Ruane Ailbhe, Carr Alan, Moffat Valerie
School of Psychology, University College Dublin, Ireland.
Health Service Executive, Ireland.
Clin Child Psychol Psychiatry. 2019 Oct;24(4):694-711. doi: 10.1177/1359104518807265. Epub 2018 Nov 6.
In this qualitative study, we evaluated parents' and facilitators' experiences of the Group Stepping Stones Triple P (GSSTP) programme for parents of children with disabilities. The study was embedded in a randomized controlled trial (RCT) of GSSTP and carried out in the Irish public health service. Eight parents and three psychologists participated in the study. We used a semi-structured interview schedule to collect data and conducted a thematic content analysis of interview transcripts to identify particularly useful and less helpful aspects of the programme and ways that its future delivery may be improved. We conducted separate analyses on parent and psychologist data. The main findings were that parents considered the GSSTP to have helped them develop better self-regulation and behaviour management skills, which contributed to improved family relations. Negative aspects of the programme included the use of dated videos, the volume of programme content, the attrition rate and the shortcomings of the programme in meeting the complex needs of vulnerable families. Improvement suggestions included increasing flexibility of manualised content, providing follow-up support to vulnerable parents, incentivizing parents to attend and updating videos.
在这项定性研究中，我们评估了残疾儿童家长参与的“团体步步为营积极育儿方案（GSSTP）”中家长和协助者的体验。该研究嵌入在GSSTP的一项随机对照试验（RCT）中，并在爱尔兰公共卫生服务体系中开展。八名家长和三名心理学家参与了这项研究。我们使用半结构化访谈提纲收集数据，并对访谈记录进行了主题内容分析，以确定该方案特别有用和不太有用的方面，以及未来实施该方案时可以改进的方法。我们分别对家长和心理学家的数据进行了分析。主要研究结果是，家长们认为GSSTP帮助他们培养了更好的自我调节和行为管理技能，这有助于改善家庭关系。该方案的负面方面包括使用过时的视频、方案内容的数量、流失率以及该方案在满足弱势家庭复杂需求方面的不足。改进建议包括增加手册化内容的灵活性、为弱势家长提供后续支持、激励家长参与以及更新视频。
