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“不可思议的岁月”™ 父母与婴儿项目作为丹麦婴儿父母通用预防干预措施的有效性:一项试点随机对照试验的研究方案

The effectiveness of the Incredible Years™ Parents and Babies Program as a universal prevention intervention for parents of infants in Denmark: study protocol for a pilot randomized controlled trial.

作者信息

Pontoppidan Maiken

机构信息

SFI - The Danish National Centre for Social Research, Department for Children and Family, Herluf Trolles Gade 11, 1052, Copenhagen, Denmark.

University of Copenhagen, Department of Public Health, Øster Farimagsgade 5, 1014, Copenhagen K, Denmark.

出版信息

Trials. 2015 Sep 2;16:386. doi: 10.1186/s13063-015-0859-y.

Abstract

BACKGROUND

Infancy is an important period in a child's life, with rapid growth and development. Early experiences shape the developing brain, and adverse experiences can have both an immediate and lifelong impact on health and wellbeing. Parenting interventions offered to parents of newborns can support parents in providing sensitive and responsive care, and reinforce healthy development for their infants. This study aims to evaluate the impact of the Incredible Years™ Parents and Babies Program in a universal setting for parents with infants.

METHODS/DESIGN: This is a pragmatic, two-arm, parallel, pilot, randomized controlled trial (RCT) where 128 families with newborn infants up to four-months-old are recruited in two municipalities in Denmark. Families are randomized to the Incredible Years Parents and Babies Program or usual care with a 2:1 allocation ratio. The primary outcome is parenting confidence measured after 20 weeks by the Karitane Parenting Confidence Scale and Parental Stress Scale. Secondary outcomes include measures of parent health, reflective functioning, relationship with the infant, and infant development. Interviewers and data analysts are blind to allocation status.

DISCUSSION

This is the first RCT of the Incredible Years Parents and Babies Program, and one of the first rigorous evaluations of a universally offered preventive intervention for parents with infants. The trial will provide important information on the effectiveness of a relatively brief, universally offered parenting intervention for parents of infants, and will also provide information on infant measures, parent recruitment and participation, and implementation of the program, which could inform future trials.

TRIAL REGISTRATION

This trial was registered with Clinicaltrials.gov (identifier: NCT01931917) on 27 August 2013.

摘要

背景

婴儿期是儿童生命中的一个重要时期,生长发育迅速。早期经历塑造发育中的大脑,不良经历会对健康和幸福产生即时和终身影响。为新生儿父母提供的育儿干预措施可以帮助父母提供敏感且有回应的照料,并促进婴儿的健康发育。本研究旨在评估“神奇岁月”父母与婴儿项目在面向有婴儿的父母的普遍环境中的影响。

方法/设计:这是一项务实的双臂平行试点随机对照试验(RCT),在丹麦的两个城市招募了128个有4个月及以下新生儿的家庭。家庭以2:1的分配比例随机分为接受“神奇岁月”父母与婴儿项目或常规护理。主要结局是在20周后通过卡里唐育儿信心量表和父母压力量表测量的育儿信心。次要结局包括父母健康、反思功能、与婴儿的关系以及婴儿发育的测量指标。访谈者和数据分析人员对分配状态不知情。

讨论

这是“神奇岁月”父母与婴儿项目的首次随机对照试验,也是对面向有婴儿的父母普遍提供的预防性干预措施的首批严格评估之一。该试验将提供关于一项相对简短、普遍提供给婴儿父母的育儿干预措施有效性的重要信息,还将提供关于婴儿测量指标、父母招募与参与以及项目实施的信息,可为未来试验提供参考。

试验注册

本试验于2013年8月27日在Clinicaltrials.gov(标识符:NCT01931917)注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5a3/4557844/586149a93ad2/13063_2015_859_Fig1_HTML.jpg

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