University of Colorado School of Medicine, Department of Psychiatry, Aurora, USA.
Pediatric Mental Health Institute at Children's Hospital of Colorado, Aurora, USA.
Behav Modif. 2023 Jan;47(1):128-153. doi: 10.1177/01454455221103226. Epub 2022 Jun 15.
Behavioral problems, such as noncompliance and aggression, are a common referral reason to mental health services for young children. Behavioral parent training (BPT) is the leading intervention for addressing behavioral problems and leads to benefits in a variety of parental factors (e.g., parenting efficacy and parenting stress). While the COVID-19 pandemic dramatically shifted service delivery toward telehealth services, limited work has evaluated the effectiveness of BPT when delivered in a brief, group format through telehealth. The current retrospective chart review study evaluated the engagement to and preliminary effectiveness of a brief version of BPT delivered through telehealth to 64 families of 3- to 7-year-olds referred for behavioral problems. Families attended an average of 4.55 of 6 sessions and most families had two caregivers who engaged in the intervention. Significant reductions in caregivers' report of children's behavioral problems and improvements in parenting self-efficacy resulted. Future research and clinical implications are discussed.
行为问题,如不遵守规定和攻击行为,是儿童心理健康服务机构常见的转诊原因。行为家长培训(BPT)是解决行为问题的主要干预措施,可改善各种父母因素(例如,育儿效能感和育儿压力)。虽然 COVID-19 大流行极大地改变了服务提供方式,转向了远程医疗服务,但很少有研究评估通过远程医疗以简短的小组形式提供 BPT 的有效性。目前的回顾性图表审查研究评估了向 64 名 3 至 7 岁因行为问题而转介的家庭提供的 BPT 简短版本通过远程医疗进行的参与度和初步效果。家庭平均参加了 6 次中的 4.55 次,大多数家庭有两名照顾者参与了干预。照顾者报告的儿童行为问题显著减少,育儿自我效能感提高。讨论了未来的研究和临床意义。