Prevention Promotion and Early Intervention, Children and Young People's Mental Health, Gosford, NSW, Australia.
Med J Aust. 2013 Aug 5;199(3 Suppl):S30-3. doi: 10.5694/mja11.11181.
To determine the effect of the Mental Health Positive Parenting Program (MHPPP) on parenting practices of parents reporting a mental health problem.
DESIGN, SETTING AND PARTICIPANTS: A prospective before-and-after examination of positive parenting skills and parent-reported child outcomes among parents of children aged 2-10 years who had self-reported a mental health problem. One hundred and eleven (85.4%) of 130 parents who commenced the MHPPP completed the program. Of these, 77.5% (n = 86) completed both before- and after-intervention measures. The MHPPP was conducted across four community health centres.
A 10-week intervention was tailored to parents with a mental health problem. The intervention was divided into a 6-week group parenting program based on the Positive Parenting Program and four weekly home visits.
Parental discipline practices and children's behaviour were measured by the Parenting Scale (PS) and the Eyberg Child Behavior Inventory (ECBI), respectively.
Following the MHPPP, parents scored significantly lower on each of the PS subscales: laxness (Z = - 6.23; P < 0.001), over-reactivity (Z = - 7.15; P < 0.001) and verbosity (Z = - 6.59; P < 0.001); and significantly lower on both ECBI subscales: intensity (Z = - 7.08, P < 0.001) and problem (Z = - 7.57; P < 0.001).
Our findings suggest the MHPPP can reduce the number of dysfunctional parenting strategies and parent-reported child behavioural problems. The MHPPP is a promising avenue for early intervention in this population.
确定心理健康积极育儿计划（MHPPP）对报告心理健康问题的父母的育儿实践的影响。
设计、设置和参与者：一项前瞻性的前后对照研究，旨在评估积极育儿技能和父母报告的儿童结果，参与者为 2-10 岁有心理健康问题的儿童的父母。130 名开始 MHPPP 的父母中有 111 名（85.4%）完成了该计划。其中，77.5%（n=86）完成了干预前后的测量。MHPPP 在四个社区卫生中心进行。
针对有心理健康问题的父母，为期 10 周的干预。干预分为基于积极育儿计划的 6 周小组育儿计划和每周四次家访。
父母的纪律实践和儿童行为分别通过育儿量表（PS）和 Eyberg 儿童行为清单（ECBI）进行测量。
MHPPP 后，父母在 PS 的每个子量表上的得分显著降低：松懈（Z=-6.23；P<0.001）、过度反应（Z=-7.15；P<0.001）和唠叨（Z=-6.59；P<0.001）；ECBI 的两个子量表的得分也显著降低：强度（Z=-7.08，P<0.001）和问题（Z=-7.57；P<0.001）。
我们的研究结果表明，MHPPP 可以减少不良育儿策略的数量和父母报告的儿童行为问题。MHPPP 是该人群早期干预的一个有前途的途径。
