Leathers Sonya J, Spielfogel Jill E, McMeel Lorri S, Atkins Marc S
University of Illinois at Chicago, Chicago, IL, United States.
Child Youth Serv Rev. 2011 Jul;33(7):1270-1279. doi: 10.1016/j.childyouth.2011.02.022.
The development of effective interventions for foster children with behavior problems is essential given the consequences of behavior problems for children's placement stability and permanency outcomes. This article presents findings from a pilot study of an intervention providing parent management training (PMT) and support to foster parents in groups and home visits. The intervention was an adaptation of the KEEP (Keeping Foster Parents Trained and Supported) group intervention, provided in a large urban child welfare agency serving predominantly African American foster parents. The study used an intent-to-treat design, with 25 foster parents of 31 children (age 4-12) in specialized foster care assigned to either an intervention or treatment as usual control group. Longitudinal outcomes were analyzed using random effect regression models. Over time, children's behavior problems were significantly lower in the intervention group relative to the control group, and the effect of the intervention was partially mediated by parents' understanding of how to appropriately use the intervention parenting skills. These results provide support for the effectiveness of KEEP with urban foster children with significant behavior problems.
鉴于行为问题对寄养儿童安置稳定性和永久性结果的影响，为有行为问题的寄养儿童开发有效的干预措施至关重要。本文介绍了一项试点研究的结果，该研究对一组寄养父母进行了家长管理培训（PMT），并通过小组和家访提供支持。该干预措施是对KEEP（持续培训和支持寄养父母）小组干预措施的改编，在一个主要为非裔美国寄养父母服务的大型城市儿童福利机构中实施。该研究采用意向性治疗设计，将31名4至12岁处于特殊寄养照料中的儿童的25名寄养父母分配到干预组或常规治疗对照组。使用随机效应回归模型分析纵向结果。随着时间的推移，干预组儿童的行为问题相对于对照组显著减少，并且干预效果部分通过父母对如何适当使用干预育儿技能的理解来介导。这些结果为KEEP对有严重行为问题的城市寄养儿童的有效性提供了支持。
