一项针对索马里出生的父母开展的文化适应性育儿支持项目对其心理健康及育儿胜任感的影响：一项随机对照试验。
Effects of a culturally tailored parenting support programme in Somali-born parents' mental health and sense of competence in parenting: a randomised controlled trial.
作者信息
Osman Fatumo, Salari Raziye, Klingberg-Allvin Marie, Schön Ulla-Karin, Flacking Renée
机构信息
Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
出版信息
BMJ Open. 2017 Dec 7;7(12):e017600. doi: 10.1136/bmjopen-2017-017600.
OBJECTIVES
To evaluate the effectiveness of a culturally tailored parenting support programme on Somali-born parents' mental health and sense of competence in parenting.
DESIGN
Randomised controlled trial.
SETTING
A city in the middle of Sweden.
PARTICIPANTS
Somali-born parents (n=120) with children aged 11-16 years and self-perceived stress in their parenting were randomised to an intervention group (n=60) or a waiting-list control group (n=60).
INTERVENTION
Parents in the intervention group received culturally tailored societal information combined with the Connect parenting programme during 12 weeks for 1-2 hours per week. The intervention consisted of a standardised training programme delivered by nine group leaders of Somali background.
OUTCOME
The General Health Questionnaire 12 was used to measure parents' mental health and the Parenting Sense of Competence scale to measure parent satisfaction and efficacy in the parent role. Analysis was conducted using intention-to-treat principles.
RESULTS
The results indicated that parents in the intervention group showed significant improvement in mental health compared with the parents in the control group at a 2-month follow-up: B=3.62, 95% CI 2.01 to 5.18, p<0.001. Further, significant improvement was found for efficacy (B=-6.72, 95% CI -8.15 to -5.28, p<0.001) and satisfaction (B=-4.48, 95% CI -6.27 to -2.69, p<0.001) for parents in the intervention group. Parents' satisfaction mediated the intervention effect on parental mental health (β=-0.88, 95% CI -1.84 to -0.16, p=0.047).
CONCLUSION
The culturally tailored parenting support programme led to improved mental health of Somali-born parents and their sense of competence in parenting 2 months after the intervention. The study underlines the importance of acknowledging immigrant parents' need for societal information in parent support programmes and the importance of delivering these programmes in a culturally sensitive manner.
CLINICAL TRIAL REGISTRATION
NCT02114593.
目的
评估一项针对索马里裔父母的文化适配型育儿支持项目对其心理健康及育儿能力感的有效性。
设计
随机对照试验。
地点
瑞典中部的一个城市。
参与者
有11至16岁孩子且自认为育儿有压力的索马里裔父母（n = 120）被随机分为干预组（n = 60）或等待名单对照组（n = 60）。
干预措施
干预组的父母在12周内每周接受1至2小时的文化适配型社会信息，并结合“连接育儿”项目。干预由9名索马里背景的组长提供标准化培训项目。
结果指标
使用一般健康问卷12来测量父母的心理健康，用育儿能力感量表来测量父母对育儿角色的满意度和效能感。采用意向性分析原则进行分析。
结果
结果表明，在2个月的随访中，干预组的父母与对照组的父母相比，心理健康有显著改善：B = 3.62，95%可信区间2.01至5.18，p < 0.001。此外，干预组父母的效能感（B = -6.72，95%可信区间-8.15至-5.28，p < 0.001）和满意度（B = -4.48，95%可信区间-6.27至-2.69，p < 0.001）有显著改善。父母的满意度介导了干预对父母心理健康的影响（β = -0.88，95%可信区间-1.84至-0.16，p = 0.047）。
结论
文化适配型育儿支持项目在干预2个月后，使索马里裔父母的心理健康及其育儿能力感得到改善。该研究强调了在育儿支持项目中认识到移民父母对社会信息的需求的重要性，以及以文化敏感的方式提供这些项目的重要性。
临床试验注册
NCT02114593。
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