Nese Rhonda N T, Anderson Cynthia M, Ruppert Traci, Fisher Philip A
University of Oregon, USA.
Appalachian State University, USA.
Child Youth Serv Rev. 2016 Dec;71:266-276. doi: 10.1016/j.childyouth.2016.11.007. Epub 2016 Nov 8.
Behavioral parent training programs have documented efficacy for improving behaviors among parents and their children and are frequently used by child welfare agencies to prevent removal of a child from the parental home or to facilitate reunification. Although an ideal time for parent training might be during supervised visits where parents may practice skills with their children under the guidance and support of a therapist or caseworker, this is not typically the case. Most often, parents within the child welfare system receive parent training in small groups without their children present, and to date, few studies have examined effects of behavioral parent training interventions during supervised visitation. In this study, concurrent multiple baseline across behaviors design was used to examine effects of a behavioral parent training program, (FIND), on parental skill acquisition with four mothers who had lost custody of their children but were being considered for reunification. Children emitted little or no problem behaviors during baseline or intervention, so parenting behavior was the primary dependent variable. Results obtained across participants documented a clear functional relation between implementation of the FIND intervention and increases in developmentally supportive parenting behaviors. Results of social validity and contextual fit measures suggest the intervention was perceived by mothers to be positive, feasible, and appropriate within the child welfare context. Practical and conceptual implications, limitations of this study, and directions for future research are discussed.
行为父母培训项目已被证明在改善父母及其子女的行为方面具有有效性,儿童福利机构经常使用该项目来防止儿童被带离父母家庭或促进家庭团聚。虽然父母培训的理想时机可能是在有监督的探视期间,即父母可以在治疗师或个案工作者的指导和支持下与孩子练习技能,但实际情况并非如此。大多数情况下,儿童福利系统中的父母是在孩子不在场的情况下以小组形式接受父母培训的,迄今为止,很少有研究考察过有监督探视期间行为父母培训干预的效果。在本研究中,采用跨行为的同时多重基线设计,考察了一个行为父母培训项目(FIND)对四名失去子女监护权但正在考虑家庭团聚的母亲掌握父母技能的影响。在基线期或干预期,孩子们很少出现或没有出现问题行为,因此养育行为是主要的因变量。在所有参与者中获得的结果证明了FIND干预的实施与发展性支持养育行为的增加之间存在明确的功能关系。社会效度和情境适应性测量结果表明,母亲们认为该干预在儿童福利背景下是积极的、可行的和适当的。本文讨论了实际和概念上的意义、本研究的局限性以及未来研究的方向。