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针对有破坏性行为儿童的早期干预项目的成果

Outcomes of an early intervention program for children with disruptive behaviour.

作者信息

Hayes Louise, Giallo Rebecca, Richardson Kate

机构信息

Ballarat Health Services & University of Ballarat, Ballarat, VIC, Australia.

出版信息

Australas Psychiatry. 2010 Dec;18(6):560-6. doi: 10.3109/10398562.2010.498047.

Abstract

OBJECTIVE

Outcomes are presented from a public mental health early intervention program for children aged 5-9 years with disruptive behaviours.

METHOD

This was a school-based intervention initiative, delivered within a psychiatric child and adolescent mental health service and includes child, parent and teacher components. Participants were 235 children selected via school-based population assessments.

RESULTS

A baseline period was used as a form of control that would demonstrate the stability of problem behaviours. Results showed that during a 26-week baseline period, teachers reported increasing levels of problem behaviour, and that the behaviour was creating increased difficulty in the classroom. The shorter 7-week baseline also showed the difficult behaviours were ongoing. Following the intervention, significant improvements in children's behaviour were seen on the Strengths and Difficulties Questionnaire reported by parents (η(2) = 0.30) and teachers (η(2) = 0.23), and on the parent Eyberg Child Behaviour Inventory (η(2) = 0.35), and teacher Sutter-Eyberg Student Behaviour Inventory (η(2) = 0.22).

CONCLUSION

The outcomes show promising results from an early intervention program delivered in schools by a public mental health service and are discussed within the context of dissemination of evidence-based programs though mental health services.

摘要

目的

呈现一项针对5至9岁有破坏性行为儿童的公共心理健康早期干预项目的成果。

方法

这是一项基于学校的干预举措,在儿童及青少年精神科心理健康服务机构内开展,涵盖儿童、家长和教师部分。参与者是通过基于学校的人群评估选出的235名儿童。

结果

以基线期作为一种对照形式,用以证明问题行为的稳定性。结果显示,在为期26周的基线期内,教师报告称问题行为水平不断上升,且该行为给课堂带来的困难日益增加。较短的7周基线期也表明这些困难行为持续存在。干预后,家长报告的《长处与困难问卷》(η(2) = 0.30)、教师报告的《长处与困难问卷》(η(2) = 0.23)、家长版《艾伯格儿童行为量表》(η(2) = 0.35)以及教师版《萨特 - 艾伯格学生行为量表》(η(2) = 0.22)均显示儿童行为有显著改善。

结论

结果表明,公共心理健康服务机构在学校开展的早期干预项目取得了有前景的成果,并在通过心理健康服务推广循证项目的背景下进行了讨论。

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