Puffer E S, Green E P, Chase R M, Sim A L, Zayzay J, Friis E, Garcia-Rolland E, Boone L
Department of Psychology and Neuroscience, Duke University, Box 90086, 417 Chapel Drive, Durham, NC, USA.
Duke Global Health Institute, Box 90519, Durham, NC, USA.
Glob Ment Health (Camb). 2015 Aug 4;2:e15. doi: 10.1017/gmh.2015.12. eCollection 2015.
The objective of this study was to evaluate the impact of a brief parenting intervention, 'Parents Make the Difference'(PMD), on parenting behaviors, quality of parent-child interactions, children's cognitive, emotional, and behavioral wellbeing, and malaria prevention behaviors in rural, post-conflict Liberia.
A sample of 270 caregivers of children ages 3-7 were randomized into an immediate treatment group that received a 10-session parent training intervention or a wait-list control condition (1:1 allocation). Interviewers administered baseline and 1-month post-intervention surveys and conducted child-caregiver observations. Intent-to-treat estimates of the average treatment effects were calculated using ordinary least squares regression. This study was pre-registered at ClinicalTrials.gov (NCT01829815).
The program led to a 55.5% reduction in caregiver-reported use of harsh punishment practices ( < 0.001). The program also increased the use of positive behavior management strategies and improved caregiver-child interactions. The average caregiver in the treatment group reported a 4.4% increase in positive interactions ( < 0.05), while the average child of a caregiver assigned to the treatment group reported a 17.5% increase ( < 0.01). The program did not have a measurable impact on child wellbeing, cognitive skills, or household adoption of malaria prevention behaviors.
PMD is a promising approach for preventing child abuse and promoting positive parent-child relationships in low-resource settings.
本研究的目的是评估一种简短的育儿干预措施“父母创造不同”（PMD）对利比里亚农村冲突后地区的育儿行为、亲子互动质量、儿童的认知、情感和行为幸福感以及疟疾预防行为的影响。
将270名3至7岁儿童的照顾者样本随机分为立即接受治疗组（接受为期10节的家长培训干预）或等待名单对照组（1:1分配）。访谈者进行基线调查和干预后1个月的调查，并进行儿童照顾者观察。使用普通最小二乘法回归计算平均治疗效果的意向性治疗估计值。本研究已在ClinicalTrials.gov（NCT01829815）上预先注册。
该项目使照顾者报告的严厉惩罚行为减少了55.5%（<0.001）。该项目还增加了积极行为管理策略的使用，并改善了照顾者与儿童的互动。治疗组的照顾者平均报告积极互动增加了4.4%（<0.05），而分配到治疗组的照顾者的孩子平均报告增加了17.5%（<0.01）。该项目对儿童幸福感、认知技能或家庭疟疾预防行为的采用没有可测量的影响。
PMD是一种在资源匮乏环境中预防儿童虐待和促进积极亲子关系的有前景的方法。
