Friars Patrice, Mellor David
J Child Adolesc Ment Health. 2009 Jun;21(1):29-38. doi: 10.2989/JCAMH.2009.21.1.5.807.
Parent training programmes are a well-established treatment approach for children and adolescents with disruptive behaviour disorders. However, dropout from treatment is a common problem that confounds research on the efficacy of this approach, and wastes important mental health resources. This study sought to further our understanding of the reasons why parents drop out of parent training programmes.
Nine parents of children with disruptive behaviour disorders who had dropped out of a parent training programme were interviewed to investigate why they discontinued the programme.
Parents who dropped out of treatment believed that their children were more difficult than other children with the same disorder and may have been better suited to a child-focused intervention. The parents themselves had very stressful lives, with the majority being single mothers with little support. Dropout parents also had difficulty with the group context and putting strategies into place. Practical concerns included parking, timing of session and the length and number of sessions.
The findings are discussed in terms of what modifications can be made to these programmes to increase retention.
家长培训项目是治疗儿童和青少年破坏性行为障碍的一种成熟的治疗方法。然而，治疗中断是一个常见问题，这混淆了对该方法疗效的研究，并浪费了重要的心理健康资源。本研究旨在进一步了解家长退出家长培训项目的原因。
对九名已退出家长培训项目的破坏性行为障碍儿童的家长进行了访谈，以调查他们中断该项目的原因。
退出治疗的家长认为他们的孩子比患有相同障碍的其他孩子更难管教，可能更适合以儿童为中心的干预措施。家长自身的生活压力很大，大多数是单身母亲，几乎没有支持。退出治疗的家长在小组环境和实施策略方面也有困难。实际问题包括停车、课程时间以及课程的时长和数量。
根据如何对这些项目进行修改以提高留存率对研究结果进行了讨论。
