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评估(养育支持的)要素在预防青少年保健日常实践中的有效性;在“CIKEO”(联盟整合知识促进养育干预效果)中进行自然效果评估的设计。

Evaluation of effectiveness of (elements of) parenting support in daily practice of preventive youth health care; design of a naturalistic effect evaluation in 'CIKEO' (consortium integration knowledge promotion effectiveness of parenting interventions).

机构信息

Department of Public Health, Erasmus University Medical Center, Rotterdam, the Netherlands.

Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.

出版信息

BMC Public Health. 2019 Nov 6;19(1):1462. doi: 10.1186/s12889-019-7785-y.

DOI:10.1186/s12889-019-7785-y
PMID:31694586
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6836651/
Abstract

BACKGROUND

The number of interventions to support parents is growing. The level of evidence regarding these intervention varies. In this paper we describe a study that aims to assess the effectiveness of specific 'elements' within such parenting interventions for families with children up to 7 years. A naturalistic effect evaluation will be applied. Study questions are: 1. What is the exposure of parents to (elements of) parenting interventions in the daily practice of preventive youth health care? 2. What are the associations between the exposure to (elements of) parenting interventions and outcomes in parents/children related to parenting and child development?

METHODS/DESIGN: Thousand parents/caregivers are recruited by preventive youth health care providers in the Netherlands. Measurements will be performed after inclusion and after 12-months follow up. Data regarding child/parent/caregiver characteristics, use of (parenting) interventions and care, and outcomes with regard to parenting skills, family functioning and child development will be collected. Outcomes will be compared between parents/children exposed and non-exposed to the (elements of) parenting interventions (adjusting for confounders).

DISCUSSION

We hypothesize that parents/caregivers with exposure to (elements of) parenting interventions show (relatively more) improvements in parenting outcomes. Results will support intervention selection/development, and support communities/professionals to select appropriate intervention-elements.

TRIAL REGISTRATION

Netherlands National Trial Register number NL7342 . Date of registration: 05-November-2018, retrospectively registered.

摘要

背景

支持父母的干预措施数量正在增加。这些干预措施的证据水平各不相同。本文旨在评估针对 7 岁以下儿童家庭的特定“要素”在这种育儿干预中的有效性。将应用自然主义效果评估。研究问题是:1. 在预防青少年保健的日常实践中,父母对(育儿干预的)哪些要素有接触?2. 父母接触(育儿干预的)要素与育儿和儿童发展相关的父母/儿童的结果之间存在哪些关联?

方法/设计:通过荷兰预防青少年保健提供者招募 1000 名父母/照顾者。测量将在纳入后和 12 个月随访后进行。将收集有关儿童/父母/照顾者特征、(育儿)干预和护理的使用以及育儿技能、家庭功能和儿童发展方面的结果数据。将对接触和未接触(育儿干预的)要素的父母/儿童之间的结果进行比较(调整混杂因素)。

讨论

我们假设接触(育儿干预的)要素的父母/照顾者在育儿结果方面显示出(相对更多)的改善。结果将支持干预措施的选择/发展,并支持社区/专业人员选择适当的干预要素。

试验注册

荷兰国家试验注册编号 NL7342。注册日期:2018 年 11 月 5 日,回顾性注册。

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Design of a controlled trial to evaluate the effectiveness of Supportive Parenting ('Stevig Ouderschap'): an intervention to empower parents at increased risk of parenting problems by providing early home visits.支持性养育(“Stevig Ouderschap”)有效性评估的对照试验设计:通过提供早期家访,为有养育问题风险的父母提供赋权,以此进行干预。
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