Minnis H, Pelosi A J, Knapp M, Dunn J
Department of Child and Adolescent Psychiatry, Caledonia House, Yorkhill NHS Trust, Glasgow G3 8SJ, UK.
Arch Dis Child. 2001 Apr;84(4):302-6. doi: 10.1136/adc.84.4.302.
To evaluate the impact of training foster carers on children's emotional and behavioural functioning.
In a randomised controlled trial in 17 Scottish local council areas, with immediate and nine month follow up, 182 children and their foster families were randomly allocated to either standard services alone or standard services plus extra training for foster carers on communication and attachment. Main outcome measures were child psychopathology, attachment disorder, self esteem, and cost of foster care.
Over 60% of children had measurable psychopathology at baseline. The training was perceived as beneficial by participants. Scores for parent reported psychopathology and attachment disorders decreased by around 5%, self esteem increased by 2%, and costs by 22% in the intervention group. Results were non-significant.
Despite being well received by foster carers, the training was not sufficient to make a useful impact on the high level of psychopathology. This group may warrant more intensive interventions.
评估培训寄养照顾者对儿童情绪和行为功能的影响。
在苏格兰17个地方议会辖区进行的一项随机对照试验中，进行即时和九个月的随访，182名儿童及其寄养家庭被随机分配到仅接受标准服务或接受标准服务外加针对寄养照顾者的沟通和依恋方面的额外培训。主要结局指标为儿童精神病理学、依恋障碍、自尊和寄养照顾成本。
超过60%的儿童在基线时有可测量的精神病理学症状。参与者认为培训有益。干预组中，家长报告的精神病理学和依恋障碍得分下降了约5%，自尊提高了2%，成本降低了22%。结果无统计学意义。
尽管寄养照顾者对培训评价良好，但该培训不足以对高水平的精神病理学产生有效影响。这一群体可能需要更强化的干预措施。
