Guastaferro Kate, Lai Betty S, Miller Katy, Chatham Jenelle Shanley, Whitaker Daniel J, Self-Brown Shannon, Kemner Allison, Lutzker John R
University Park, PA.
Atlanta, GA.
J Child Fam Stud. 2018 Feb;27(2):535-546. doi: 10.1007/s10826-017-0886-2. Epub 2017 Dec 20.
Child maltreatment is a significant public health problem best addressed through evidence-based parent-support programs. There is a wide range of programs with different strengths offering a variety of options for families. Choosing one single evidence-based program often limits the range of services available to meet the unique needs of families. This paper presents findings from a study to examine the systematic braiding of two evidence-based programs, Parents as Teachers and SafeCare at Home (PATSCH), with the goal to provide a more robust intervention for higher risk families. A cluster randomized effectiveness trial was conducted to examine if PATSCH improved parenting behaviors known to decrease the risk for child maltreatment compared to Parents as Teachers (PAT) Alone. Parents (= 159; 92 PAT Alone; 67 PATSCH) were enrolled to complete a baseline, 6-month and 12-month assessment. Results indicate the groups did not differ on number of environmental hazards in the home, parents' health care decision-making abilities, child abuse potential, and physical assault over time. However, with regard to the potential for child abuse, the PATSCH group showed a decrease in nonviolence discipline and increase in psychological aggression compared to the PAT group. Further research is needed to better examine this concept and its implications for the field.
儿童虐待是一个重大的公共卫生问题，最好通过基于证据的家长支持项目来解决。有各种各样的项目，各有优势，为家庭提供了多种选择。选择单一的基于证据的项目往往会限制满足家庭独特需求的可用服务范围。本文介绍了一项研究的结果，该研究旨在检验将两个基于证据的项目——“家长即教师”项目和“居家安全护理”项目（PATSCH）进行系统整合，目的是为高风险家庭提供更有力的干预措施。进行了一项整群随机有效性试验，以检验与单独的“家长即教师”项目（PAT）相比，PATSCH是否能改善已知可降低儿童虐待风险的养育行为。招募了家长（= 159名；92名单独参与PAT项目；67名参与PATSCH项目）来完成基线、6个月和12个月的评估。结果表明，随着时间的推移，两组在家庭环境危害数量、家长的医疗保健决策能力、虐待儿童可能性以及身体攻击方面没有差异。然而，在虐待儿童可能性方面，与PAT组相比，PATSCH组在非暴力管教方面有所下降，在心理攻击方面有所增加。需要进一步研究以更好地审视这一概念及其对该领域的影响。
