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一项 ABCD 父母育青少年计划疗效的随机对照试验:原理和方法。

A randomised controlled trial of the efficacy of the ABCD Parenting Young Adolescents Program: rationale and methodology.

机构信息

Parenting Research Centre, 232 Victoria Parade, East Melbourne, Victoria, Australia.

出版信息

Child Adolesc Psychiatry Ment Health. 2010 Aug 19;4:22. doi: 10.1186/1753-2000-4-22.

DOI:10.1186/1753-2000-4-22
PMID:20723219
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2936870/
Abstract

BACKGROUND

The transition to adolescence is a time of increased vulnerability for risk taking and poor health, social and academic outcomes. Parents have an important role in protecting their children from these potential harms. While the effectiveness of parenting programs in reducing problem behavior has been demonstrated, it is not known if parenting programs that target families prior to the onset of significant behavioral difficulties in early adolescence (9-14 years) improve the wellbeing of adolescents and their parents. This paper describes the rationale and methodology of a randomised controlled trial testing the efficacy of a parenting program for the promotion of factors known to be associated with positive adolescent outcomes, such as positive parenting practices, parent-adolescent relationships and adolescent behavior.

METHODS/DESIGN: One hundred and eighty parents were randomly allocated to an intervention or wait list control group. Parents in the intervention group participated in the ABCD Parenting Young Adolescents Program, a 6-session behavioral family intervention program which also incorporates acceptance-based strategies. Participants in the Wait List control group did not receive the intervention during a six month waiting period. The study was designed to comply with recommendations of the CONSORT statement. The primary outcome measures were reduction in parent-adolescent conflict and improvements in parent-adolescent relationships. Secondary outcomes included improvements in parent psychosocial wellbeing, parenting self-efficacy and perceived effectiveness, parent-adolescent communication and adolescent behavior.

CONCLUSIONS

Despite the effectiveness of parenting programs in reducing child behavioral difficulties, very few parenting programs for preventing problems in adolescents have been described in the peer reviewed literature. This study will provide data which can be used to examine the efficacy of a universal parenting interventions for the promotion of protective factors associated with adolescent wellbeing and will add to the literature regarding the relationships between parent, parenting and adolescent factors.

TRIAL REGISTRATION

Australian New Zealand Clinical Trials Registry ACTRN12609000194268.

摘要

背景

青少年向成年期的过渡时期是冒险和健康状况不佳、社会和学业成绩下降的高发期。父母在保护孩子免受这些潜在伤害方面起着重要作用。虽然已经证明了育儿计划在减少问题行为方面的有效性,但尚不清楚针对青少年早期(9-14 岁)行为困难前期的家庭的育儿计划是否能提高青少年及其父母的幸福感。本文介绍了一项随机对照试验的基本原理和方法,该试验测试了促进与积极青少年结果相关的因素的育儿计划的功效,例如积极的育儿实践、父母-青少年关系和青少年行为。

方法/设计:180 名父母被随机分配到干预组或等待名单对照组。干预组的父母参加了 ABCD 青少年父母计划,这是一个 6 节的行为家庭干预计划,也包含了基于接受的策略。等待名单对照组的参与者在六个月的等待期内没有接受干预。该研究旨在符合 CONSORT 声明的建议。主要结果测量是减少父母-青少年冲突和改善父母-青少年关系。次要结果包括改善父母的心理社会幸福感、育儿自我效能感和感知效果、父母-青少年沟通和青少年行为。

结论

尽管育儿计划在减少儿童行为问题方面非常有效,但在同行评议文献中很少有描述预防青少年问题的育儿计划。这项研究将提供可用于检验促进与青少年幸福感相关的保护因素的普遍育儿干预措施的功效的数据,并将增加关于父母、育儿和青少年因素之间关系的文献。

试验注册

澳大利亚新西兰临床试验注册 ACTRN12609000194268。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ea1/2936870/415dec857ef1/1753-2000-4-22-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ea1/2936870/415dec857ef1/1753-2000-4-22-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ea1/2936870/415dec857ef1/1753-2000-4-22-1.jpg

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