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针对慢性病青少年家长的教育干预:一项前后测试点研究。

Educational intervention for parents of adolescents with chronic illness: a pre-post test pilot study.

作者信息

Akre Christina, Ramelet Anne-Sylvie, Berchtold André, Suris Joan-Carles

出版信息

Int J Adolesc Med Health. 2015 Aug;27(3):261-9. doi: 10.1515/ijamh-2014-0020.

Abstract

OBJECTIVE

This pilot experimental study tested the feasibility and intended effect of an educational intervention for parents to help them assist their adolescent child with chronic illness (CI) in becoming autonomous.

METHODS

A two-phase pre-post pilot intervention study targeting parents of adolescents with CI was conducted. Parents were allocated to group 1 and 2 and received the four-module intervention consecutively. Intended effect was measured through online questionnaires for parents and adolescents before, at 2 months after, and at 4-6 months after the intervention. Feasibility was assessed through an evaluation questionnaire for parents.

RESULTS

The most useful considered modules concerned the future of the adolescent and parents and social life. The most valued aspect was to exchange with other parents going through similar problems and receiving a new outlook on their relationship with their child. For parents, improvement trends appeared for shared management, parent protection, and self-efficacy, and worsening trends appeared for coping skills, parental perception of child vulnerability, and parental stress. For adolescents, improvement trends appeared for self-efficacy and parental bonding and worsening trends appeared for shared management and coping skills.

CONCLUSION

Parents could benefit from peer-to-peer support and education as they support the needed autonomy development of their child. Future studies should test an online platform for parents to find peer support at all times and places.

摘要

目的

本试点实验研究测试了一项针对家长的教育干预措施的可行性和预期效果,该措施旨在帮助他们协助患有慢性病(CI)的青春期孩子实现自主。

方法

开展了一项针对患有CI的青少年家长的两阶段前后试点干预研究。家长被分配到第1组和第2组,并依次接受四个模块的干预。通过在干预前、干预后2个月以及干预后4 - 6个月对家长和青少年进行在线问卷调查来衡量预期效果。通过家长评估问卷来评估可行性。

结果

被认为最有用的模块涉及青少年和家长的未来以及社交生活。最有价值的方面是与其他有类似问题的家长交流,并获得对自己与孩子关系的新看法。对于家长来说,在共同管理、家长保护和自我效能方面出现了改善趋势,而在应对技能、家长对孩子易受伤害性的认知以及家长压力方面出现了恶化趋势。对于青少年来说,自我效能和亲子关系方面出现了改善趋势,而在共同管理和应对技能方面出现了恶化趋势。

结论

家长在支持孩子所需的自主发展过程中,可以从同伴支持和教育中受益。未来的研究应该测试一个在线平台,以便家长能够随时随地找到同伴支持。

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