Parenting and Family Support Centre, School of Psychology, The University of Queensland, Australia.
Lady Cilento Children's Hospital, Brisbane, Australia.
J Pediatr Psychol. 2017 Aug 1;42(7):792-803. doi: 10.1093/jpepsy/jsw106.
To test whether families' participation in an evidence-based parenting program can improve health-related outcomes reported by fathers of 2- to 10-year-old children with asthma and/or eczema.
A 2 (Triple P-Positive Parenting Program vs. care as usual) by 3 (baseline, postintervention, 6-month follow-up) design was used, with random group assignment. Of 107 families, 51.4% (N = 55) had a father participate alongside the child's mother, who was the primary intervention target. Fathers completed questionnaires assessing illness-related child behavior problems; self-efficacy with illness management and illness-related child behavior problems; and health-related quality of life.
Secondary intent-to-treat analyses indicated improved child behavior and self-efficacy for managing eczema, but not asthma. Health-related quality of life improved for children, but not parents/families. There were no other significant intervention effects.
Intervention outcomes were positive for eczema but not asthma, and did not depend on the extent of father participation in the intervention.
检验家庭参与循证育子计划能否改善 2 至 10 岁哮喘和/或湿疹患儿父亲报告的与健康相关的结果。
采用 2（Triple P-正性育子计划与常规护理）×3（基线、干预后、6 个月随访）设计，随机分组。107 个家庭中，51.4%（N=55）的父亲与孩子的母亲一起参与，母亲是主要干预对象。父亲们完成了评估与疾病相关的儿童行为问题、疾病管理和与疾病相关的儿童行为问题自我效能感以及健康相关生活质量的问卷。
次要意向治疗分析显示，湿疹的儿童行为和自我效能感得到改善，但哮喘没有。儿童的健康相关生活质量有所提高，但父母/家庭没有。没有其他显著的干预效果。
干预结果对湿疹是积极的，但对哮喘不是，而且不取决于父亲参与干预的程度。
