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为有外化行为问题风险的婴儿的共同父母调整和开发视频反馈干预措施(VIPP-Co):一项可行性研究。

Adapting and developing a video-feedback intervention for co-parents of infants at risk of externalising behaviour problems (VIPP-Co): A feasibility study.

作者信息

Iles Jane E, Rosan Camilla, Wilkinson Esther, Ramchandani Paul G

机构信息

The Centre for Psychiatry, Imperial College London, UK.

出版信息

Clin Child Psychol Psychiatry. 2017 Jul;22(3):483-499. doi: 10.1177/1359104517704025. Epub 2017 Apr 27.

Abstract

BACKGROUND

Recent research on early interventions with parents of infants at risk of externalising behaviour problems indicates that focusing on co-parenting and involving fathers in treatment may enhance effectiveness. This article reports the development and preliminary evaluation of a brief intervention: video-feedback intervention to promote positive parenting and sensitive discipline for co-parents (VIPP-Co).

METHODS

Families who reported to be struggling with their infant's behaviour were recruited from the community and received six home-based sessions of VIPP-Co. The primary outcome was feasibility of the adapted intervention, assessed using semi-structured questionnaires and interviews post-intervention. Preliminary clinical outcome measures were also recorded.

RESULTS

In total, five families with infants between 10 and 24 months completed the intervention. Feedback data documented high rates of acceptability and feasibility. All fathers and mothers completing the intervention reported that it positively impacted their understanding of their child's thoughts and feelings, as well as their approach to individual parenting and co-parenting. Additional preliminary outcome data indicated positive changes in parent-chid interaction and a positive trend was found for infant behaviour, parental well-being and parent relationship adjustment across the intervention.

CONCLUSIONS

The overall results of this study are encouraging, but VIPP-Co must be evaluated with larger samples to explore its efficacy.

摘要

背景

近期针对有外化行为问题风险的婴儿父母进行早期干预的研究表明,关注共同养育并让父亲参与治疗可能会提高干预效果。本文报告了一种简短干预措施的开发及初步评估:促进共同养育的积极育儿和敏感管教的视频反馈干预(VIPP-Co)。

方法

从社区招募报告称在应对婴儿行为方面存在困难的家庭,并为其提供六次基于家庭的VIPP-Co干预课程。主要结果是适应性干预的可行性,通过干预后使用半结构化问卷和访谈进行评估。还记录了初步的临床结果指标。

结果

共有五个有10至24个月大婴儿的家庭完成了干预。反馈数据显示接受度和可行性很高。所有完成干预的父亲和母亲都报告说,这对他们理解孩子的想法和感受以及他们的个人育儿和共同养育方式产生了积极影响。其他初步结果数据表明亲子互动有积极变化,并且在整个干预过程中,婴儿行为、父母幸福感和父母关系调整方面发现了积极趋势。

结论

本研究的总体结果令人鼓舞,但必须用更大的样本对VIPP-Co进行评估,以探索其疗效。

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