Joseph J. Zilber School of Public Health, University of Wisconsin, Milwaukee, 53205, USA.
Am J Public Health. 2012 Oct;102(10):1886-92. doi: 10.2105/AJPH.2012.300902. Epub 2012 Aug 16.
Because of their youth, adolescent parents often lack the interpersonal skills necessary to manage the relationship challenges involved in parenting, leaving them and their children vulnerable to the health risks associated with relational stress and conflict. The primary goal of this study was to test the efficacy of the Young Parenthood Program (YPP), a 10-week counseling program administered during pregnancy and designed to facilitate interpersonal skill development and positive parenting among adolescent parents.
Participants included 105 pregnant adolescents and their partners randomly assigned to YPP or treatment as usual. Assessments measured coparenting skills and parental functioning during the second trimester, 12 weeks after birth, and 18 months after birth.
Results indicated that fathers completing YPP demonstrated more positive parenting than did fathers in the control group. Moreover, the positive outcomes in paternal functioning were mediated through changes in the mother's interpersonal skill development.
Results supported the efficacy of this couples-focused, coparenting support program, particularly for facilitating positive paternal engagement. These findings underscored the relevance of including fathers in the delivery of maternal-child public health services.
由于青少年父母较为年轻，他们往往缺乏管理亲子关系中挑战所必需的人际交往能力，使他们及其子女容易受到与关系压力和冲突相关的健康风险的影响。本研究的主要目标是测试青少年父母计划（YPP）的功效，这是一个为期 10 周的咨询计划，在怀孕期间实施，旨在促进青少年父母的人际交往能力发展和积极育儿。
参与者包括 105 名怀孕的青少年及其伴侣，他们被随机分配到 YPP 组或常规治疗组。评估在妊娠中期、出生后 12 周和出生后 18 个月测量了共同养育技能和父母功能。
结果表明，完成 YPP 的父亲比对照组的父亲表现出更积极的育儿方式。此外，母亲人际交往技能发展的变化中介了父亲功能的积极结果。
结果支持了这种以夫妻为中心、共同养育支持计划的有效性，特别是促进了积极的父亲参与。这些发现强调了在提供母婴公共卫生服务时将父亲纳入其中的相关性。
