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六个月后的明智育儿:实施交付如何影响随访时的项目效果。

Parenting Wisely Six Months Later: How Implementation Delivery Impacts Program Effects at Follow-Up.

作者信息

Stalker Katie Cotter, Rose Roderick A, Bacallao Martica, Smokowski Paul R

机构信息

Arizona State University, Tempe, AZ, USA.

University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

出版信息

J Prim Prev. 2018 Apr;39(2):129-153. doi: 10.1007/s10935-017-0495-2.

Abstract

We evaluated the effectiveness of the Parenting Wisely (PW) program 6 months post intervention and assessed differences based on delivery format. Using a quasi-experimental design, parents (N = 311) participated in the PW program in one of five formats (i.e., parents-only intensive workshop, parents-only 5-week group, parents and adolescents 5-week group, parent and adolescent online, and parent-only online format). An additional 53 parents served as a comparison group. We used the McMaster Family Assessment Device, the Child Behavior Checklist, and the Violent Behavior Checklist to measure family functioning, parenting, and adolescent behavior. Relative to the comparison group, at 6 month follow-up parents who participated in PW reported increases in confidence in their parenting skills, decreases in conflicts with their adolescents, and decreases in adolescent externalizing and violent behavior. Mechanisms of change analyses supported the conceptual model that program effects were related to child behavior changes by influencing positive parenting and decreasing negative family dynamics. PW effectiveness did not vary substantially by delivery format, except for the intensive workshop format, which was less effective than other formats. These findings extend research on PW to include evidence of sustained program effects on adolescent externalizing and violent behaviors in an ethnically diverse, socioeconomically disadvantaged sample. Study findings are relevant to agencies and clinicians who are seeking to implement an evidence-based, flexible parent-training program.

摘要

我们评估了“明智育儿”(PW)项目干预6个月后的效果,并根据实施形式评估了差异。采用准实验设计,311名家长以五种形式之一参与了PW项目(即仅家长参加的强化工作坊、仅家长参加的为期5周的小组、家长和青少年共同参加的为期5周的小组、家长和青少年在线形式、仅家长在线形式)。另外53名家长作为对照组。我们使用麦克马斯特家庭评估工具、儿童行为清单和暴力行为清单来衡量家庭功能、育儿方式和青少年行为。与对照组相比,在6个月的随访中,参与PW项目的家长报告称他们育儿技能的信心增强、与青少年的冲突减少、青少年的外化行为和暴力行为减少。变化机制分析支持了这样的概念模型,即项目效果通过影响积极的育儿方式和减少负面的家庭动态与儿童行为变化相关。PW项目的效果在实施形式上没有显著差异,但强化工作坊形式除外,其效果不如其他形式。这些发现扩展了对PW项目的研究,以包括在一个种族多样化、社会经济处于不利地位的样本中,该项目对青少年外化行为和暴力行为产生持续影响的证据。研究结果与寻求实施基于证据的、灵活的家长培训项目的机构和临床医生相关。

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