Department of Psychology, Western University, London, Canada.
Fam Pract. 2013 Feb;30(1):14-24. doi: 10.1093/fampra/cms051. Epub 2012 Sep 3.
Many parents of preschool-age children have concerns about how to discipline their child but few receive help. We examined the effects of a brief treatment along with usual care, compared with receiving usual care alone. Patients. Parents (N = 178) with concerns about their 2- to 5-year olds' discipline were recruited when they visited their family physician at 1 of 24 practices.
After completing mailed baseline measures, parents were randomly assigned to receive usual care or the Parenting Matters intervention along with usual care. Parenting Matters combined a self-help booklet with two calls from a telephone coach during a 6-week treatment period. Follow-up assessments were completed at 7 weeks post-randomization, and 3 and 6 months later.
Behaviour problems (Eyberg Child Behaviour Inventory) decreased significantly more in the Parenting Matters condition compared with Usual Care alone, based on a significant time by treatment group effect in intent-to-treat, growth curve analyses (P = 0.033). The Parenting Matters group also demonstrated greater and more rapid improvement than in usual care alone in terms of overall psychopathology (Child Behaviour Checklist, P = 0.02), but there were no group differences in parenting. The overall magnitude of group differences was small (d = 0.15 or less).
A brief early intervention combining a self-help booklet and telephone coaching is an effective way to treat mild behaviour problems among young children. This minimal-contact approach addresses the need for interventions in primary health care settings and may be a useful component in step-care models of mental health.
许多学龄前儿童的家长都对如何管教孩子感到担忧，但很少有人得到帮助。我们研究了在接受常规护理的基础上，增加简短治疗的效果，与仅接受常规护理相比。
当他们在 24 家诊所中的一家就诊时，有 178 名对 2 至 5 岁孩子的纪律问题表示关注的父母完成了邮寄的基线测量后，被随机分配接受常规护理或育儿问题干预加常规护理。育儿问题将自助手册与电话教练的两次通话相结合，在 6 周的治疗期间进行。
随访评估在随机分组后 7 周、3 个月和 6 个月进行。
根据意向治疗、增长曲线分析中的显著时间与治疗组效应，与仅接受常规护理相比，育儿问题组的行为问题（Eyberg 儿童行为清单）显著减少（P = 0.033）。
育儿问题组在整体心理病理学方面（儿童行为检查表，P = 0.02）也表现出比仅接受常规护理更大和更快的改善，但在育儿方面没有组间差异。组间差异的总体幅度较小（d = 0.15 或更小）。
结合自助手册和电话辅导的简短早期干预是治疗幼儿轻度行为问题的有效方法。这种最低接触方法满足了在初级保健环境中进行干预的需求，并且可能是心理健康分步护理模式的有用组成部分。
