Coughlin Michael, Sharry John, Fitzpatrick Carol, Guerin Suzanne, Drumm Michael
Mater Child and Adolescent Mental Health Service, Metropolitan Building, James Joyce Street, Dublin, Ireland.
Clin Child Psychol Psychiatry. 2009 Oct;14(4):541-58. doi: 10.1177/1359104509339081.
This article describes the development and the clinic-based evaluation of the Parents Plus Children's Programme (PPCP), a group-based video-modelling-assisted programme for parents of children aged 6 to 11 referred to a Child Mental Health Service with significant behavioural problems both with and without associated developmental difficulties. In evaluating the programme, a sequential block design was used to assign 74 parents of children referred to the service to the PPCP group (n = 42) or the Treatment as Usual (TAU) Comparison Group (n = 32). Assessment took place before and immediately following the 8-week intervention for both groups and at 5-month follow-up for the PPCP Group. Compared to the TAU Group postprogramme, the PPCP Group displayed significant reductions in total difficulties and conduct problems as measured by the Strengths and Difficulties Questionnaire, decreased parental stress, increased parental confidence and significant improvements in parent-defined problems and goals. These positive changes were maintained at 5-month follow-up for the PPCP group, in addition to further significant improvements in peer problems and prosocial behaviour. The analysis also suggests that the programme is more effective for parents of children with behavioural problems only, than for those with associated developmental difficulties. The strengths and limitations of the study are discussed, as well as the difficulties of conducting practice-based research.
本文介绍了“家长加儿童计划”（PPCP）的开发及基于临床的评估情况。该计划是一个针对6至11岁儿童家长的、以小组为基础的视频示范辅助计划，这些儿童被转介到儿童心理健康服务机构，存在显著行为问题，伴有或不伴有相关发育困难。在评估该计划时，采用了序贯区组设计，将74名被转介到该服务机构的儿童的家长分配到PPCP组（n = 42）或常规治疗（TAU）对照组（n = 32）。两组均在为期8周的干预之前和之后立即进行评估，PPCP组在干预5个月后进行随访。与TAU组干预后相比，PPCP组在通过优势与困难问卷测量的总困难和行为问题方面显著减少，家长压力降低，家长信心增强，家长定义的问题和目标有显著改善。这些积极变化在PPCP组5个月的随访中得以维持，此外，同伴问题和亲社会行为也有进一步显著改善。分析还表明，该计划对仅有行为问题儿童的家长比有相关发育困难儿童的家长更有效。本文讨论了该研究的优势和局限性，以及开展基于实践的研究的困难。
