Suppr超能文献

基于依恋的干预措施对虐待家庭父母能力评估的有效性:一项随机对照试验。

Effectiveness of an attachment-based intervention for the assessment of parenting capacities in maltreating families: A randomized controlled trial.

机构信息

Institute of Education and Child Studies, Leiden University, Leiden, The Netherlands.

Private Law, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

出版信息

Infant Ment Health J. 2020 Nov;41(6):821-835. doi: 10.1002/imhj.21874. Epub 2020 Jun 24.

Abstract

Even though Parenting Capacity Assessments (PCAs) are essential for child protection services to support placement decisions for maltreating families, presently no evidence-based PCA protocols are available. In this randomized controlled trial, we tested the quality of an attachment-based PCA protocol based on Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD). We recruited 56 parent-child dyads (M children = 3.48 years) in Dutch family residential clinics that conduct PCAs to support placement decisions. After pretest, families were randomized to receive the Regular Assessment Procedure (RAP) (n = 28), or an additional assessment based on VIPP-SD (n = 28). An immediate post-test and a 10-month follow-up were conducted. Multilevel models showed that therapists felt equally confident about their recommendations regarding child placement for both groups and that they equally often modified their initial placement recommendations. Moreover, children in the VIPP-SD group did not show fewer behavior problems and did not experience recurring child maltreatment less often than children in the RAP group. Thus, we found no evidence that PCAs incorporating the VIPP-SD protocol outperformed PCAs as usual. We discuss possible explanations why in the current study VIPP-SD did not seem to add to the quality of the RAP.

摘要

尽管育儿能力评估(PCAs)对于儿童保护服务机构支持虐待家庭的安置决策至关重要,但目前尚无基于证据的 PCA 协议。在这项随机对照试验中,我们测试了一种基于依恋的 PCA 协议的质量,该协议基于视频反馈干预以促进积极育儿和敏感纪律(VIPP-SD)。我们招募了 56 对父母-子女(M 儿童= 3.48 岁),他们在进行 PCA 以支持安置决策的荷兰家庭住院诊所。在预测试后,家庭被随机分为接受常规评估程序(RAP)(n = 28)或基于 VIPP-SD 的额外评估(n = 28)。进行了即时后测和 10 个月的随访。多层次模型显示,治疗师对两组的儿童安置建议都同样有信心,并且他们同样经常修改最初的安置建议。此外,与 RAP 组相比,VIPP-SD 组的儿童行为问题较少,并且没有再次发生儿童虐待的情况也较少。因此,我们没有发现证据表明纳入 VIPP-SD 协议的 PCA 优于常规 PCA。我们讨论了为什么在当前研究中 VIPP-SD 似乎没有为 RAP 增加质量的可能原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43be/7754366/70d823fc605b/IMHJ-41-821-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验