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一项远程医疗育儿干预的随机对照试验:一项混合残疾试验。

A randomized controlled trial of a telehealth parenting intervention: A mixed-disability trial.

作者信息

Hinton Sharon, Sheffield Jeanie, Sanders Matthew R, Sofronoff Kate

机构信息

School of Psychology, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, 4072, Australia.

出版信息

Res Dev Disabil. 2017 Jun;65:74-85. doi: 10.1016/j.ridd.2017.04.005. Epub 2017 May 2.

Abstract

BACKGROUND

The quality of parenting a child receives has a major impact on development, wellbeing and future life opportunities.

AIMS

This study examined the efficacy of Triple P Online - Disability (TPOL-D) a telehealth intervention for parents of children with a disability.

METHODS

Ninety-eight parents and carers of children aged 2-12 years diagnosed with a range of developmental, intellectual and physical disabilities were randomly assigned to either the intervention (51) or treatment-as-usual (47) control group.

RESULTS

At post-intervention parents receiving the TPOL-D intervention demonstrated significant improvements in parenting practices and parenting self-efficacy, however a significant change in parent-reported child behavioral and emotional problems was not detected. At 3-month follow up intervention gains were maintained and/or enhanced. A significant decrease in parent-reported child behavioral and emotional problems was also detected at this time.

CONCLUSIONS

The results indicate that TPOL-D is a promising telehealth intervention for a mixed-disability group.

摘要

背景

孩子所接受的养育质量对其发展、幸福及未来生活机遇有着重大影响。

目的

本研究考察了“积极育儿计划在线 - 残疾版(TPOL - D)”这一针对残疾儿童家长的远程医疗干预措施的效果。

方法

将98名年龄在2至12岁、被诊断患有一系列发育、智力和身体残疾的儿童的家长及照料者随机分为干预组(51人)或常规治疗对照组(47人)。

结果

干预后,接受TPOL - D干预的家长在养育行为及养育自我效能方面有显著改善,但未发现家长报告的孩子行为及情绪问题有显著变化。在3个月的随访中,干预效果得以维持和/或增强。此时还发现家长报告的孩子行为及情绪问题有显著减少。

结论

结果表明,TPOL - D对于混合残疾群体是一种有前景的远程医疗干预措施。

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