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一项针对青少年父母的互联网家长培训的初步随机对照试验。

A pilot randomized controlled trial of Internet-delivered parent training for parents of teenagers.

机构信息

Department of Clinical Neuroscience.

County Administrative Board of Stockholm.

出版信息

J Fam Psychol. 2019 Oct;33(7):764-774. doi: 10.1037/fam0000541. Epub 2019 Jun 17.

Abstract

Adolescents with externalizing behaviors are at risk for multiple social and health impairments that may persist into adulthood. Although empirically supported treatments are available for teenagers with severe externalizing behavior and their families, only a few parenting programs have been evaluated for adolescents with subclinical levels of behavior problems. In the present randomized controlled trial ( = 75), we examined the feasibility and efficacy of the Parent-Web, a new Internet-based parenting program for parents of teenagers. Participants reported high satisfaction with the program, 74% completed all five modules and dropout was only 14%. Generalized linear mixed models showed short-term (8 weeks) improvements in parent-reported teenager externalizing behaviors, family conflicts, and family warmth compared to a waitlist control condition. Receiving the Parent-Web was also associated with more improvements in parent-reported teenage emotional symptoms and peer problems, as well as parental stress and depression. No differences regarding parenting behaviors between the two groups were found. Those in the intervention group maintained their posttreatment gains on primary outcomes at the follow-up assessment, 6- to 9-months after the program. Although limited by relying solely on parent report, and by a relatively small sample size, we conclude that our study contributes some preliminary evidence for the utility of supporting parents of adolescents at risk of developing behavior problems through an Internet-based intervention. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

摘要

有外化行为问题的青少年面临多种社会和健康损害的风险,这些问题可能会持续到成年期。尽管有实证支持的治疗方法可用于有严重外化行为问题的青少年及其家庭,但只有少数育儿项目针对有亚临床水平行为问题的青少年进行了评估。在本项随机对照试验(n = 75)中,我们检验了 Parent-Web 的可行性和有效性,Parent-Web 是一种新的基于互联网的青少年父母育儿项目。参与者报告对该项目非常满意,74%的人完成了所有五个模块,仅 14%的人辍学。与等待名单对照组相比,广义线性混合模型显示,在 8 周的短期治疗中,父母报告的青少年外化行为、家庭冲突和家庭温暖度有所改善。接受 Parent-Web 治疗与父母报告的青少年情绪症状和同伴问题、父母压力和抑郁的改善更多有关。两组之间的育儿行为没有差异。干预组在治疗后 6 至 9 个月的随访评估中,仍保持了主要结果的治疗后获益。尽管本研究仅依赖于父母报告,且样本量相对较小,但我们得出结论,我们的研究为通过基于互联网的干预支持有外化行为问题风险的青少年父母提供了一些初步证据。(APA,2019,所有权利保留)。

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