Faculty of Education and Social Work, The University of Auckland, Auckland, New Zealand.
The University of Queensland, Brisbane, Australia.
Prev Sci. 2018 Oct;19(7):954-965. doi: 10.1007/s11121-018-0886-5.
Evidence-based parenting support programs (EBPS) based on social learning and cognitive behavioral principles are effective in reducing conduct-related problems in a diverse range of cultural contexts. However, much less is known about their effects with indigenous families. A Collaborative Participation Adaptation Model (CPAM) was used to culturally adapt a low-intensity, two-session group variant of the Triple P-Positive Parenting Program for Māori parents of young children in New Zealand. CPAM involved collaborating closely with Māori tribal elders, practitioners as end-users, and parents as consumers through a participatory process to identify content and delivery process used in Triple P that would ensure that traditional Māori cultural values were incorporated. The culturally adapted program (Te Whānau Pou Toru) was then evaluated with 70 parents of 3-7-year-old children in a two-arm randomized clinical trial (intervention vs waitlist control). Results showed that parents in the intervention group reported significantly greater improvements in child behavior problems and reduced interparental conflict about child-rearing compared to parents in the control group at immediate post-intervention. These intervention effects were either maintained or improved further at follow-up assessment. At 6-month follow-up intervention-group parents reported significantly greater reductions in overreactive parenting practices and greater confidence in managing a range of difficult child behaviors than control parents. The culturally adapted program was associated with high levels of parental satisfaction. Findings are discussed in terms of making brief, effective, culturally adapted parenting support available to Māori families.
基于社会学习和认知行为原理的循证育儿支持计划（EBPS）在减少各种文化背景下与行为相关的问题方面非常有效。然而，对于其在土著家庭中的效果却知之甚少。一种协作参与适应模型（CPAM）被用于对新西兰毛利族幼儿家长的低强度、两阶段小组变体三重 P-积极育儿计划进行文化适应。CPAM 通过参与式过程与毛利部落长老、作为最终用户的从业者以及作为消费者的家长密切合作，确定三重 P 中用于确保纳入传统毛利文化价值观的内容和交付过程。然后，在一项针对 70 名 3-7 岁儿童的家长的双臂随机临床试验（干预组与等待名单对照组）中对文化适应后的计划（Te Whānau Pou Toru）进行了评估。结果表明，与对照组相比，干预组的家长在即时干预后报告孩子的行为问题有了显著改善，父母之间关于育儿的冲突也有所减少。这些干预效果在随访评估中要么得到维持，要么进一步提高。在 6 个月的随访中，干预组的家长报告说，在过度反应性育儿行为方面的减少以及在管理一系列困难的儿童行为方面的信心方面，比对照组家长有了显著的提高。该文化适应后的计划得到了家长的高度满意度。研究结果从为毛利族家庭提供简短、有效、文化适应的育儿支持的角度进行了讨论。
