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育儿中心与照料者心理健康:来自中国大规模随机对照试验的证据。

Parenting centers and caregiver mental health: Evidence from a large-scale randomized controlled trial in China.

机构信息

Freeman Spogli Institute for International Studies, Stanford University, Stanford, California, USA.

Gillings school of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

出版信息

Child Dev. 2022 Sep;93(5):1559-1573. doi: 10.1111/cdev.13782. Epub 2022 Apr 28.

DOI:10.1111/cdev.13782
PMID:35481708
Abstract

This study conducts an exploratory analysis of the impacts of a center-based early childhood development intervention on the mental health of caregivers, using data from a cluster-randomized controlled trial of 1664 caregivers (M  = 36.87 years old) of 6- to 24-month-old children in 100 villages in rural China. Caregivers and children in 50 villages received individual parenting training, group activities and open play space in village parenting centers. The results show no significant overall change in caregiver-reported mental health symptoms after 1 year of intervention. Subgroup analyses reveal heterogeneous effects by caregiver socioeconomic status and identity (mother vs. grandmother). Findings suggest that early childhood development interventions without targeted mental health components may not provide sufficient support to improve caregiver mental health.

摘要

本研究使用中国农村 100 个村庄 1664 名 6 至 24 个月大儿童的 caregiver(M=36.87 岁)的一项群组随机对照试验数据,对以中心为基础的幼儿发展干预对 caregiver心理健康的影响进行了探索性分析。在 50 个村庄中, caregiver 和儿童接受了个体育儿培训、小组活动和村庄育儿中心的开放游戏空间。结果表明,干预 1 年后, caregiver 报告的心理健康症状没有显著总体变化。亚组分析显示, caregiver 的社会经济地位和身份(母亲与祖母)存在异质性影响。研究结果表明,没有针对性心理健康内容的幼儿发展干预可能无法为改善 caregiver 心理健康提供足够的支持。

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引用本文的文献

1
Effectiveness of a government-led, multiarm intervention on early childhood development and caregiver mental health: a study protocol for a factorial cluster-randomised trial in rural China.政府主导的多臂干预对儿童早期发展和照顾者心理健康的效果:中国农村一项两因素整群随机试验的研究方案。
BMJ Open. 2023 Nov 28;13(11):e076644. doi: 10.1136/bmjopen-2023-076644.
2
Impact of an Early Childhood Development Intervention on the Mental Health of Female Caregivers: Evidence from a Randomized Controlled Trial.儿童早期发展干预对女性照顾者心理健康的影响:来自一项随机对照试验的证据。
Int J Environ Res Public Health. 2022 Sep 10;19(18):11392. doi: 10.3390/ijerph191811392.