Duncombe Melissa E, Havighurst Sophie S, Kehoe Christiane E, Holland Kerry A, Frankling Emma J, Stargatt Robyn
a School of Psychological Sciences , University of Melbourne.
b Department of Psychiatry , University of Melbourne.
J Clin Child Adolesc Psychol. 2016;45(3):320-34. doi: 10.1080/15374416.2014.963855. Epub 2014 Dec 3.
This study evaluated the effectiveness of a multisystemic early intervention that included a comparison of an emotion- and behavior-focused parenting program for children with emerging conduct problems. The processes that moderated positive child outcomes were also explored. A repeated measures cluster randomized group design methodology was employed with three conditions (Tuning in to Kids, Positive Parenting Program, and waitlist control) and two periods (preintervention and 6-month follow-up). The sample consisted of 320 predominantly Caucasian 4- to 9-year-old children who were screened for disruptive behavior problems. Three outcome measures of child conduct problems were evaluated using a parent (Eyberg Child Behavior Inventory) and teacher (Strengths and Difficulties Questionnaire) rating scale and a structured child interview (Home Interview With Child). Six moderators were assessed using family demographic information and a parent-rated measure of psychological well-being (Depression Anxiety and Stress Scales short form). The results indicated that the multisystemic intervention was effective compared to a control group and that, despite different theoretical orientations, the emotion- and behavior-focused parenting programs were equally effective in reducing child conduct problems. Child age and parent psychological well-being moderated intervention response. This effectiveness trial supports the use of either emotion- or behavior-focused parenting programs in a multisystemic early intervention and provides greater choice for practitioners in the selection of specific programs.
本研究评估了一种多系统早期干预措施的有效性，该干预措施包括对一种针对有初现品行问题儿童的、以情绪和行为为重点的育儿项目进行比较。同时还探讨了调节儿童积极结果的过程。采用了重复测量整群随机分组设计方法，设置了三种条件（关注儿童、积极育儿项目和等待名单对照组）以及两个阶段（干预前和6个月随访）。样本包括320名主要为白人的4至9岁儿童，这些儿童经过了破坏性行为问题筛查。使用家长（艾伯格儿童行为量表）和教师（长处与困难问卷）评定量表以及结构化儿童访谈（儿童家庭访谈）对儿童品行问题的三项结果指标进行了评估。使用家庭人口统计学信息和家长评定的心理健康测量工具（抑郁焦虑压力量表简版）对六个调节变量进行了评估。结果表明，与对照组相比，多系统干预是有效的，而且，尽管理论取向不同，但以情绪和行为为重点的育儿项目在减少儿童品行问题方面同样有效。儿童年龄和家长心理健康调节了干预反应。这项有效性试验支持在多系统早期干预中使用以情绪或行为为重点的育儿项目，并为从业者在选择具体项目时提供了更多选择。
