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一项随机对照试验评估了一种低强度互动式在线育儿干预措施,即 Triple P Online Brief,该措施针对的是有早期行为问题儿童的父母。

A randomized controlled trial evaluating a low-intensity interactive online parenting intervention, Triple P Online Brief, with parents of children with early onset conduct problems.

机构信息

Parenting and Family Support Centre, School of Psychology, The University of Queensland, Brisbane, QLD 4072, Australia.

Parenting and Family Support Centre, School of Psychology, The University of Queensland, Brisbane, QLD 4072, Australia.

出版信息

Behav Res Ther. 2017 Apr;91:78-90. doi: 10.1016/j.brat.2017.01.016. Epub 2017 Jan 30.

Abstract

OBJECTIVE

This randomized controlled trial examined the efficacy of Triple P Online Brief, a low-intensity online positive parenting program for parents of children with early onset disruptive behavior problems.

METHOD

Two hundred parents with 2-9-year-old children displaying early onset disruptive behavior difficulties were randomly assigned to either the intervention condition (n = 100) or a Waitlist Control group (n = 100).

RESULTS

At 8-week post-assessment, parents in the intervention group displayed significantly less use of ineffective parenting strategies and significantly more confidence in dealing with a range of behavior concerns. These effects were maintained at 9-month follow-up assessment. A delayed effect was found for child behavior problems, with parents in the intervention group reporting significantly fewer and less frequent child behavior problems at follow-up, but not at post-assessment. All effect sizes were in the small to medium range. There were no significant improvements in observed negative parent and child behavior. No change was seen for parents' adjustment, anger, or conflict over parenting. Consumer satisfaction ratings for the program were high.

CONCLUSIONS

A brief, low-intensity parenting program delivered via the Internet can bring about significant improvements in parenting and child behavior.

摘要

目的

本随机对照试验旨在检验 Triple P Online Brief 的疗效,这是一种针对有早期起病破坏性行为问题儿童的家长的低强度在线积极养育计划。

方法

将 200 名有 2-9 岁有早期起病破坏性行为困难儿童的家长随机分配至干预组(n=100)或候补名单对照组(n=100)。

结果

在 8 周的评估后,干预组的家长显示出使用无效育儿策略的明显减少,以及处理一系列行为问题的信心明显增强。这些效果在 9 个月的随访评估中得以维持。对于儿童行为问题,发现了延迟效应,干预组的家长在随访时报告的儿童行为问题明显较少且频率较低,但在评估后则没有。所有的效应大小都在小到中等范围。观察到的负面父母和儿童行为没有显著改善。父母的调整、愤怒或育儿冲突方面没有变化。对该计划的消费者满意度评价很高。

结论

通过互联网提供的简短、低强度的养育计划可以显著改善育儿和儿童行为。

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