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疫情时期的育儿:针对有行为障碍的学龄儿童照顾者的面对面与互联网-DOCS K-5 比较的初步研究。

Pandemic parenting: A pilot study of in-person versus internet-DOCS K-5 for caregivers of school-age children with disruptive behaviors.

机构信息

Departments of Pediatrics & Psychiatry, 33697University of South Florida, USA.

Department of Pediatrics, 33697University of South Florida, USA.

出版信息

Clin Child Psychol Psychiatry. 2022 Jul;27(3):569-585. doi: 10.1177/13591045221096313. Epub 2022 Apr 29.

DOI:10.1177/13591045221096313
PMID:35485248
Abstract

Behavioral parent training (BPT) programs are needed to address disruptive behavior disorders among school-aged children. Given the prolonged COVID-19 pandemic and associated mental health consequences, adapting BPTs to telehealth modalities is necessary to ensure continued services to children and families. This pilot study evaluated the use of a telehealth vs in-person modality to deliver the Developing Our Children's Skills K-5 (DOCS K-5) BPT. Participants were caregivers of children enrolled in elementary school exhibiting disruptive behaviors who participated in either in-person DOCS K-5 ( = 21) or internet-DOCS K-5 (i-DOCS K-5; = 34). Pre- and post-intervention outcome measures were collected for child disruptive behavior, parenting stress, and caregiver symptoms of depression while consumer satisfaction was assessed at post-test only. Multiple linear and Poisson regression models were performed to assess the effect of session modality on the outcomes. Child disruptive behavior, parenting stress and depression, and consumer satisfaction scores were not significantly different across groups, even after adjusting for baseline characteristics. The results of this study provide preliminary evidence that the i-DOCS K-5 modality is as effective as the in-person program. Study findings may be beneficial to practitioners treating school-age children and utilizing telehealth interventions during the COVID-19 pandemic and onward.

摘要

需要行为家长培训 (BPT) 计划来解决学龄儿童的行为障碍问题。鉴于 COVID-19 大流行持续时间长以及相关的心理健康后果,有必要将 BPT 改编为远程医疗模式,以确保为儿童和家庭持续提供服务。这项试点研究评估了使用远程医疗与面对面模式来提供儿童技能发展 K-5 期 (DOCS K-5) BPT。参与者是参加小学阶段表现出行为障碍的儿童的照顾者,他们参加了面对面的 DOCS K-5 ( = 21) 或互联网-DOCS K-5 (i-DOCS K-5; = 34)。在干预前后收集了儿童行为障碍、父母压力和照顾者抑郁症状的结果衡量指标,而仅在测试后评估消费者满意度。进行了多项线性和泊松回归模型来评估会议模式对结果的影响。即使在调整了基线特征后,各组之间的儿童行为障碍、父母压力和抑郁以及消费者满意度得分也没有显著差异。这项研究的结果提供了初步证据,表明 i-DOCS K-5 模式与面对面计划一样有效。研究结果可能对治疗学龄儿童的从业者以及在 COVID-19 大流行期间和之后使用远程医疗干预措施有益。

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