Hickey Lyndal, Anderson Vicki, Hearps Stephen, Jordan Brigid
a The Royal Children's Hospital, University of Melbourne , Melbourne , Australia.
b University of Melbourne , Melbourne , Australia.
Brain Inj. 2018;32(7):867-878. doi: 10.1080/02699052.2018.1466195. Epub 2018 Apr 25.
To test the efficacy of a family intervention Family Forward in promoting early adaptation following a child's acquired brain injury (ABI).
Prospective, sequential comparison group design.
Families of children (n = 47) diagnosed with ABI received Family Forward (n = 25): two family counselling sessions plus optional multi-family group session per week or Usual Care (n = 22) during their child's inpatient rehabilitation admission. Family adaptation outcomes were measured using Family Assessment Device (FAD-GF) and Family Management Measure (FAMM). Relationships between family psychosocial risk, social work interventions, and family adaptation outcomes were explored.
The Family Forward group endured longer hospital admissions (FF M = 56.4 days SD 46.1; p = 0.029), rehabilitation admissions (FF M = 33.3 days SD 29.0; p = 0.019) and reported poorer functioning pre-intervention FAD-GF (FF M = 1.626 SD = 0.391; UC M = 1.491 SD 0.394) than the Usual Care group. No significant difference in family adaptation outcomes (FAD-GF) were detected; this suggests that the Family Forward intervention played a protective role in preventing deterioration in family functioning. The Family Forward group achieved superior outcomes in managing their child's care at home (FAMM Child Management Ability scale p = 0.029) and greater parental satisfaction in focusing on their child's care (FAMM Parent Mutuality scale p = 0.04) post-intervention.
The Family Forward intervention moderated for poorer initial family functioning to achieve positive family adaptation outcomes.
检验“家庭向前”（Family Forward）家庭干预措施在促进儿童获得性脑损伤（ABI）后早期适应方面的效果。
前瞻性、序贯比较组设计。
被诊断为ABI的儿童家庭（n = 47）在其孩子住院康复期间接受“家庭向前”干预（n = 25）：每周两次家庭咨询会议以及可选的多家庭小组会议，或接受常规护理（n = 22）。使用家庭评估工具（FAD - GF）和家庭管理量表（FAMM）来衡量家庭适应结果。探讨了家庭心理社会风险、社会工作干预与家庭适应结果之间的关系。
“家庭向前”组的住院时间更长（FF组均值 = 56.4天，标准差46.1；p = 0.029），康复住院时间更长（FF组均值 = 33.3天，标准差29.0；p = 0.019），并且干预前FAD - GF功能状况比常规护理组更差（FF组均值 = 1.626，标准差 = 0.391；UC组均值 = 用1.491，标准差0.394）。未检测到家庭适应结果（FAD - GF）的显著差异；这表明“家庭向前”干预在防止家庭功能恶化方面起到了保护作用。干预后，“家庭向前”组在家庭照顾孩子方面取得了更好的结果（FAMM儿童管理能力量表，p = 0.029），并且在专注于孩子照顾方面父母满意度更高（FAMM父母相互性量表，p = 0.04）。
“家庭向前”干预缓解了较差的初始家庭功能，以实现积极的家庭适应结果。
