Tellegen Cassandra L, Sanders Matthew R
Parenting and Family Support Centre.
J Consult Clin Psychol. 2014 Dec;82(6):1193-200. doi: 10.1037/a0037246. Epub 2014 Jun 30.
This randomized controlled trial evaluated the efficacy of Primary Care Stepping Stones Triple P, a brief individualized parenting program, in a sample of parents of children with autism spectrum disorder (ASD).
Sixty-four parents of children aged 2-9 years (M = 5.67, SD = 2.14) with an ASD diagnosis participated in the study. Eighty-six percent of children were male, and 89% of parents identified their child's ethnicity as Australian/White. Families were randomly assigned to 1 of 2 conditions (intervention or care-as-usual) and were assessed at 3 time points (preintervention, postintervention, and 6-month follow-up). Parents completed a range of questionnaires to assess changes in child behavior (Eyberg Child Behavior Inventory) and parent outcomes (Parenting Scale, Depression Anxiety Stress Scale-21, Parent Problem Checklist, Relationship Quality Inventory, Parental Stress Scale) and 30-min home observations of parent-child interactions.
Relative to the care-as-usual group, significant short-term improvements were found in the intervention group on parent-reported child behavior problems, dysfunctional parenting styles, parenting confidence, and parental stress, parental conflict, and relationship happiness. No significant intervention effects were found on levels of parental depression or anxiety, or on observed child disruptive and parent aversive behavior. The effect sizes for significant variables ranged from medium to large. Short-term effects were predominantly maintained at 6-month follow-up, and parents reported high levels of goal achievement and satisfaction with the program.
The results indicate that a brief low intensity version of Stepping Stones Triple P is an efficacious intervention for parents of children with ASD.
本随机对照试验评估了初级保健阶梯式三阶段积极育儿方案（Primary Care Stepping Stones Triple P）这一简短的个性化育儿项目，对患有自闭症谱系障碍（ASD）儿童的家长样本的疗效。
64名患有ASD诊断的2至9岁儿童（M = 5.67，SD = 2.14）的家长参与了该研究。86%的儿童为男性，89%的家长将其孩子的种族确定为澳大利亚/白人。家庭被随机分配到两种情况之一（干预组或常规护理组），并在3个时间点（干预前、干预后和6个月随访）进行评估。家长们完成了一系列问卷，以评估儿童行为的变化（艾伯格儿童行为量表）和家长的结果（育儿量表、抑郁焦虑压力量表-21、家长问题清单、关系质量量表、父母压力量表），并对亲子互动进行了30分钟的家庭观察。
与常规护理组相比，干预组在家长报告的儿童行为问题、功能失调的育儿方式、育儿信心、父母压力、父母冲突和关系幸福感方面有显著的短期改善。在父母抑郁或焦虑水平、观察到的儿童破坏性行为和父母厌恶行为方面未发现显著的干预效果。显著变量的效应大小从中等到较大。短期效果在6个月随访时基本保持，家长报告目标达成水平高且对该项目满意度高。
结果表明，简短的低强度阶梯式三阶段积极育儿方案对患有ASD儿童的家长是一种有效的干预措施。
