Department of Psychology, Uppsala University, Uppsala, Sweden.
Behav Ther. 2010 Dec;41(4):530-42. doi: 10.1016/j.beth.2010.02.004. Epub 2010 Oct 1.
This study examined the effectiveness of a Swedish parent management training (PMT) intervention for parents of children aged 3 to 10 within the context of regular social service. Self-referred parents of 159 children (aged 3 to 10) with conduct problems were randomly assigned to either 11 practitioner-assisted group sessions (PMT-P), or a single instructional workshop followed by self-administration of the training material (PMT-S), or a waitlist control group. Intent-to-treat analyses showed that both PMT-P and PMT-S improved parent competence and reduced child conduct problems compared to the waitlist at posttest. Both training conditions showed further significant improvements at the 6-month follow-up. In direct comparison, PMT-P was superior to PMT-S on measures of child conduct problems at both posttest and follow-up. Improvement in child conduct was mediated by improvement in parent competencies and homework fidelity. The findings in this study have implications for large-scale dissemination of parent management training through different means of delivery.
本研究考察了在常规社会服务背景下，瑞典父母管理培训（PMT）干预对 3 至 10 岁儿童父母的有效性。159 名有行为问题的儿童（3 至 10 岁）的自我推荐父母被随机分配到 11 个从业者辅助小组课程（PMT-P），或一个单一的指导性讲习班，然后自行管理培训材料（PMT-S），或候补名单对照组。意向治疗分析表明，与候补名单相比，PMT-P 和 PMT-S 在测试后都提高了父母的能力，并减少了儿童的行为问题。两种培训条件在 6 个月的随访中都显示出进一步的显著改善。直接比较显示，PMT-P 在测试后和随访时在儿童行为问题的测量上均优于 PMT-S。儿童行为的改善是通过父母能力和家庭作业忠实度的改善来介导的。本研究的结果对通过不同的交付方式大规模推广父母管理培训具有启示意义。
