Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal,
Eur Child Adolesc Psychiatry. 2014 Jun;23(6):437-50. doi: 10.1007/s00787-013-0470-2. Epub 2013 Sep 3.
To evaluate the 12-month efficacy of a parent-based intervention programme on children's and mothers' outcomes in a sample of Portuguese preschoolers displaying early hyperactive and inattentive behaviours (AD/HD behaviours), 52 preschool children whose mothers had received the Incredible Years basic parent training (IY) were followed from baseline to 12 months of follow-up. Reported and observational measures were used. Effects were found in the children's reported AD/HD behaviours at home and at school after 12 months. Large effect sizes were also found in mothers' variables: a decrease in self-reported dysfunctional parenting practices and an improved sense of competence and observed positive parenting. However, the improvements in coaching skills that have been observed after 6 months of follow-up decreased over time. No other significant differences were found between 6 and 12 months follow-up, with small effect sizes indicating that the significant post-intervention changes in child and parenting measures were maintained. After 12 months of follow-up, there was a clinically important reduction of over 30 % in reported AD/HD behaviours in 59 % of children. The sustained effects observed both for children and their mothers suggest long-term benefits of IY. Therefore, efforts should be made by Portuguese policy makers and professionals to deliver IY as an early preventive intervention for children displaying early AD/HD behaviours.
为了评估基于父母的干预方案在葡萄牙学龄前儿童中显示出早期多动和注意力不集中行为（AD/HD 行为）的儿童和母亲结果方面的 12 个月疗效，对接受了难以置信的年基本父母培训（IY）的 52 名学龄前儿童进行了随访，从基线到 12 个月的随访。使用了报告和观察措施。在儿童在家和在学校报告的 ADHD 行为方面，12 个月后发现了效果。在母亲的变量中也发现了大的效应量：自我报告的功能失调的育儿实践减少，以及能力感和观察到的积极育儿的改善。然而，在 6 个月的随访后观察到的辅导技能的提高随着时间的推移而下降。在 6 个月和 12 个月的随访之间没有发现其他显著差异，小的效应量表明儿童和育儿措施的显著干预后变化得到了维持。在 12 个月的随访后，有 59%的儿童报告 ADHD 行为明显减少超过 30%。在儿童及其母亲中观察到的持续效果表明，IY 具有长期益处。因此，葡萄牙政策制定者和专业人员应努力提供 IY，作为对表现出早期 AD/HD 行为的儿童的早期预防干预措施。
