Intergenerational Health, Murdoch Children's Research Institute, Parkville, Australia; Department of Paediatrics, The University of Melbourne, Parkville, Australia; School of Psychology and Public Health, La Trobe University, Bundoora, Australia.
Intergenerational Health, Murdoch Children's Research Institute, Parkville, Australia.
Child Abuse Negl. 2021 Dec;122:105356. doi: 10.1016/j.chiabu.2021.105356. Epub 2021 Oct 9.
Efforts to prevent child maltreatment and its recurrence in infancy and early childhood are critical to disrupting pathways to poor physical and mental health and interpersonal relationships across the life course. The Home Parenting Education and Support (HoPES) program is an intensive 8-week home-visiting intervention for families of infants and young children (0-4 years) receiving child protection services or welfare services.
The aims of this feasibility study were to: (a) explore parents' and clinicians' perceptions of the outcomes related to participation in HoPES, and (b) obtain preliminary data about potential intervention outcomes related to parent-child interactions, parent mental health, and parenting self-efficacy.
HoPES was delivered to 30 families by a child and family health service. Seven mothers and eight HoPES clinicians also participated in qualitative interviews.
A mixed-methods evaluation was conducted incorporating qualitative interviews and self-report pre-post intervention data was conducted.
Interviews with mothers identified perceived benefits for parent mental health and wellbeing, parenting, and relationships with children. This was further supported by clinician interviews and by the analysis of pre-post assessment data which revealed moderate to large decreases in maternal stress (d = 0.35) and increases in parental self-efficacy (0.76).
The findings of this study have important implications for further development of HoPES, and the design of a rigorous evaluation in next stage of evaluation research.
努力预防儿童虐待及其在婴儿期和幼儿期的复发，对于打破整个生命过程中不良身心健康和人际关系的途径至关重要。家庭育儿教育和支持（HoPES）计划是一项针对接受儿童保护服务或福利服务的婴儿和幼儿（0-4 岁）家庭的强化 8 周家访干预措施。
本可行性研究的目的是：（a）探讨父母和临床医生对参与 HoPES 相关结果的看法，以及（b）获得与亲子互动、父母心理健康和育儿自我效能相关的潜在干预结果的初步数据。
由儿童和家庭健康服务机构向 30 个家庭提供 HoPES。七名母亲和八名 HoPES 临床医生也参加了定性访谈。
采用混合方法评估，包括定性访谈和自我报告干预前后的数据。
对母亲的访谈确定了对父母心理健康和幸福感、育儿和与孩子的关系的感知益处。这进一步得到了临床医生访谈和干预前后评估数据分析的支持，数据分析显示母亲的压力（d=0.35）适度至大幅降低，育儿自我效能感（0.76）提高。
本研究的结果对 HoPES 的进一步发展以及下一阶段评估研究中严格评估的设计具有重要意义。
