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在儿童与青少年心理健康服务机构(CAMHS)中,哪些父母会退出循证育儿项目(Triple-P)?完成项目与退出项目的父母比较。

Which parents dropout from an evidence-based parenting programme (Triple-P) at CAMHS? Comparison of programme-completing and dropout parents.

作者信息

Ozbek Aylin, Gencer Ozlem, Mustan Aybüke Tugçe

机构信息

Department of Child and Adolescent Psychiatry, Faculty of Medicine, Dokuz Eylul University, Turkey.

出版信息

Clin Child Psychol Psychiatry. 2019 Jan;24(1):144-157. doi: 10.1177/1359104518792294. Epub 2018 Aug 13.

Abstract

Evidence-based parenting programmes are beneficial for children's behavioural and emotional problems as well as parenting practices. Along with effectiveness, attendance affects the programme outcome and identification of risks associated with dropout may aid in development of special policy to increase engagement. In this study, we aimed to compare sociodemographics, parental attitudes, child behavioural and emotional problems of programme-completing and dropout parents from Level-4 Triple-P parenting programme applied at Child and Adolescent Mental Health Services (CAMHS). We also aimed to determine the attrition rate. In addition, we inquired whether there was a change in parenting styles and child behaviour and emotional problems before and after Level-4 Triple-P for the programme-completing parents at CAMHS. Results displayed that 52% ( n = 58) of the parents who were significantly less educated, used hostile rejecting attitudes, and reported more hyperactive/inattentive behaviour in their children compared to the parents who competed the programme ( p = 0.022, p = 0.016, p = 0.027, respectively) discontinued the programme. Parents who were able to complete the programme ( n = 54) reported a reduction in over-parenting and improvements in children's conduct problems along with overall stress levels before and after Triple-P ( p = 0.009, p = 0.040, p = 0.023). Parents at risk of discontinuing parenting programmes may require special policy to be engaged since these programmes may offer significant benefits for parenting practices and, in turn, children's well-being.

摘要

循证育儿项目对儿童的行为和情绪问题以及育儿方式有益。除了有效性之外,参与度也会影响项目成果,识别与退出相关的风险可能有助于制定特殊政策以提高参与度。在本研究中,我们旨在比较在儿童和青少年心理健康服务(CAMHS)中接受四级三倍积极教养项目(Triple-P)并完成项目的家长与退出项目的家长的社会人口统计学特征、家长态度、儿童行为和情绪问题。我们还旨在确定流失率。此外,我们询问了CAMHS中完成四级三倍积极教养项目的家长在项目前后的育儿方式以及儿童行为和情绪问题是否有变化。结果显示,与完成项目的家长相比,有52%(n = 58)的家长受教育程度显著较低,使用敌对拒绝态度,且报告其子女有更多多动/注意力不集中行为(分别为p = 0.022、p = 0.016、p = 0.027),他们退出了该项目。能够完成项目的家长(n = 54)报告称,在三倍积极教养项目前后,过度育儿行为减少,儿童行为问题以及总体压力水平得到改善(p = 0.009、p = 0.040、p = 0.023)。有退出育儿项目风险的家长可能需要特殊政策来促使他们参与,因为这些项目可能对育儿方式有显著益处,进而对儿童的幸福有益。

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