“足够好的父母”早期干预模式治疗方案：参与者体验。
The Good Enough Parenting early intervention schema therapy based program: Participant experience.
机构信息
Persatuan Kebajikan HOPE Worldwide Kuala Lumpur, Kuala Lumpur, Malaysia.
HOPE Worldwide Singapore, Singapore, Singapore.
出版信息
PLoS One. 2021 Jan 22;16(1):e0243508. doi: 10.1371/journal.pone.0243508. eCollection 2021.
BACKGROUND AND OBJECTIVES
Schema therapy (ST) has become a mainstream therapy for the treatment of psychopathology and has been validated through a series of large scale, international randomized control trials. Among other things, schema therapy emphasizes the meeting of core emotional needs in children by primary caregivers as these unmet needs continue to adversely affect their lives into adulthood. An early intervention parenting program has been developed to help parents meet these core emotional needs in order to prevent the development of psychopathology in the first place. The program, Good Enough Parenting, is equally focused on reducing problems and strengthening parenting practices, regardless of where the child is on the "disordered to well-being continuum". This study aims to explore "patient experience" by users of this program. Best clinical research guidelines advocate that participants should be used as collaborators rather than pure recipients; this process should predate large scale trials.
DESIGN
An exploratory qualitative study with 55 parent-participants of Good Enough Parenting was conducted.
METHODS
One-to-one interviews were conducted with participants, using critical incident technique and guided by semi-structured interview schedule, to explore their experiences with the program. Transcripts were then analyzed using thematic analysis.
RESULTS
Coding showed a high degree of inter-rater reliability (kappa value of 0.78). The themes that emerged were Cultivating Awareness of Parents' Own Schemas, Cultivating Intentionality, Working through Developmental Issues, Responses to Challenges at Home, Performing Multiple Roles, and the Learning Process. Participants overwhelmingly reported satisfaction within these key themes.
CONCLUSIONS
The results support the development of the program and the choice of "participant reported outcome measures" for use in subsequent randomized controlled trials.
背景与目的
图式治疗（ST）已成为治疗精神病理学的主流疗法，并通过一系列大规模的国际随机对照试验得到了验证。除其他外，图式治疗强调初级照顾者满足儿童的核心情感需求，因为这些未满足的需求会持续影响他们成年后的生活。已经开发出一种早期干预育儿计划，以帮助父母满足这些核心情感需求，从而首先预防精神病理学的发展。该计划，即“足够好的育儿”，同样侧重于减少问题和加强育儿实践，无论孩子处于“从紊乱到健康的连续体”的哪个位置。本研究旨在探索该计划使用者的“患者体验”。最佳临床研究指南主张，应将参与者作为合作者，而不仅仅是纯粹的接受者；这个过程应该先于大规模试验。
设计
对 55 名“足够好的育儿”计划的家长参与者进行了一项探索性定性研究。
方法
采用一对一访谈的方式，对参与者使用关键事件技术，由半结构化访谈表指导，以探索他们对该计划的体验。然后使用主题分析对转录本进行分析。
结果
编码显示出高度的评分者间可靠性（kappa 值为 0.78）。出现的主题包括培养父母自身图式的意识、培养意图、解决发展问题、应对家庭挑战的反应、扮演多个角色以及学习过程。参与者在这些关键主题中报告了压倒性的满意度。
结论
结果支持该计划的发展以及选择“参与者报告的结果测量”用于随后的随机对照试验。
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