Degarmo David S, Forgatch Marion S
David S. DeGarmo, Oregon Social Learning Center, 10 Shelton McMurphey Boulevard, Eugene, OR E-mail:
Parent Sci Pract. 2007 Nov;7(4):331-355. doi: 10.1080/15295190701665631.
The primary goal of this paper was to evaluate independent effects of stepfather parenting behaviors within the context of a parent training efficacy trial designed for recently married couples with children exhibiting behavior problems. A secondary goal was to examine measurement properties of a multiple-method, multiple-source construct of effective stepfathering including direct observation. Stepfather hypotheses were derived from a social interaction learning model of child adjustment and specifically evaluated the Oregon model of Parent Management Training (PMTO) intervention DESIGN: In a randomized control trial, 110 recently married families consisting of an early-elementary-school-aged focal child, biological mother, and stepfather were assessed over 2 years. Assessment included direct observation of stepfather - stepchild interactions. Analyses first tested intervention effects on change in stepfathering and second tested independent effects of stepfathering on change in children's depression and noncompliance at follow-ups. RESULTS: The intervention produced medium effect sizes at 6 and 12 months for improved stepfathering with parenting effects diminishing at 24 months. Hierarchical regression models showed that intervention group improvements in stepfathering predicted greater reductions in children's depression and noncompliance at 2 years relative to controls, controlling for change in mothering. CONCLUSIONS: These findings underscore the preventive utility of the PMTO intervention for stepfathers. Implications for research, translation, timing of intervention, and implementation are discussed.
本文的主要目标是在一项为有行为问题的已婚有子女夫妇设计的家长培训疗效试验背景下,评估继父养育行为的独立影响。次要目标是检验包括直接观察在内的有效继父养育的多方法、多来源结构的测量属性。继父假设源自儿童适应的社会互动学习模型,并特别评估了俄勒冈家长管理培训(PMTO)干预模型。设计:在一项随机对照试验中,对110个由小学低年级重点儿童、亲生母亲和继父组成的新婚家庭进行了为期2年的评估。评估包括对继父与继子女互动的直接观察。分析首先测试干预对继父养育变化的影响,其次测试继父养育对随访时儿童抑郁和不顺从变化的独立影响。结果:干预在6个月和12个月时对改善继父养育产生了中等效应大小,养育效果在24个月时减弱。分层回归模型显示,相对于对照组,干预组继父养育的改善在2年时预测儿童抑郁和不顺从的减少更大,同时控制了母亲养育的变化。结论:这些发现强调了PMTO干预对继父的预防效用。讨论了对研究、转化、干预时机和实施的影响。