Sumargi Agnes, Sofronoff Kate, Morawska Alina
School of Psychology, University of Queensland, Brisbane, QLD, Australia,
Child Psychiatry Hum Dev. 2015 Oct;46(5):749-61. doi: 10.1007/s10578-014-0517-8.
There are limited evaluations of an evidence-based parenting program for parents from large developing countries, such as Indonesia. This study aimed to test the efficacy and acceptability of an evidence-based parenting program, the Triple P seminar series, among Indonesian parents. The level of child emotional and behavioral problems was the primary outcome of this study. Participants were 143 parents of children aged 2-12 years in Indonesia that were randomly allocated into the intervention (n = 72) or waitlist control group (n = 71). Participants, investigators, and data collectors were not blinded to the group assignment. A randomized-controlled trial was conducted with 143 parents of children aged 2-12 years in Indonesia. Results showed that parents in the intervention group reported a greater decrease in child behavioral problems (d = 0.45), dysfunctional parenting practices (d = 0.69), parental stress (d = 0.44), and a greater increase in parenting confidence (d = 0.45) in comparison to parents in the waitlist control group at post intervention. The intervention effects were maintained at 6-month follow up for parents in the intervention group. The program was deemed to be culturally appropriate as parents indicated high levels of acceptability and satisfaction with the program content. It is suggested that future studies include families with lower income and employ a more stringent design (e.g., using validated measures, multiple facilitators, and blinding).
针对来自印度尼西亚等大型发展中国家的父母，基于证据的育儿项目评估有限。本研究旨在测试基于证据的育儿项目——三倍积极育儿（Triple P）研讨会系列在印度尼西亚父母中的有效性和可接受性。儿童情绪和行为问题的程度是本研究的主要结果。参与者为印度尼西亚143名2至12岁儿童的父母，他们被随机分配到干预组（n = 72）或候补对照组（n = 71）。参与者、研究者和数据收集者对分组情况未设盲。对印度尼西亚143名2至12岁儿童的父母进行了一项随机对照试验。结果显示，与候补对照组的父母相比，干预组的父母在干预后报告称，孩子的行为问题（d = 0.45）、功能失调的育儿方式（d = 0.69）、父母压力（d = 0.44）有更大程度的降低，育儿信心（d = 0.45）有更大程度的提高。干预组父母在6个月随访时仍保持干预效果。该项目被认为在文化上是合适的，因为父母对项目内容表示出高度的可接受性和满意度。建议未来的研究纳入低收入家庭，并采用更严格的设计（例如，使用经过验证的测量方法、多名促进者和设盲）。
