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参与育儿工作坊以改善青少年行为和心理健康的预测因素:常识育儿试验结果

Predictors of participation in parenting workshops for improving adolescent behavioral and mental health: results from the common sense parenting trial.

作者信息

Fleming Charles B, Mason W Alex, Haggerty Kevin P, Thompson Ronald W, Fernandez Kate, Casey-Goldstein Mary, Oats Robert G

机构信息

Social Development Research Group, School of Social Work, University of Washington, Seattle, WA, USA,

出版信息

J Prim Prev. 2015 Apr;36(2):105-18. doi: 10.1007/s10935-015-0386-3.

Abstract

Engaging and retaining participants are crucial to achieving adequate implementation of parenting interventions designed to prevent problem behaviors among children and adolescents. This study examined predictors of engagement and retention in a group-based family intervention across two versions of the program: a standard version requiring only parent attendance for six sessions and an adapted version with two additional sessions that required attendance by the son or daughter. Families included a parent and an eighth grader who attended one of five high-poverty schools in an urban Pacific Northwest school district. The adapted version of the intervention had a higher rate of engagement than the standard version, a difference that was statistically significant after adjusting for other variables assessed at enrollment in the study. Higher household income and parent education, younger student age, and poorer affective quality in the parent-child relationship predicted greater likelihood of initial attendance. In the adapted version of the intervention, parents of boys were more likely to engage with the program than those of girls. The variables considered did not strongly predict retention, although retention was higher among parents of boys. Retention did not significantly differ between conditions. Asking for child attendance at workshops may have increased engagement in the intervention, while findings for other predictors of attendance point to the need for added efforts to recruit families who have less socioeconomic resources, as well as families who perceive they have less need for services.

摘要

让参与者参与并持续参与对于充分实施旨在预防儿童和青少年问题行为的养育干预措施至关重要。本研究考察了在该项目的两个版本中,基于小组的家庭干预中参与和持续参与的预测因素:一个标准版本仅要求家长参加六次课程,另一个改编版本增加了两次课程,要求子女也参加。研究对象包括一名家长和一名八年级学生,他们就读于太平洋西北部城市学区的五所高贫困率学校之一。干预措施的改编版本的参与率高于标准版本,在对研究入学时评估的其他变量进行调整后,这一差异具有统计学意义。较高的家庭收入和家长教育水平、较年轻的学生年龄以及较差的亲子关系情感质量预示着初次参与的可能性更大。在干预措施的改编版本中,男孩的家长比女孩的家长更有可能参与该项目。尽管男孩家长的持续参与率较高,但所考虑的变量并不能有力地预测持续参与情况。不同条件下的持续参与率没有显著差异。要求子女参加工作坊可能会增加对干预措施的参与度,而其他参与预测因素的研究结果表明,需要做出更多努力来招募社会经济资源较少以及认为自己对服务需求较小的家庭。

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