The University of Oklahoma Health Sciences Center proposes to partner with the CDC and other institutions in a collaborative project to implement the continuation of a directive within the Children's Health Actof 2000 to develop and scientifically evaluate interventions for children affected by Fetal Alcohol Syndrome Disorders (FASD) and their families. The primary objective ofthis proposal is to translate a promising scientifically evaluated intervention, Parent-Child Interaction Therapy (PCIT) for children with FASD, to community settings. PCIT is designed to reduce behavior problems common in this population as well as to reduce parenting stress.
The specific aim of the project is to disseminate PCIT to four community mental health settings, including one tribal setting in an effort to bridge the transition between research-based development of interventions and community implementation of these interventions. Following a community service assessment to ensure stakeholder and partner involvement and outline ways to increase recruitment and retention, the training of the intervention therapists will begin. Specifically,the intervention will be PCIT, a 14-week (on average) intervention, coupled with FASDeducation, designed to increase caregiver understanding of the problem, and MotivationalEnhancement,designed to increase retention of families involved in the intervention program. Although PCITis an empirically based treatment, little is known about the uptake of the model in community settings and the intensity of supervision necessary for fidelity to the model as well as successful outcome for the familiesenrolled. Therefore, not only will this project seek to implement PCITwith children with FASD into community settings, but it will also endeavor to evaluate which of three approaches to training will result in the most effective and cost-efficient outcome. Ongoing feedback from community sites as well as from community partners will allow for necessary adaptations. A model for training trainers for further dissemination as well as plans for sustainability will also be incorporated into the proposed project. FASD with its resulting problems is a significant public health issue with the Institute of Medicine (1996) citing alcohol use during pregnancy as producing the most serious effect in the brain of the developing fetus of all substances of abuse. Bydesigning and implementing a community-based approach to FASD,both the community and the families directly impacted can benefit.

Agency
National Institute of Health (NIH)
Institute
Centers for Disease Control and Prevention (NCBDD)
Type
Research Project--Cooperative Agreements (U01)
Project #
5U01DD000037-03
Application #
7281299
Study Section
Special Emphasis Panel (ZCD1-PXJ (01))
Program Officer
Irannejad, Nassi
Project Start
2005-09-30
Project End
2009-09-29
Budget Start
2007-09-30
Budget End
2008-09-29
Support Year
3
Fiscal Year
2007
Total Cost
$299,455
Indirect Cost
Name
University of Oklahoma Health Sciences Center
Department
Pediatrics
Type
Schools of Medicine
DUNS #
878648294
City
Oklahoma City
State
OK
Country
United States
Zip Code
73117