University of Oxford.
University of Amsterdam.
Child Dev. 2018 Nov;89(6):1970-1982. doi: 10.1111/cdev.13051. Epub 2018 Mar 20.
Parenting programs for reducing disruptive child behavior are built on two main perspectives: relationship enhancement (i.e., unconditional sensitivity diminishes disruptiveness) and behavior management (i.e., conditional rewards diminish disruptiveness). Two meta-analyses (156 and 41 RCTs; N = 15,768; M = 1-11 years) tested the theoretical model that integrating relationship enhancement with behavior management is superior to behavior management alone. The integrative approach showed no overall superiority. Relative to behavior management, the integrative approach was superior in treatment settings, but inferior in prevention settings (Meta-analysis 1). The integrative approach and behavior management approach did not have differential sustained effects up to 3 years after the program (Meta-analysis 2). Findings argue against current practice to implement the same parenting programs in treatment and prevention settings.
育儿计划旨在减少儿童的不良行为，主要基于两种观点：增进亲子关系（即无条件的敏感性可减少不良行为）和行为管理（即有条件的奖励可减少不良行为）。两项荟萃分析（156 项和 41 项 RCT；N = 15768；M = 1-11 岁）检验了一个理论模型，即整合亲子关系增进和行为管理优于单纯的行为管理。综合方法并未显示出整体优势。与行为管理相比，综合方法在治疗环境中更具优势，但在预防环境中表现不佳（荟萃分析 1）。在项目实施后长达 3 年的时间里，综合方法和行为管理方法并没有表现出持续的差异效应（荟萃分析 2）。研究结果反对目前在治疗和预防环境中实施相同育儿计划的做法。
