Sanders M R
Parenting and Family Support Centre, The University of Queensland, Brisbane, Australia.
Clin Child Fam Psychol Rev. 1999 Jun;2(2):71-90. doi: 10.1023/a:1021843613840.
This paper outlines the theoretical and empirical foundations of a unique multilevel parenting and family support strategy designed to reduce the prevalence of behavioral and emotional problems in preadolescent children. The program known as Triple P-Positive Parenting Program is a multilevel system of family intervention, which provides five levels of intervention of increasing strength. These interventions include a universal population-level media information campaign targeting all parents, two levels of brief primary care consultations targeting mild behavior problems, and two more intensive parent training and family intervention programs for children at risk for more severe behavioral problems. The program aims to determine the minimally sufficient intervention a parent requires in order to deflect a child away from a trajectory towards more serious problems. The self-regulation of parental skill is a central construct in the program. The program uses flexible delivery modalities (including individual face-to-face, group, telephone assisted, and self-directed programs) to tailor the strength of the intervention to the requirements of individual families. Its multidisciplinary, preventive and community-wide focus gives the program wide reach, permitting the targeting of destigmatized access points through primary care services for families who are reluctant to participate in parenting skills programs. The available empirical evidence supporting the efficacy of the program is discussed and its implications for research on dissemination are discussed.
本文概述了一种独特的多层次育儿及家庭支持策略的理论和实证基础，该策略旨在降低青春期前儿童行为和情绪问题的发生率。名为“积极育儿计划（Triple P）”的项目是一个多层次的家庭干预系统，提供五个强度递增的干预级别。这些干预措施包括针对所有家长的普及性大众媒体宣传活动、针对轻度行为问题的两级简短初级保健咨询，以及针对有更严重行为问题风险儿童的另外两级强化家长培训和家庭干预项目。该项目旨在确定家长为使孩子偏离走向更严重问题的轨迹所需的最低限度充分干预措施。家长技能的自我调节是该项目的核心概念。该项目采用灵活的交付方式（包括个体面对面、小组、电话辅助和自我指导项目），根据各个家庭的需求调整干预强度。其多学科、预防性和社区范围的重点使该项目具有广泛影响力，能够通过初级保健服务为不愿参加育儿技能项目的家庭提供无污名化的接入点。文中讨论了支持该项目有效性的现有实证证据，并探讨了其对传播研究的意义。
