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伊朗母亲的亲子冲突和虐待的一级预防:一项随机对照试验。

Primary prevention of parent-child conflict and abuse in Iranian mothers: a randomized-controlled trial.

机构信息

Tehran University of Medical Science, School of Public Health, Enqelab St., Tehran, Iran.

出版信息

Child Abuse Negl. 2010 Mar;34(3):206-13. doi: 10.1016/j.chiabu.2009.05.008. Epub 2010 Mar 5.

DOI:10.1016/j.chiabu.2009.05.008
PMID:20207004
Abstract

OBJECTIVE

The aim of this study was to assess whether primary health care settings can be used to engage and provide a preventive intervention to mothers of young children.

METHODS

Two hundred and twenty-four mothers who had come to the health centers were randomly assigned to either control group (CG: n=116) or intervention group (IG: n=108). Mothers in IG were taught about the role of parenting skills in families and common mistakes in parenting in 2-h-weekly sessions for 2 successive weeks. A parenting questionnaire was distributed to mothers at pre-test and after 8 weeks from the last training session.

RESULTS

Compared to the CG, there were significant improvements from pre- to post-test in IG on measures of Parenting Scales (PS) total scores and Parent-Child Conflict Tactics Scale-modified (CTSPCm) total scores. This improvement was maintained at 8-week follow up.

CONCLUSION

The results support previous international studies that primary health care settings can be used successfully to engage and provide preventive interventions to mothers of young children.

PRACTICE IMPLICATIONS

Within health centers of Iran where parents routinely bring their children for monitoring of growth or vaccinating against some disease, mothers with a child aged between 2 and 6 years received a parent training. The program gave skills for managing misbehavior and preventing child behavior problems. Mothers reported that their behaviors improved from pre-treatment to post-treatment measured at 8-week follow up. The current work may lead decision-makers to organize this program for all of the health centers to train Iranian mothers.

摘要

目的

本研究旨在评估基层医疗保健环境是否可用于吸引并提供预防干预措施给幼儿的母亲。

方法

224 名前来健康中心的母亲被随机分配到对照组(CG:n=116)或干预组(IG:n=108)。IG 中的母亲接受了关于育儿技能在家庭中的作用和常见育儿错误的 2 小时每周课程,连续 2 周。在预测试和最后一次培训课程后 8 周,向母亲分发了一份育儿问卷。

结果

与 CG 相比,IG 在育儿量表(PS)总分和亲子冲突策略量表改良版(CTSPCm)总分上从预测试到后测试都有显著改善。这种改善在 8 周的随访中得到了维持。

结论

结果支持先前的国际研究,即基层医疗保健环境可以成功地用于吸引和提供预防干预措施给幼儿的母亲。

实践意义

在伊朗的健康中心,父母通常会带孩子来监测生长或接种某些疾病疫苗,在那里,2 至 6 岁儿童的母亲接受了家长培训。该计划提供了管理不良行为和预防儿童行为问题的技能。母亲们报告说,她们的行为从治疗前到治疗后在 8 周的随访中都有所改善。目前的工作可能会促使决策者为所有的健康中心组织这个项目,以培训伊朗母亲。

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