Pontoppidan Maiken, Klest Sihu K, Patras Joshua, Rayce Signe Boe
SFI-The Danish National Centre for Social Research and University of Copenhagen, Copenhagen, Denmark.
Health Sciences Faculty, University of Tromsø, Arctic University of Norway, Tromsø, Norway.
BMJ Open. 2016 Sep 28;6(9):e011706. doi: 10.1136/bmjopen-2016-011706.
From a developmental perspective, infancy is a critical stage of life. Early childhood interventions aim to support caretakers, but the effects of universal interventions for parents with infants are unknown. The objective is to determine the effects of universal parenting interventions offered to parents with infants 0-12 months on measures of child development and parent-child relationship.
A systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. We extracted publications from 10 databases in June 2013, January 2015 and June 2016 and supplemented with grey and hand search. Risk of bias was assessed, and effect sizes were calculated.
Inclusion criteria are: (1) randomised controlled trials of structured, psychosocial interventions offered to a universal population of parents with infants 0-12 months old in western OECD countries, (2) interventions that include a minimum of 3 sessions with at least half of the sessions delivered postnatally and (3) programme outcomes reported for child development or parent-child relationship.
14 papers representing 7 studies are included. There were no statistically significant effects of the intervention for the majority of the primary outcomes across the studies.
The findings of this review are mixed. No clear conclusions can be drawn regarding the effects of universally offered parenting interventions on child development and parent-child relationship for this age group.
从发育的角度来看，婴儿期是生命中的关键阶段。幼儿期干预旨在为照顾者提供支持，但针对有婴儿的父母进行的普遍干预的效果尚不清楚。目的是确定为0至12个月婴儿的父母提供的普遍育儿干预对儿童发育和亲子关系测量指标的影响。
采用系统评价与Meta分析的首选报告项目进行系统评价。我们于2013年6月、2015年1月和2016年6月从10个数据库中提取出版物，并辅以灰色文献检索和手工检索。评估偏倚风险，并计算效应量。
纳入标准为：（1）在经合组织（OECD）国家西部，针对有0至12个月婴儿的普通父母群体进行的结构化心理社会干预的随机对照试验；（2）干预措施包括至少3次课程，且至少一半课程在产后进行；（3）报告了儿童发育或亲子关系方面的项目成果。
纳入了代表7项研究的14篇论文。在大多数主要结局方面，干预措施在各项研究中均未产生统计学上的显著效果。
本综述的结果喜忧参半。对于该年龄组，普遍提供的育儿干预对儿童发育和亲子关系的影响无法得出明确结论。
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