Thomas Rae, Zimmer-Gembeck Melanie J
Gold Coast Campus and Griffith Psychological Health Research Centre, School of Psychology, Griffith University, GPY, PMB 50 GCMC, Brisbane, QLD 9726, Australia.
J Abnorm Child Psychol. 2007 Jun;35(3):475-95. doi: 10.1007/s10802-007-9104-9. Epub 2007 Feb 27.
We conducted a review and meta-analyses of 24 studies to evaluate and compare the outcomes of two widely disseminated parenting interventions-Parent-Child Interaction Therapy and Triple P-Positive Parenting Program. Participants in all studies were caregivers and 3- to 12-year-old children. In general, our analyses revealed positive effects of both interventions, but effects varied depending on intervention length, components, and source of outcome data. Both interventions reduced parent-reported child behavior and parenting problems. The effect sizes for PCIT were large when outcomes of child and parent behaviors were assessed with parent-report, with the exclusion of Abbreviated PCIT, which had moderate effect sizes. All forms of Triple P had moderate to large effects when outcomes were parent-reported child behaviors and parenting, with the exception of Media Triple P, which had small effects. PCIT and an enhanced version of Triple P were associated with improvements in observed child behaviors. These findings provide information about the relative efficacy of two programs that have received substantial funding in the USA and Australia, and findings should assist in making decisions about allocations of funding and dissemination of these parenting interventions in the future.
我们对24项研究进行了综述和荟萃分析,以评估和比较两种广泛传播的育儿干预措施——亲子互动疗法(Parent-Child Interaction Therapy)和三倍P积极育儿计划(Triple P-Positive Parenting Program)的效果。所有研究的参与者均为照顾者以及3至12岁的儿童。总体而言,我们的分析显示这两种干预措施均有积极效果,但效果因干预时长、组成部分以及结果数据来源的不同而有所差异。两种干预措施均减少了家长报告的孩子行为问题和育儿问题。当通过家长报告评估儿童和家长行为的结果时,亲子互动疗法的效应量较大,但排除缩写版亲子互动疗法(Abbreviated PCIT),其效应量为中等。当结果为家长报告的孩子行为和育儿情况时,除媒体三倍P(Media Triple P)效应量较小外,所有形式的三倍P均有中等至较大的效应。亲子互动疗法和三倍P的增强版与观察到的儿童行为改善有关。这些发现提供了有关这两种在美国和澳大利亚获得大量资金的计划的相对疗效的信息,研究结果应有助于未来在这些育儿干预措施的资金分配和推广方面做出决策。