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针对早期育儿困难的育儿干预措施:一项范围综述。

Parenting interventions targeting early parenting difficulty: A scoping review.

作者信息

Bailey Sherryn, Hurley John, Plummer Karin, Hutchinson Marie

机构信息

Faculty of Health, Southern Cross University, Coffs Harbour, NSW, Australia.

School of Nursing and Midwifery, Menzies Health Institute, Griffith University, Gold Coast, QLD, Australia.

出版信息

J Child Health Care. 2024 Jun;28(2):429-450. doi: 10.1177/13674935221116696. Epub 2022 Aug 5.

DOI:10.1177/13674935221116696
PMID:35930709
Abstract

Parent and child wellbeing are reciprocal. Attentive, responsive parenting, is contingent on parental wellbeing. Insights into mechanisms of early parenting interventions that seek to improve parent and child outcomes are needed. This scoping review aimed to systematically map research reporting on parenting interventions for parents experiencing early parenting difficulty. A secondary aim was to synthesise existing research using a realist lens, to provide context, mechanism and outcome insights into elements of early parenting interventions. A systematic search was conducted across six databases within the publication period of 2010-2020, to identify evidence on interventions targeting early parenting difficulty. Using pre-determined inclusion criteria, fifteen studies were selected for review. Deductive reflexive thematic analysis identified three themes: conceptual disparities in early parenting difficulty, early parenting intervention diversity and an absence of theory to explain interventions or outcomes. Neither early parenting difficulty nor the theoretical basis for early parenting interventions were well defined. Identification of contexts, mechanisms and outcomes of early parenting interventions is a unique contribution of this study. These insights may be used to inform planning, implementation and evaluation activities to promote context-focused, early parenting interventions targeting a critical phase of child development.

摘要

父母和孩子的幸福是相互的。体贴、有回应的育儿方式取决于父母的幸福状况。我们需要深入了解旨在改善父母和孩子状况的早期育儿干预措施的机制。本范围综述旨在系统梳理关于针对有早期育儿困难的父母的育儿干预措施的研究报告。第二个目标是运用现实主义视角综合现有研究,以提供关于早期育儿干预措施各要素的背景、机制和结果的见解。在2010年至2020年的出版期内,对六个数据库进行了系统检索,以确定针对早期育儿困难的干预措施的证据。根据预先确定的纳入标准,选择了15项研究进行综述。演绎性反思主题分析确定了三个主题:早期育儿困难中的概念差异、早期育儿干预的多样性以及缺乏解释干预措施或结果的理论。早期育儿困难和早期育儿干预的理论基础都没有得到很好的界定。确定早期育儿干预措施的背景、机制和结果是本研究的独特贡献。这些见解可用于为规划、实施和评估活动提供信息,以促进针对儿童发展关键阶段的以背景为重点的早期育儿干预措施。

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