Department of Health Sciences, University Medical Center Groningen, University of Groningen, PO Box 196, 9700 AD Groningen, the Netherlands.
BMC Public Health. 2011 Aug 30;11:676. doi: 10.1186/1471-2458-11-676.
Children with an intellectual disability are at increased risk of psychosocial problems. This leads to serious restrictions in the daily functioning of the children and to parental stress. Stepping Stones Triple P aims to prevent severe behavioural, emotional and developmental problems in children with a (intellectual) disability by enhancing parenting knowledge and skills, and the self-confidence of parents. This paper aims to describe the design of a study of the effectiveness of parenting counselling using Stepping Stones Triple P compared to Care as Usual.
METHODS/DESIGN: The effects of Stepping Stones Triple P will be studied in a Randomised Controlled Trial. Parents of children aged 5-12 years with an IQ of 50-85 will be recruited from schools. Prior to randomisation, parents complete a screening questionnaire about their child's psychosocial problems and their parenting skills. Subsequently, parents of children with increased levels of psychosocial problems (score on Strengths and Difficulties Questionnaire ≥ 14) will be invited to participate in the intervention study. After obtaining consent, parents will be randomised either to the experimental group (Stepping Stones Triple P) or to Care as Usual. The primary outcome is a change in the child's psychosocial problems according to parents and teachers. The secondary outcome is a change in parenting skills. Data will be collected before the start of the intervention, immediately after the intervention, and six months after.
This paper presents an outline of the background and design of a randomised controlled trial to investigate the effectiveness of Stepping Stones Triple P, which aims to decrease psychosocial problems in children with a mild intellectual disability. Stepping Stones Triple P seems promising, but evidence on its effectiveness for this population is still lacking. This study provides evidence about the effects of this intervention in a community-based population of children with a mild intellectual disability.
Netherlands Trial Register (NTR): NTR2624.
智障儿童患心理社会问题的风险增加。这导致儿童日常生活功能严重受限，并使父母感到压力。Stepping Stones Triple P 通过增强父母的育儿知识和技能以及父母的自信心，旨在预防智障儿童严重的行为、情感和发育问题。本文旨在描述一项研究的设计，该研究比较了 Stepping Stones Triple P 育儿咨询与常规护理对智障儿童的效果。
方法/设计：Stepping Stones Triple P 的效果将通过随机对照试验进行研究。将从学校招募 5-12 岁、智商为 50-85 的儿童的父母。在随机分组之前，父母填写一份关于孩子心理社会问题和育儿技能的筛查问卷。随后，将邀请那些孩子心理社会问题水平较高（Strengths and Difficulties Questionnaire 得分≥14）的父母参加干预研究。获得同意后，父母将被随机分配到实验组（Stepping Stones Triple P）或常规护理组。主要结果是根据父母和教师评估孩子心理社会问题的变化。次要结果是育儿技能的变化。数据将在干预开始前、干预后立即和六个月后收集。
本文介绍了一项随机对照试验的背景和设计概述，旨在调查 Stepping Stones Triple P 的有效性，该试验旨在减少轻度智力障碍儿童的心理社会问题。Stepping Stones Triple P 似乎很有前景，但针对该人群的有效性证据仍然缺乏。本研究为轻度智力障碍儿童的社区人群提供了关于该干预措施效果的证据。
荷兰试验注册处（NTR）：NTR2624。
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