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针对患有后天性脑损伤儿童的墨西哥父母的育儿项目与电话支持:一项双盲随机对照试验。

Parenting program versus telephone support for Mexican parents of children with acquired brain injury: A blind randomized controlled trial.

作者信息

Chávez Clara, Catroppa Cathy, Hearps Stephen J C, Yáñez-Téllez Guillermina, Prieto-Corona Belén, de León Miguel A, García Antonio, Sandoval-Lira Lucero, Anderson Vicki

机构信息

Child Neuropsychology, Murdoch Childrens Research Institute, Victoria, Australia.

The University of Melbourne, Victoria, Australia.

出版信息

Contemp Clin Trials Commun. 2017 Jun 23;7:109-115. doi: 10.1016/j.conctc.2017.06.007. eCollection 2017 Sep.

Abstract

INTRODUCTION

Acquired brain injury (ABI) during childhood typically causes behavior problems in the child and high levels of stress in the family. The aims of this study are: (1) to investigate the effectiveness and feasibility of a parenting intervention in improving behavior and self-regulation in Mexican children with ABI compared to telephone support; (2) to investigate the effectiveness and feasibility of a parenting intervention in improving parenting skills, parent self-efficacy and decreasing parental stress in parents of children with ABI compared to telephone support. Our secondary aims are (1) to explore the impact that parent characteristics have on the intervention outcomes; (2) to investigate if changes are maintained 3 months after the intervention.

METHODS

The research design is a blind randomized controlled trial (RCT). Eligible participants include children with a diagnosis of ABI, between 6 and 12 years of age, and their parents. Sixty-six children and their parents will be randomly allocated to either a parenting program group or telephone support group. The parenting program involves six face-to-face weekly group sessions of 2.5 h each. Participants in the control group receive an information sheet with behavioral strategies, and six weekly phone calls, in which strategies to improve academic skills are provided. Children and their parents are evaluated by blind assessors before the intervention, immediately after the intervention and 3-months post-intervention.

DISCUSSION

This study will be the first to evaluate the efficacy and feasibility of a parenting program for Mexican parents of children with ABI.

TRIAL IDENTIFIER

ACTRN12617000360314.

摘要

引言

儿童期获得性脑损伤(ABI)通常会导致儿童出现行为问题,并给家庭带来高度压力。本研究的目的是:(1)与电话支持相比,调查一种育儿干预措施在改善墨西哥ABI儿童行为和自我调节方面的有效性和可行性;(2)与电话支持相比,调查一种育儿干预措施在提高ABI儿童家长的育儿技能、家长自我效能感以及减轻家长压力方面的有效性和可行性。我们的次要目的是:(1)探讨家长特征对干预结果的影响;(2)调查干预3个月后变化是否持续存在。

方法

研究设计为一项盲法随机对照试验(RCT)。符合条件的参与者包括6至12岁被诊断为ABI的儿童及其父母。66名儿童及其父母将被随机分配到育儿项目组或电话支持组。育儿项目包括每周6次面对面的小组会议,每次2.5小时。对照组的参与者会收到一份包含行为策略的信息表,并接到6次每周一次的电话,其中会提供提高学业技能的策略。在干预前、干预后立即以及干预后3个月,由盲法评估者对儿童及其父母进行评估。

讨论

本研究将首次评估针对墨西哥ABI儿童家长的育儿项目的疗效和可行性。

试验标识符

ACTRN12617000360314。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9338/5898475/2e56aaf5775c/gr1.jpg

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