Furlong Mairéad, McGilloway Sinéad
National University of Ireland, Maynooth, Ireland.
Clin Child Psychol Psychiatry. 2012 Oct;17(4):616-30. doi: 10.1177/1359104511426406. Epub 2011 Nov 20.
Controlled trials demonstrate that parenting programs work, but less is known about the processes of change, contextual factors or intervention characteristics that influence trial outcomes. This qualitative study assessed the experiences of Irish parents involved in a randomized controlled trial of the Incredible Years BASIC parenting program, with a view to understanding how and why the program works, or does not work, within disadvantaged settings. Data from 33 parents of young children (aged 3-7 years) with conduct problems were collected by semi-structured interviews and analysed using constructivist grounded theory. Emerging themes indicated that parents perceived the program to have produced positive changes through learning key parenting skills (e.g. positive attention, empathy and problem-solving skills) and through enhanced parental mood/confidence, derived primarily from gaining non-judgmental support from the group. Parents also experienced cultural, personal and environmental challenges in learning the new skills, including discomfort with praise and positive attention, conflict with their partner and parenting within an antisocial environment. Parents dropped out of the course for largely circumstantial reasons. These findings should help to inform the future implementation of this well-known parenting program both in Ireland and elsewhere.
对照试验表明育儿项目是有效的，但对于影响试验结果的改变过程、背景因素或干预特征，我们了解得较少。这项定性研究评估了参与“奇妙岁月基础版”育儿项目随机对照试验的爱尔兰父母的经历，旨在了解该项目在弱势环境中如何发挥作用以及为何能发挥作用，或者为何不起作用。通过半结构化访谈收集了33名有行为问题的幼儿（3至7岁）父母的数据，并使用建构主义扎根理论进行分析。新出现的主题表明，父母认为该项目通过学习关键育儿技能（如积极关注、同理心和解决问题的技能）以及通过增强父母情绪/信心产生了积极变化，这种情绪和信心主要源于从小组中获得无评判性的支持。父母在学习新技能时也遇到了文化、个人和环境方面的挑战，包括对赞扬和积极关注感到不适、与伴侣发生冲突以及在反社会环境中育儿。父母退出课程主要是由于一些具体情况。这些发现应有助于为该著名育儿项目未来在爱尔兰及其他地区的实施提供参考。
