Bridgeport Hospital and Yale University School of Medicine University of Massachusetts Boston, USA.
Child Dev. 2011 Jan-Feb;82(1):193-208. doi: 10.1111/j.1467-8624.2010.01550.x.
This randomized, controlled trial was designed to document the effectiveness of Child FIRST (Child and Family Interagency, Resource, Support, and Training), a home-based, psychotherapeutic, parent-child intervention embedded in a system of care. Multirisk urban mothers and children, ages 6-36 months (N = 157) participated. At the 12-month follow-up, Child FIRST children had improved language (odds ratio [OR] = 4.4) and externalizing symptoms (OR= 4.7) compared to Usual Care children. Child FIRST mothers had less parenting stress at the 6-month follow-up (OR = 3.0), lower psychopathology symptoms at 12-month follow-up (OR = 4.0), and less protective service involvement at 3 years postbaseline (OR = 2.1) relative to Usual Care mothers. Intervention families accessed 91% of wanted services relative to 33% among Usual Care. Thus, Child FIRST is effective with multirisk families raising young children across multiple child and parent outcomes.
这项随机对照试验旨在记录家庭为基础的心理治疗式儿童家庭机构资源支持和培训（Child FIRST）的有效性，该干预模式被嵌入在一个关怀系统中。试验纳入了来自多风险城市的母亲及其年龄在 6-36 个月的子女（N=157）。在 12 个月的随访中，与常规护理组的儿童相比，Child FIRST 组的儿童语言能力（优势比[OR]=4.4）和外化症状（OR=4.7）有所改善。Child FIRST 组的母亲在 6 个月的随访时，其育儿压力更小（OR=3.0），在 12 个月的随访时，其精神病理学症状更低（OR=4.0），在基线后 3 年时接受保护服务的比例更低（OR=2.1），与常规护理组的母亲相比。干预组家庭获得了 91%的所需服务，而常规护理组只有 33%。因此，Child FIRST 对多风险家庭养育幼儿具有有效性，可以改善多个儿童和家长的结果。
