McConachie H, Huq S, Munir S, Ferdous S, Zaman S, Khan N Z
Neurosciences Unit, Institute of Child Health, The Wolfson Centre, London, England.
J Pediatr. 2000 Dec;137(6):769-76. doi: 10.1067/mpd.2000.110135.
To compare the efficacy of an outreach program for young children with cerebral palsy with center-based and "minimal intervention" control groups.
Randomized controlled trial conducted in a group of 85 children between the ages of 1.5 and 5 years. Urban children were allocated to a daily center-based mother-child group or to monthly training of their parents along with a pictorial guidance manual. Rural children were allocated either to parent training or health advice. Outcome measures were changes in children's adaptive skills, maternal stress and adaptation to the child, satisfaction with social support, and knowledge of handling a physically disabled child.
Fifty-eight children were successfully followed up. The pattern of change in children's adaptive skills was as predicted (ie, least progress in the health advice group). Positive effects of intervention also included increased maternal knowledge and perceived helpfulness of support from formal sources. However, maternal adaptation increased most in the health advice group with minimal intervention. When children had attended a program at least 4 times, their skills improved, and mothers' adaptation did increase.
Outreach training for mothers in Bangladesh can help them to improve the skills of their young children with cerebral palsy and is perceived as helpful.
比较针对脑瘫幼儿的外展项目与基于中心的干预及“最小干预”对照组的疗效。
对一组85名年龄在1.5至5岁之间的儿童进行随机对照试验。城市儿童被分配到每日基于中心的母婴小组，或接受为其父母提供的每月一次的培训以及一本图文指导手册。农村儿童被分配接受父母培训或健康建议。结果指标包括儿童适应技能的变化、母亲的压力及对孩子的适应情况、对社会支持的满意度以及照顾残疾儿童的知识。
58名儿童成功接受随访。儿童适应技能的变化模式与预期相符（即健康建议组进展最小）。干预的积极效果还包括母亲知识的增加以及对来自正规渠道支持的感知帮助。然而，在最小干预的健康建议组中，母亲的适应情况改善最为明显。当儿童至少参加项目4次时，他们的技能得到提高，母亲的适应情况也确实有所改善。
在孟加拉国为母亲提供的外展培训可帮助她们提高脑瘫幼儿的技能，且被认为是有帮助的。
