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三P积极育儿项目:针对早发性品行问题儿童家长的强化型、标准型和自我指导型行为家庭干预比较

The triple P-positive parenting program: a comparison of enhanced, standard, and self-directed behavioral family intervention for parents of children with early onset conduct problems.

作者信息

Sanders M R, Markie-Dadds C, Tully L A, Bor W

机构信息

School of Psychology, University of Queensland, Brisbane, Australia.

出版信息

J Consult Clin Psychol. 2000 Aug;68(4):624-40.

PMID:10965638
Abstract

Three variants of a behavioral family intervention (BFI) program known as Triple P were compared using 305 preschoolers at high risk of developing conduct problems. Families were randomly assigned to enhanced BFI (EBFI), standard BFI (SBFI), self-directed BFI (SDBFI), or wait list (WL). At postintervention, the 2 practitioner-assisted conditions were associated with lower levels of parent-reported disruptive child behavior, lower levels of dysfunctional parenting, greater parental competence, and higher consumer satisfaction than the SDBFI and WL conditions. Overall, children in EBFI showed greater reliable improvement than children in SBFI, SDBFI, and WL. By 1-year follow-up, children in all 3 conditions achieved similar levels of clinically reliable change in observed disruptive behavior. However, the EBFI and SBFI conditions showed greater reliable improvement on parent-observed disruptive child behavior.

摘要

针对305名有品行问题高发风险的学龄前儿童,对一种名为“三倍积极育儿方案”(Triple P)的行为家庭干预(BFI)项目的三种变体进行了比较。家庭被随机分配到强化BFI(EBFI)、标准BFI(SBFI)、自我指导BFI(SDBFI)或等待名单(WL)组。干预后,与SDBFI和WL组相比,两种有从业者协助的情况与家长报告的儿童破坏性行为水平较低、功能失调的养育方式水平较低、更高的育儿能力以及更高的消费者满意度相关。总体而言,EBFI组的儿童比SBFI、SDBFI和WL组的儿童表现出更显著的可靠改善。到1年随访时,所有三种情况的儿童在观察到的破坏性行为方面都达到了相似水平的临床可靠变化。然而,EBFI和SBFI组在家长观察到的儿童破坏性行为方面表现出更显著的可靠改善。

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