkins Bloomberg School of Public Health
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2013年1月1日
初级完成 (实际的)
2018年11月30日
研究完成 (实际的)
2018年11月30日
研究注册日期
首次提交
2013年7月17日
首先提交符合 QC 标准的
2013年7月25日
首次发布 (估计)
2013年7月30日
研究记录更新
最后更新发布 (实际的)
2019年3月28日
上次提交的符合 QC 标准的更新
2019年3月27日
最后验证
2019年3月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
Family Spirit的临床试验
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Seung-Jung ParkCardioVascular Research Foundation, Korea招聘中
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University of Oxford完全的
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Northwell Health完全的
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London School of Hygiene and Tropical MedicineEmory University; Oregon Health and Science University; University of Colorado, Boulder; Ministry... 和其他合作者完全的
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Johns Hopkins UniversityNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)完全的