Department of Psychiatry, University of Vermont, Burlington, VT, USA.
Department of Pediatrics, University of Vermont, Burlington, VT, USA.
Child Psychiatry Hum Dev. 2023 Oct;54(5):1297-1308. doi: 10.1007/s10578-022-01329-4. Epub 2022 Mar 4.
This randomized controlled trial tested the Vermont Family Based Approach (VFBA) in primary care pediatrics. The VFBA is a model of healthcare delivery that shifts the focus from the individual to the family, emphasizes emotional and behavioral health, and uses evidence-based health promotion/prevention along with the treatment of emotional and behavioral problems. Participants were 81 families of 3-15-year-olds. For children, the VFBA was associated with greater reductions than the Control condition on the Child Behavior Checklist Emotionally Reactive, Withdrawn, Sleep Problems, Aggressive Behavior and Total Problems scales. For parents, the VFBA was associated with greater reductions than the Control condition on the Adult Self-Report Anxious/Depressed, Rule-Breaking Behavior, Internalizing Problems and Total Problems scales. The VFBA was also associated with greater improvement than the Control condition in the parents' health-related quality of life, as indicated by all scales of the Medical Outcomes Study Health Survey.
这项随机对照试验在初级保健儿科中测试了佛蒙特家庭为基础的方法（VFBA）。VFBA 是一种医疗保健提供模式，它将重点从个体转移到家庭，强调情感和行为健康，并使用基于证据的健康促进/预防以及情绪和行为问题的治疗。参与者是 81 个 3-15 岁儿童的家庭。对于儿童，VFBA 与对照组相比，在儿童行为检查表的情绪反应、退缩、睡眠问题、攻击行为和总问题量表上的减少更大。对于父母，VFBA 与对照组相比，在成人自我报告焦虑/抑郁、违反规则行为、内化问题和总问题量表上的减少更大。VFBA 还与对照组相比，在父母的健康相关生活质量方面有更大的改善，这表现在医疗结果研究健康调查的所有量表上。
