University of Minnesota, Minneapolis, MN, USA.
University of Oregon, Eugene, OR, USA.
Prev Sci. 2018 May;19(4):589-599. doi: 10.1007/s11121-017-0839-4.
Despite significant stressors facing military families over the past 15 years of wars in Iraq and Afghanistan, no parenting programs adapted or developed for military families with school-aged children have been rigorously tested. We present outcome data from the first randomized controlled trial of a behavioral parent training program for families with a parent deployed to Iraq or Afghanistan. In the present study, 336 primarily National Guard and Reserve families with 4-12-year-old children were recruited from a Midwestern state. At least one parent in each family had deployed to the recent conflicts: Operations Iraqi or Enduring Freedom, or New Dawn (OIF/OEF/OND). Families were randomized to a group-based parenting program (After Deployment, Adaptive Parenting Tools (ADAPT)) or web and print resources-as-usual. Using a social interaction learning framework, we hypothesized an indirect effects model: that the intervention would improve parenting, which, in turn, would be associated with improvements in child outcomes. Applying intent-to-treat analyses, we examined the program's effect on observed parenting, and children's adjustment at 12-months post baseline. Controlling for demographic (marital status, length, child gender), deployment variables (number of deployments), and baseline values, families randomized to the ADAPT intervention showed significantly improved observed parenting compared to those in the comparison group. Observed parenting, in turn, was associated with significant improvements in child adjustment. These findings present the first evidence for the effectiveness of a parenting program for deployed military families with school-aged children.
尽管在过去 15 年的伊拉克和阿富汗战争中,军人家庭面临着巨大的压力,但没有针对有学龄儿童的军人家庭的育儿计划得到严格测试。我们呈现了第一个针对有父母部署到伊拉克或阿富汗的军人家庭的行为父母培训计划的随机对照试验的结果数据。在本研究中,从美国中西部的一个州招募了 336 个主要由国民警卫队和后备役组成的家庭,这些家庭的孩子年龄在 4 到 12 岁之间。每个家庭中至少有一位父母曾部署到最近的冲突地区:伊拉克或持久自由行动(OIF/OEF)或新黎明行动(OND)。家庭被随机分配到一个基于小组的育儿计划(部署后,适应父母工具(ADAPT))或网络和常规印刷资源。我们应用社会互动学习框架,假设了一个间接效应模型:干预将改善育儿方式,而育儿方式的改善又将与儿童的结果改善相关。应用意向治疗分析,我们检查了该计划对观察到的育儿方式以及儿童在基线后 12 个月的适应情况的影响。在控制人口统计学变量(婚姻状况、持续时间、孩子性别)、部署变量(部署次数)和基线值的情况下,随机分配到 ADAPT 干预组的家庭表现出明显改善的观察到的育儿方式,而与对照组相比。观察到的育儿方式,反过来又与儿童适应的显著改善相关。这些发现提供了第一个证据,证明了针对有学龄儿童的军人家庭的育儿计划的有效性。
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