Turner Karen M T, Richards Mary, Sanders Matthew R
Parenting and Family Support Centre, The University of Queensland, Brisbane, Queensland, Australia.
J Paediatr Child Health. 2007 Jun;43(6):429-37. doi: 10.1111/j.1440-1754.2007.01053.x.
Parenting programmes have been shown to improve children's adjustment and reduce problem behaviour; however, little research has addressed outcomes for Indigenous families. The aim of this project was to assess the impact and cultural appropriateness of a parenting programme tailored for Indigenous families, an adaptation of the evidence-based Group Triple P - Positive Parenting Program.
A repeated measures randomised group design methodology was used, comparing the intervention with a waitlist control condition pre- and post-intervention, with a 6-month follow-up of the intervention group.
Parents attending Group Triple P reported a significant decrease in rates of problem child behaviour and less reliance on some dysfunctional parenting practices following the intervention in comparison to waitlist families. The programme also led to greater movement from the clinical range to the non-clinic range for mean child behaviour scores on all measures. Effects were primarily maintained at 6-month follow-up. Qualitative data showed generally positive responses to the programme resources, content and process. However, only a small number of waitlist families subsequently attended groups, signalling the importance of engaging families when they first make contact, helping families deal with competing demands, and offering flexible service delivery so families can resume contact when circumstances permit.
This study provides empirical support for the effectiveness and acceptability of a culturally tailored approach to Group Triple P conducted by Child Health and Indigenous Health workers in a community setting. The outcomes of this trial may be seen as a significant step in increasing appropriate service provision for Indigenous families and reducing barriers to accessing available services in the community.
育儿项目已被证明能改善儿童的适应能力并减少问题行为；然而，针对原住民家庭的相关研究却很少。本项目的目的是评估为原住民家庭量身定制的育儿项目的影响及文化适宜性，该项目是循证的“积极育儿计划强化版（Triple P）”的改编版。
采用重复测量随机分组设计方法，在干预前后将干预组与候补对照组进行比较，并对干预组进行为期6个月的随访。
与候补家庭相比，参加“积极育儿计划强化版”的家长报告称，干预后儿童问题行为发生率显著降低，对一些功能失调的育儿方式的依赖也减少。该项目还使所有测量指标上儿童行为的平均得分从临床范围向非临床范围有了更大程度的转变。这种效果在6个月的随访中基本得以维持。定性数据显示，家长们对该项目的资源、内容和流程总体反应积极。然而，只有少数候补家庭后来参加了小组活动，这表明在家庭首次联系时就吸引他们参与、帮助家庭应对各种相互竞争的需求以及提供灵活的服务方式以便家庭在情况允许时能够重新联系的重要性。
本研究为儿童健康和原住民健康工作者在社区环境中对“积极育儿计划强化版”进行文化定制的方法的有效性和可接受性提供了实证支持。该试验的结果可被视为朝着为原住民家庭增加适当服务提供以及减少社区中获取现有服务的障碍迈出的重要一步。
