儿科诊室中幼儿新出现的破坏性行为的早期干预。
Early intervention in pediatrics offices for emerging disruptive behavior in toddlers.
机构信息
Department of Behavioral Sciences, Fitchburg State College, 160 Pearl St, Fitchburg, MA 01420, USA.
出版信息
J Pediatr Health Care. 2011 Mar-Apr;25(2):77-86. doi: 10.1016/j.pedhc.2009.08.008. Epub 2010 Jan 6.
BACKGROUND
This study provides preliminary data about a parenting intervention for families of preschoolers with early attention deficit hyperactivity disorder/oppositional defiant disorder symptoms carried out in two diverse primary care pediatric offices.
METHOD
Parents of toddlers completed behavioral screening questionnaires at well-child visits. Eligible parents participated in a 10-week parenting education group using the Incredible Years program. Mothers completed several outcome measures at three time points: before participating in the group, immediately after the group ended, and 6 months thereafter. These measures assessed changes in parenting practices, parenting stress, and child symptoms. Parent and provider satisfaction also were assessed.
RESULTS
Mothers reported improvements in parenting skills and a decrease in stress. They also reported a decrease in child aggression and an increase in compliance. Mothers and providers reported high levels of satisfaction.
CONCLUSIONS
Results support the benefits and feasibility of providing parenting education groups to parents of toddlers in pediatric practice settings.
背景
本研究提供了初步数据，介绍了在两个不同的初级保健儿科诊所中为有早期注意缺陷多动障碍/对立违抗性障碍症状的学龄前儿童家庭开展的育儿干预措施。
方法
幼儿的父母在定期儿童健康检查时完成行为筛查问卷。符合条件的父母参加了为期 10 周的育儿教育小组，使用了“难以置信的岁月”计划。母亲在三个时间点完成了几项结果测量：参加小组之前、小组结束后立即以及 6 个月后。这些措施评估了育儿实践、育儿压力和儿童症状的变化。还评估了父母和提供者的满意度。
结果
母亲报告说育儿技能有所提高，压力有所减轻。他们还报告说孩子的攻击性降低，顺从性提高。母亲和提供者报告满意度很高。
结论
结果支持在儿科实践环境中为幼儿父母提供育儿教育小组的益处和可行性。
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