The School of Psychology, Faculty of Health and Behavioural Sciences, The University of Queensland, Australia; Queensland Cerebral Palsy and Rehabilitation Research Centre, School of Medicine, Faculty of Medicine and Biomedical Sciences, The University of Queensland, Australia; Queensland Children's Medical Research Institute, Faculty of Medicine and Biomedical Sciences, The University of Queensland, Australia.
Queensland Cerebral Palsy and Rehabilitation Research Centre, School of Medicine, Faculty of Medicine and Biomedical Sciences, The University of Queensland, Australia; The School of Psychology, Faculty of Health and Behavioural Sciences, The University of Queensland, Australia.
Behav Res Ther. 2015 Oct;73:58-66. doi: 10.1016/j.brat.2015.07.001. Epub 2015 Jul 23.
To evaluate the efficacy of a behavioural family intervention, Stepping Stones Triple P (SSTP), combined with an Acceptance and Commitment Therapy (ACT) workshop in improving parent, family and couple outcomes following paediatric acquired brain injury (ABI).
Fifty-nine parents (90% mothers) of children (mean age 7 years; 35 males, 24 females) with ABI.
Participants were randomly assigned to a treatment (10-week group SSTP and ACT program) or a care-as-usual (CAU) control condition (10 weeks). Those in the CAU condition received the treatment after the waitlist period.
Self-report measures of parent psychological distress, parent psychological flexibility, parenting confidence, family functioning, and couple relationship, assessed at: pre-intervention, post-intervention, and 6-months post-intervention.
Post-intervention, the treatment group showed significant, small to medium improvements relative to the CAU group (at the p < .05 level) on parent psychological distress, parent psychological flexibility, parent confidence in managing behaviours, family adjustment,and number of disagreements between parents. Most improvements were maintained at 6-months.
Parent skills training and ACT may be efficacious in improving parent, family, and couple outcomes in families of children with an ABI.
评估行为家庭干预“三步进阶正面管教法”（SSTP）与接受与承诺疗法（ACT）工作坊联合应用于改善儿科获得性脑损伤（ABI）患儿父母、家庭和夫妻结局的疗效。
59 名患儿父母（90%为母亲），其子女（平均年龄 7 岁；35 名男性，24 名女性）患有 ABI。
参与者被随机分配到治疗组（10 周团体 SSTP 和 ACT 方案）或常规护理对照组（CAU）（10 周）。CAU 组在等待期后接受治疗。
在以下时间点评估父母心理困扰、父母心理灵活性、养育信心、家庭功能和夫妻关系的自我报告测量结果：干预前、干预后和干预后 6 个月。
干预后，治疗组在父母心理困扰、父母心理灵活性、父母管理行为的信心、家庭适应以及父母之间的分歧数量方面，与 CAU 组相比，表现出显著的、小到中等程度的改善（p<.05）。大多数改善在 6 个月时仍保持。
家长技能培训和 ACT 可能对改善患有 ABI 儿童的父母、家庭和夫妻结局有效。
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