Ryan Rachael, O'Farrelly Christine, Ramchandani Paul
The Centre for Psychiatry, Department of Medicine, Imperial College London, London, UK.
Central and North West London (CNWL) Foundation NHS Trust, London, UK.
London J Prim Care (Abingdon). 2017 Aug 10;9(6):86-94. doi: 10.1080/17571472.2017.1361630. eCollection 2017 Nov.
This paper reviews parenting programmes and their effectiveness with families of young children and highlights additional resources for primary care practitioners. Typically, 30% of GP consultations concern child behaviour problems and established behaviour problems can have lasting effects on children's life chances. These problems can be identified in infancy and toddlerhood.Parenting is a key risk factor in their development and maintenance, yet is also amenable to change. In this paper we consider six parenting programmes that are widely evaluated and/or available in the U.K. and their evidence base . These include two NICE recommended parenting programmes ( and ), which offer tiered and flexible parenting programmes; predominantly for parents of school-age children. We also review , which is typically for parents of younger children. Fourth is , an intensive programme to support young, first-time mothers. Finally we consider, video feedback programmes which use video to focus in detail on parents' interactions with their children, including and These interventions demonstrate the range of approaches which are being used to intervene early in children's lives to try to prevent the development of enduring behavioural problems.
It is becoming increasingly clear that the origins of many mental health problems lie in childhood. Family factors, including the quality of care that parents provide for their children, can make a huge difference to children's early life pathways, for better or for worse. Understanding how best to intervene to support parents is a key challenge. In this article, we critically review the most widely used parenting programmes for parents of young children. It is imperative that we judge these early interventions to high standards so that we are offering children the best start in life.
Parenting programmes offer a means to intercept behaviour problems in early childhood before they become established.
本文回顾了育儿项目及其对幼儿家庭的有效性，并重点介绍了初级保健从业者的其他资源。通常，30%的全科医生会诊涉及儿童行为问题，而既定的行为问题可能会对儿童的生活机会产生持久影响。这些问题在婴儿期和幼儿期就可以被识别出来。育儿是这些问题发展和持续存在的一个关键风险因素，但也是可以改变的。在本文中，我们考虑了六种在英国得到广泛评估和/或可用的育儿项目及其证据基础。其中包括两项英国国家卫生与临床优化研究所（NICE）推荐的育儿项目（和），它们提供分层且灵活的育儿项目；主要针对学龄儿童的父母。我们还回顾了，该项目通常针对年幼儿童的父母。第四个是，一项支持年轻初为人母者的强化项目。最后，我们考虑视频反馈项目，这些项目利用视频详细关注父母与孩子的互动，包括和。这些干预措施展示了一系列用于在儿童生命早期进行干预以试图预防持久性行为问题发展的方法。
越来越明显的是，许多心理健康问题的根源在于童年。家庭因素，包括父母为孩子提供的照料质量，无论好坏，都可能对孩子的早期生活轨迹产生巨大影响。理解如何最好地进行干预以支持父母是一项关键挑战。在本文中，我们批判性地回顾了针对年幼儿童父母最广泛使用的育儿项目。我们必须以高标准来评判这些早期干预措施，以便为孩子们提供人生最好的开端。
育儿项目提供了一种手段，可以在幼儿期行为问题形成之前进行干预。
