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一项基于群体的婴儿育儿计划比较研究的结果

Outcomes of a Comparison Study into a Group-Based Infant Parenting Programme.

作者信息

Jones Catrin Hedd, Erjavec Mihela, Viktor Simon, Hutchings Judy

机构信息

School of Healthcare Sciences, Bangor University, Bangor, Gwynedd Wales, UK.

School of Psychology, Bangor University, Bangor, Gwynedd Wales, UK.

出版信息

J Child Fam Stud. 2016;25(11):3309-3321. doi: 10.1007/s10826-016-0489-3. Epub 2016 Jul 15.

Abstract

This paper reports on a quantitative evaluation of a group-based programme designed to promote parent-infant attachment and child development. Whilst group-based parenting programmes are recommended for treating and preventing conduct disorder in older children, there is, as yet, little evidence as to whether they have a positive effect on very young children and their carers'. Recent UK Government initiatives to support families and improve parenting skills in the first 2 years of children's lives have increased the demand for the delivery and evaluation of community-based programmes. Eighty mother-child dyads were recruited from nine areas to intervention (n = 54) and control condition (n = 26). Baseline measures were collected in the children's home when the infants were on average 3-months-old, and follow-up measures were collected 6 months post-baseline (N = 63). Mothers' positive play behaviours were independently coded from video recordings taken in the home. Other measures included self-reported maternal confidence and mental well-being, assessed infant development and home environment. Socio-demographic data was collected once at baseline. After controlling for baseline scores, control mothers were observed to be significantly less sensitive during play with their baby at the 6 months follow-up with a significant increase in confidence. No differences were found between the groups on the other measures. This paper provides limited evidence for the effectiveness of the Incredible Years Parents and Babies group-based programme delivered in the first year of life. Further evaluation, particularly with parents at increased risk of poorer outcomes is needed to confirm and extend these results.

摘要

本文报告了一项旨在促进亲子依恋和儿童发展的团体项目的定量评估。虽然推荐团体育儿项目来治疗和预防大龄儿童的品行障碍,但对于它们是否对幼儿及其照顾者有积极影响,目前证据还很少。英国政府最近支持家庭并提高儿童生命最初两年育儿技能的举措,增加了对社区项目实施和评估的需求。从九个地区招募了80对母婴二元组,分为干预组(n = 54)和对照组(n = 26)。在婴儿平均3个月大时,在其家中收集基线测量数据,在基线后6个月收集随访测量数据(N = 63)。母亲的积极游戏行为通过在家中拍摄的录像进行独立编码。其他测量包括自我报告的母亲信心和心理健康、评估的婴儿发育情况和家庭环境。社会人口统计学数据在基线时收集一次。在控制基线分数后,观察到对照组母亲在6个月随访时与婴儿玩耍时的敏感性显著降低,而信心显著增加。在其他测量方面,两组之间未发现差异。本文为在生命第一年实施的“不可思议的岁月亲子组”项目的有效性提供了有限的证据。需要进一步评估,特别是对结果较差风险较高的父母进行评估,以确认和扩展这些结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c5/5061836/15afa5b6d04f/10826_2016_489_Fig1_HTML.jpg

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