Solís-Cordero Katherine, Duarte Luciane Simões, Fujimori Elizabeth
School of Nursing, University of São Paulo, São Paulo, Brazil.
Chronic Non-communicable Diseases Division, Disease Control Coordination, São Paulo State Health Department, São Paulo, Brazil.
J Child Fam Stud. 2022;31(11):3026-3036. doi: 10.1007/s10826-022-02328-8. Epub 2022 May 21.
Remotely delivered parenting interventions are suitable to promote child well-being and development, in a context of social isolation, as our society faced due to COVID-19. The objective of this systematic review was to assess the effectiveness of remotely delivered parenting interventions for typically developing children on caregiver-child interaction and child development. We carried out a systematic search to find studies from the inception of the database to September 2021 on six electronic databases: MEDLINE, CINAHL, Embase, Scopus, Web of Science Core Collection and Regional Portal Information and Knowledge for Health (BVS), and gray literature. Eligible study designs were experimental and quasi-experimental studies. We included parenting interventions as long as they were remotely delivered and focused on typically developing children. Two outcomes were considered: caregiver-child interaction and child development. Three randomized controlled trials (RCT) and one quasi-experimental study met the inclusion criteria. Results from two RCT revealed positive, small-to-medium effects on child development. One study showed that the new intervention had a not inferior effect compared to the results achieved by the traditional support. Children who participated in the quasi-experimental study showed significant elevations in language ability. One study reported positive caregiver-child interaction results. There is insufficient evidence to draw definitive conclusions regarding the effectiveness of remotely delivered parenting interventions on child development due to the heterogeneity of participant profiles, mode of delivery, and assessment tools. The results suggest the need to develop future methodologically rigorous studies assessing the effectiveness of remotely delivered parenting interventions for typically developing children on caregiver-child interaction and child development.
在社会隔离的背景下，就像我们的社会因新冠疫情所面临的那样，远程提供的育儿干预措施适合于促进儿童的幸福和发展。本系统评价的目的是评估远程提供的育儿干预措施对发育正常儿童在照顾者与儿童互动及儿童发展方面的有效性。我们进行了一项系统检索，以查找从数据库建立之初到2021年9月在六个电子数据库（MEDLINE、CINAHL、Embase、Scopus、科学引文索引核心合集和健康领域区域信息与知识门户（BVS））以及灰色文献中关于育儿干预措施的研究。符合条件的研究设计为实验性和准实验性研究。只要育儿干预措施是远程提供的且关注发育正常的儿童，我们就将其纳入。我们考虑了两个结果：照顾者与儿童的互动以及儿童发展。三项随机对照试验（RCT）和一项准实验性研究符合纳入标准。两项RCT的结果显示对儿童发展有积极的、小到中等程度的影响。一项研究表明，新干预措施与传统支持所取得的结果相比，效果不逊色。参与准实验性研究的儿童在语言能力方面有显著提高。一项研究报告了照顾者与儿童互动方面的积极结果。由于参与者特征、提供方式和评估工具存在异质性，目前尚无足够证据就远程提供的育儿干预措施对儿童发展的有效性得出明确结论。结果表明，有必要开展未来方法学严谨的研究，以评估远程提供的育儿干预措施对发育正常儿童在照顾者与儿童互动及儿童发展方面的有效性。
