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促进初级父母的积极养育实践:一项随机对照风险降低试验的结果和变化机制。

Promoting positive parenting practices in primary pare: outcomes and mechanisms of change in a randomized controlled risk reduction trial.

机构信息

Center for Child and Adolescent Mental Health, Department of Clinical Medicine, Faculty of Health Science, University of Tromsø, Tromsø, Norway.

出版信息

Scand J Psychol. 2011 Apr;52(2):131-7. doi: 10.1111/j.1467-9450.2010.00854.x. Epub 2010 Dec 2.

DOI:10.1111/j.1467-9450.2010.00854.x
PMID:21121925
Abstract

The aim of the present study was to evaluate whether a short parent-training program (PT) reduces risk factors related to development of childhood socio-emotional and behavior problems in a non-clinical community sample. Data were obtained from parents in a randomized controlled trial (RCT) on PT for children aged 2 to 8 years (N=186) at pre-intervention, post-intervention and one-year-follow up. There were significant differences in the changes in the two groups, with reductions in harsh parenting and child behavior problems, an enhancement of positive parenting and of the parents' sense of competence in the intervention group. The effects on parenting and parents' satisfaction all lasted through one-year follow up. Our findings suggests that a shortened version of a well-structured parenting intervention, The Incredible Years program, implemented in primary care at community level, reduces harsh parenting and strengthens positive parenting and parents' sense of competence, as reported by the parents. Issues related to a public health approach to promote positive parenting are discussed.

摘要

本研究旨在评估短期亲职教育培训计划(PT)是否能降低非临床社区样本儿童社会情感和行为问题发展的相关风险因素。数据来自于一项针对 2 至 8 岁儿童的 PT 的随机对照试验(RCT)中的父母,在干预前、干预后和一年随访时进行了评估。两组的变化存在显著差异,干预组在严厉教养和儿童行为问题方面有所减少,积极教养和父母能力感方面有所增强。这种效果在一年随访中仍然存在。我们的研究结果表明,在初级保健社区层面实施的、经过精心设计的亲职教育培训计划——“难以置信的年代”( Incredible Years program)的简化版本,可以减少严厉教养方式,并增强积极教养方式和父母的能力感,这是父母报告的结果。还讨论了与推广积极教养方式的公共卫生方法相关的问题。

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