Tuttle Jane, Campbell-Heider Nancy, David Tamala M
University of Rochester, School of Nursing, 601 Elmwood Ave, Box SON, Rochester, NY 14642, USA.
J Pediatr Health Care. 2006 May-Jun;20(3):184-91. doi: 10.1016/j.pedhc.2005.10.011.
This study tested the addition of a cognitive-behavioral skill-building component called Positive Adolescent Life Skills (PALS) training to an existing intervention for urban adolescents to enhance resiliency. In previous pilot work with the existing intervention, called "Teen Club," it was found that participants in group meetings and intensive case management reported an enhanced ability to connect with positive resources.
Sixteen adolescents aged 12 to 16 years (10 boys and 6 girls) attending an urban secondary school were randomly assigned to Teen Club or Teen Club plus PALS. Boys and girls met separately in one of the two conditions for 30 weeks. The Problem-Oriented Screening Instrument for Teenagers (POSIT) subscale scores were measured at baseline and at the completion of the program.
The sample consisted of 11 Black and five Hispanic teens. Between-group differences in the POSIT subscale scores were not significantly different in this small sample. Group interviews conducted at the conclusion of the intervention revealed that participants found the PALS intervention to be relevant and useful.
Results suggest that the PALS component strengthened the existing intervention and lend preliminary support for the continuation of this combination of interventions. Future research with larger numbers is needed.
本研究测试了在一项针对城市青少年的现有干预措施中加入一种名为“积极青少年生活技能”（PALS）训练的认知行为技能培养成分，以增强恢复力。在之前对名为“青少年俱乐部”的现有干预措施进行的试点工作中，发现参加小组会议和强化个案管理的参与者与积极资源建立联系的能力有所增强。
16名年龄在12至16岁之间（10名男孩和6名女孩）的城市中学青少年被随机分配到青少年俱乐部或青少年俱乐部加PALS组。男孩和女孩在两种条件之一中分别见面，为期30周。在基线和项目结束时测量青少年问题导向筛查工具（POSIT）子量表得分。
样本包括11名黑人青少年和5名西班牙裔青少年。在这个小样本中，POSIT子量表得分的组间差异没有显著差异。干预结束时进行的小组访谈显示，参与者认为PALS干预措施相关且有用。
结果表明，PALS成分加强了现有干预措施，并为继续采用这种联合干预措施提供了初步支持。需要进行更多受试者的未来研究。
