Document text
Principal Investigator: Caitlin Rancher
Organization: MEDICAL UNIVERSITY OF SOUTH CAROLINA
Fiscal Year: 2024
Award: $128,476
Funding agency: Eunice Kennedy Shriver National Institute of Child Health and Human Development
PROJECT SUMMARY
Over two-thirds of children experience traumatic events such as child maltreatment, violence, or sudden or
violent loss. Many of these children sustain significant emotional and developmental difficulties including trauma
symptoms, aggression, and suicidality. Emotional support from a caregiver is theorized to buffer against the
effects of trauma; however, many caregivers lack the self-efficacy and skills to effectively support their child, or
struggle to apply these skills during the stressful time following trauma. Unfortunately, programs designed for
caregivers following child trauma are scarce. Existing interventions are lengthy (lasting 8-20 sessions) and result
in families placed on long waitlists. This proposal asserts the adverse effects of child trauma can be interrupted
though a brief intervention (the Project Support Positive Parenting Module) that enhances supportive parenting
– delivered via telehealth to families on waitlists for trauma-focused services. Pilot data collected by the candidate
suggests this intervention can be delivered by paraprofessionals, improve parenting self-efficacy and emotional
support, and increase later trauma-focused treatment attendance. However, the provider characteristics (e.g.,
knowledge, experiences), as well as inner (e.g., organizational support) and outer (e.g., patient needs, attitudes)
contextual factors that influence uptake of a brief intervention for families on the waitlist for trauma services is
unknown. Aims 1 and 2 comprise the K99 Mentored Research Phase and Aim 3 comprises the R00 Independent
Research Phase. Specific Aims include: 1) examine barriers and facilitators to delivering Project Support via
telehealth with n = 20 caregivers and n = 10 treatment providers; 2) examine the feasibility and acceptability of
Project Support via telehealth in a mixed-methods proof-of-concept pilot trial with n = 30 families waiting for
trauma-focused services and n = 4 treatment providers; and 3) evaluate the preliminary efficacy of Project
Support in a randomized controlled trial (Project Support vs. treatment as usual) among n = 100 families waiting
for trauma-focused services. The proposed research activities coincide with training that will support the
candidate’s transition to an independent investigator. In the K99 phase the candidate will receive training via
coursework, workshops, and consultation in: (1) implementation science frameworks and dissemination
strategies, (2) qualitative and mixed methodology, and (3) grantsmanship and scientific communication.
Mentorship and consultation from experts in child trauma, caregiver-child relationships, implementation science,
qualitative methods, and statistical analyses will ensure training goals are met. This proposal will support the
candidate’s long-term career goal to become an independently funded tenure track faculty who advances the
field of child trauma research by studying the consequences of children’s trauma exposure and developing and
testing innovative parenting-based interventions for victims of trauma and their families. This K99/R00
mechanism is a critical step to obtaining the experience and independence necessary to obtain this goal.
Terms: <0-11 years old><Address><Adverse effects><Affect><Aggression><Aggressive behavior><Application Context><Applied Skills><Area><Attitude><Award><Benchmarking><Best Practice Analysis><Buffers><COVID crisis><COVID epidemic><COVID pandemic><COVID-19 crisis><COVID-19 epidemic><COVID-19 era><COVID-19 global health crisis><COVID-19 global pandemic><COVID-19 health crisis><COVID-19 pandemic><COVID-19 period><COVID-19 public health crisis><COVID-19 years><Care Givers><Care giver intervention><Care giver support><Caregiver support><Caregivers><Caring><Characteristics><Child><Child Abuse and Neglect><Child Development><Child Rearing><Child Youth><Childhood maltreatment><Children (0-21)><Communication><Consolidated Framework for Implementation Research><Consolidated Framework for Implementation Science><Consolidated Framework for Implementing Change><Consultations><Data><Development><Disadvantaged><Educational process of instructing><Educational workshop><Emotional><Ensure><Epidemic><Faculty><Family><Funding><Future><Goals><Health Care Providers><Health Personnel><Healthcare Providers><Healthcare worker><Hybrids><Infant and Child Development><Instruction><Interruption><Intervention><Intervention Strategies><Interview><Investigators><Knowledge><Literature><Mediator><Mental Health><Mental Hygiene><Mentors><Mentorship><Methodology><Methods><Modeling><Parenting><Parenting behavior><Patients><Persons><Phase><Provider><Psychological Health><Public Health><Qualitative Methods><Randomized, Controlled Trials><Research><Research Activity><Research Personnel><Researchers><Rural><SARS-CoV-2 epidemic><SARS-CoV-2 global health crisis><SARS-CoV-2 global pandemic><SARS-CoV-2 pandemic><SARS-coronavirus-2 epidemic><SARS-coronavirus-2 pandemic><Self Efficacy><Services><Severe Acute Respiratory Syndrome CoV 2 epidemic><Severe Acute Respiratory Syndrome CoV 2 pandemic><Severe acute respiratory syndrome coronavirus 2 epidemic><Severe acute respiratory syndrome coronavirus 2 pandemic><Statistical Data Analyses><Statistical Data Analysis><Statistical Data Interpretation><Suspension substance><Suspensions><Teaching><Technology><Testing><Time><Training><Transportation><Trauma><Underserved Population><Videoconferencing><Violence><Waiting Lists><Work><Workshop><acceptability and feasibility><adolescent trauma><barrier to care><barrier to health care><barrier to healthcare><barrier to treatment><benchmark><brief intervention><brief therapy><brief treatment><care as usual><career><caregiver interventions><child maltreatment><child services><childhood trauma><childrearing><consultation><contextual factors><coronavirus disease 2019 crisis><coronavirus disease 2019 epidemic><coronavirus disease 2019 global health crisis><coronavirus disease 2019 global pandemic><coronavirus disease 2019 health crisis><coronavirus disease 2019 pandemic><coronavirus disease 2019 public health crisis><coronavirus disease crisis><coronavirus disease epidemic><coronavirus disease pandemic><coronavirus disease-19 global pandemic><coronavirus disease-19 pandemic><design><designing><developmental><disparity in health><dissemination strategy><effective intervention><effectiveness testing><experience><exposure to trauma><health care personnel><health care worker><health disparity><health provider><health workforce><healthcare personnel><implementation framework><implementation research framework><implementation science><implementation science framework><improved><innovate><innovation><innovative><intervention design><interventional strategy><kids><medical personnel><obstacle to care><obstacle to healthcare><parenting education intervention><parenting education programs><parenting intervention><parenting program><parenting skill training><parenting training><pediatric services><pediatric trauma><pilot trial><programs><qualitative reasoning><randomized control trial><recruit><research study><response><satisfaction><scale up><service delivery><severe acute respiratory syndrome coronavirus 2 global health crisis><severe acute respiratory syndrome coronavirus 2 global pandemic><skills><statistical analysis><suicidal><suicidality><telehealth><tenure process><tenure track><theories><therapy design><trauma exposure><trauma in children><trauma symptom><traumatic event><traumatized children><treatment as usual><treatment design><treatment provider><trend><under served group><under served individual><under served people><under served population><underserved group><underserved individual><underserved people><uptake><usual care><video conferencing><violent><violent behavior><waitlist><youngster>