Vandenhoudt Hilde, Miller Kim S, Ochura Juliet, Wyckoff Sarah C, Obong'o Christopher O, Otwoma Nelson J, Poulsen Melissa N, Menten Joris, Marum Elizabeth, Buvé Anne
Institute of Tropical Medicine, Antwerp, Belgium.
AIDS Educ Prev. 2010 Aug;22(4):328-43. doi: 10.1521/aeap.2010.22.4.328.
We evaluated Families Matter! Program (FMP), an intervention designed to improve parent-child communication about sexual risk reduction and parenting skills. Parents of 10- to 12-year-olds were recruited in western Kenya. We aimed to assess community acceptability and FMP's effect on parenting practices and effective parent-child communication. Data were collected from parents and their children at baseline and 1 year postintervention. The intervention's effect was measured on six parenting and parent-child communication composite scores reported separately for parents and children. Of 375 parents, 351 (94%) attended all five intervention sessions. Parents' attitudes regarding sexuality education changed positively. Five of the six composite parenting scores reported by parents, and six of six reported by children, increased significantly at 1 year postintervention. Through careful adaptation of this U.S. intervention, FMP was well accepted in rural Kenya and enhanced parenting skills and parent-child sexuality communication. Parents are in a unique position to deliver primary prevention to youth before their sexual debut as shown in this Kenyan program.
我们评估了“家庭至关重要！计划”（FMP），这是一项旨在改善亲子之间关于降低性风险及育儿技巧交流的干预措施。在肯尼亚西部招募了10至12岁孩子的家长。我们旨在评估社区对该计划的接受程度以及FMP对育儿实践和有效的亲子沟通的影响。在基线期和干预后1年从家长及其孩子那里收集数据。干预效果通过分别为家长和孩子报告的六个育儿及亲子沟通综合得分来衡量。在375名家长中，351名（94%）参加了全部五次干预课程。家长对性教育的态度有了积极转变。干预后1年，家长报告的六个综合育儿得分中有五个、孩子报告的六个综合得分全部显著提高。通过对这项美国干预措施的精心调整，FMP在肯尼亚农村地区得到了很好的接受，并提高了育儿技巧以及亲子之间关于性方面的沟通。正如这个肯尼亚项目所表明的，家长在青少年首次性行为之前提供初级预防方面具有独特的地位。
