Pontoppidan Maiken, Sandoy Tróndur Møller, Klest Sihu K
VIVE - the Danish Centre for Social Science Research, Copenhagen, Denmark.
RKBU, Health Sciences Faculty, UiT, Tromsø, Norway.
Scand J Child Adolesc Psychiatr Psychol. 2020 Sep 15;8:123-134. doi: 10.21307/sjcapp-2020-012. eCollection 2020.
The foundation of a healthy life begins in pregnancy and early adversity can have detrimental long-term consequences for affected children.
This paper examines the effects of the Incredible Years Parents and Babies program (IYPB) at one-year follow-up when offered as a universal parenting intervention to parents with newborn infants.
We conducted a pragmatic, two-arm, parallel pilot randomized controlled trial; 112 families with newborns were randomized to IYPB intervention (n = 76) or usual care (n = 36). The IYPB program is a group intervention with eight two-hour sessions. Follow-up outcomes collected a year after the intervention ended include parental stress, depression, well-being, reflective function, sense of competence, and child cognitive and socio-emotional development.
There were no intervention effects on any of the primary or secondary parent-reported outcomes at one-year follow-up when the children were 18 months old. When examining the lowest-functioning mothers in moderator analyses, we found that mothers assigned to the IYPB group reported significantly lower scores for the interest and curiosity subscale of the parent reflective function scale than control mothers (β=-1,07 [-2.09,-0.06]).
We found no long-term effects of the IYPB when offered as a universal intervention for a relatively well-functioning group of parents with infants in a setting with a high standard of usual care. The intervention was developed for more vulnerable families in settings with a low level of universal care and the program may be effective for families in those circumstances.
健康生活的基础始于孕期，早期逆境可能会对受影响儿童产生有害的长期后果。
本文探讨了“不可思议的岁月家长与宝宝计划”（IYPB）作为一种面向新生婴儿父母的普遍育儿干预措施，在一年随访时的效果。
我们进行了一项实用的双臂平行试点随机对照试验；112个有新生儿的家庭被随机分为IYPB干预组（n = 76）或常规护理组（n = 36）。IYPB计划是一种小组干预措施，包括八个两小时的课程。干预结束一年后收集的随访结果包括父母压力、抑郁、幸福感、反思功能、能力感以及儿童认知和社会情感发展。
在儿童18个月大时的一年随访中，干预对任何主要或次要的父母报告结果均无影响。在调节分析中检查功能最低的母亲时，我们发现被分配到IYPB组的母亲在父母反思功能量表的兴趣和好奇心子量表上的得分显著低于对照组母亲（β=-1.07 [-2.09, -0.06]）。
我们发现，在具有高标准常规护理的环境中，将IYPB作为对一组相对功能良好的有婴儿的父母的普遍干预措施时，没有长期效果。该干预措施是为普遍护理水平较低环境中更脆弱的家庭开发的，该计划可能对那些情况下的家庭有效。
