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改编韦氏斯特拉顿针对发育迟缓儿童的“非凡岁月”家长培训:仅来自治疗组研究的结果。

Adapting Webster-Stratton's incredible years parent training for children with developmental delay: findings from a treatment group only study.

作者信息

McIntyre L L

机构信息

Department of Psychology, Syracuse University, Syracuse, NY 13244, USA.

出版信息

J Intellect Disabil Res. 2008 Dec;52(12):1176-92. doi: 10.1111/j.1365-2788.2008.01108.x. Epub 2008 Jul 30.

Abstract

BACKGROUND

Children with intellectual or developmental disabilities (ID/DD) are more likely than typically developing children to experience behaviour problems. Parent training, such as the Incredible Years Parent Training (IYPT) series, has been a widely used intervention to support families with children with or at-risk for behaviour problems; yet to date, this programme has not been used with parents with young children with developmental delay or disabilities.

METHOD

This preliminary treatment group only study assessed the feasibility of implementing a modified parent training programme (IYPT-DD) with 25 families with 2-5-year-old children with developmental delay. Intervention consisted of 12 weekly (2.5 h) sessions with topics covering developmentally appropriate play, praise, rewards, limit setting and handling challenging behaviour.

RESULTS

Results suggest preliminary evidence of efficacy in reducing negative parent and child behaviour and increasing parental perceptions of child positive impact.

CONCLUSIONS

This study provides evidence for the feasibility of the DD modifications applied to the IYPT. Although this approach is promising, additional evidence is needed to address the efficacy of IYPT-DD in children with developmental delay.

摘要

背景

与发育正常的儿童相比,智力或发育障碍(ID/DD)儿童更有可能出现行为问题。家长培训,如“不可思议的岁月家长培训”(IYPT)系列,一直是一种广泛使用的干预措施,以支持有行为问题或有行为问题风险的儿童家庭;然而,迄今为止,该方案尚未用于有发育迟缓或残疾幼儿的家长。

方法

这项仅设治疗组的初步研究评估了对25个有2至5岁发育迟缓儿童的家庭实施改良家长培训方案(IYPT-DD)的可行性。干预包括每周12次(每次2.5小时)课程,主题涵盖适合发育阶段的游戏、表扬、奖励、设定界限和处理具有挑战性的行为。

结果

结果表明,在减少家长和儿童的负面行为以及提高家长对儿童积极影响的认知方面有初步的疗效证据。

结论

本研究为将IYPT进行发育迟缓相关修改的可行性提供了证据。尽管这种方法很有前景,但还需要更多证据来证明IYPT-DD对发育迟缓儿童的疗效。

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