计算机辅助与灵活的基于家庭的青少年治疗:针对有风险的少数族裔青少年的一项随机临床试验
Computer Informed and Flexible Family-Based Treatment for Adolescents: A Randomized Clinical Trial for at-Risk Racial/Ethnic Minority Adolescents.
作者信息
Santisteban Daniel A, Czaja Sara J, Nair Sankaran N, Mena Maite P, Tulloch Alina R
机构信息
University of Miami, School of Education and Human Development.
University of Miami, Miller School of Medicine.
出版信息
Behav Ther. 2017 Jul;48(4):474-489. doi: 10.1016/j.beth.2016.11.001. Epub 2016 Nov 12.
Family interventions have been shown to be effective for adolescents with behavior problems. Current literature supports both adaptive treatments and technology-assisted interventions as highly promising innovations for treating at-risk adolescents. The purpose of this investigation was to develop and test the efficacy of a computer-assisted version of an established office-based multicomponent family therapy. Eighty Hispanic and Black Non-Hispanic adolescents and their families participated in the study and were randomized to either Immediate Computer-Assisted CIFFTA or Delayed Computer-Assisted CIFFTA. Significant between-groups effects were found from baseline to posttreatment showing the superiority of the Immediate CA CIFFTA condition on both the Conduct Disorder (B = -5.17, SE = 1.73, p < .01, CI [-8.55, -1.79]) and Socialized Aggression (B = -2.04, SE = .83, p < .05, CI [-3.67, -.41]) subscales of the Revised Behavior Problem Checklist, on the Youth Self Report Externalizing scale (B = -4.22, SE = 1.40, p < .01, CI [-6.95, -1.48]), and on both the parent (B = 1.34, SE = .50, p < .01, CI [.36, 2.32]) and adolescent (B = 1.31, SE = .46, p < .01, CI [.41, 2.21]) reports of the Family Environment Scale’s family cohesion subscale. Baseline to 6-weeks posttreatment (T1-T3) analyses showed that these significant within-subjects effects were sustained for the treatment group. Results highlight that adolescent behavior problems can be significantly impacted by a computer-assisted intervention that replaces psychoeducational face-to-face meetings with computer-delivered modules.
家庭干预已被证明对有行为问题的青少年有效。当前文献支持适应性治疗和技术辅助干预,认为它们是治疗高危青少年的极有前景的创新方法。本研究的目的是开发并测试一种基于办公室的成熟多成分家庭治疗的计算机辅助版本的疗效。80名西班牙裔和非西班牙裔黑人青少年及其家庭参与了该研究,并被随机分为即时计算机辅助CIFFTA组或延迟计算机辅助CIFFTA组。从基线到治疗后发现了显著的组间效应,表明即时计算机辅助CIFFTA组在修订后的行为问题清单的品行障碍(B = -5.17,标准误 = 1.73,p <.01,置信区间[-8.55,-1.79])和社交攻击(B = -2.04,标准误 =.83,p <.05,置信区间[-3.67,-.41])子量表、青少年自我报告外化量表(B = -4.22,标准误 = 1.40,p <.01,置信区间[-6.95,-1.48])以及家庭环境量表的家庭凝聚力子量表的父母(B = 1.34,标准误 =.50,p <.01,置信区间[.36,2.32])和青少年(B = 1.31,标准误 =.46,p <.01,置信区间[.41,2.21])报告方面具有优越性。从基线到治疗后6周(T1 - T3)的分析表明,这些显著的受试者内效应在治疗组中持续存在。结果突出表明,一种用计算机提供的模块取代心理教育面对面会议的计算机辅助干预可以显著影响青少年的行为问题。