van der Stouwe Trudy, Leijten Patty, Asscher Jessica J, Deković Maja, van der Put Claudia E
Research Institute of Child Development and Education, University of Amsterdam, Post Box 15776, 1001 NG Amsterdam, The Netherlands.
Clinical Child and Family Studies, Utrecht University, Post Box 80140, 3508 TC Utrecht, The Netherlands.
J Fam Violence. 2023 Feb 13:1-14. doi: 10.1007/s10896-023-00509-7.
Home visitation program effects are generally small, which may be caused by flexible intervention content leading to inconsistent outcomes. In this study we therefore examined whether the effectiveness of a Dutch home visitation program (i.e., Supportive Parenting) can be improved by adding structured intervention components targeting key risk factors for child maltreatment: parental sense of competence, perceived stress, parental anger, and PTSD symptoms.
Participants were randomly assigned to an experimental group ( = 74) that received four additional intervention components in two home visits, or a control group ( = 60) that received regular Supportive Parenting. Outcomes were assessed before (T1) and after (T2) the first, and before (T3) and after (T4) the second home visit. Effects were examined using ANCOVA for primary outcomes: parental sense of competence, perceived stress, parental anger, and PTSD symptoms, and secondary outcomes: risk of child maltreatment, parental warmth, and negative parenting. Moderation effects were examined for T1 scores, child temperament and life events.
Mothers who received the intervention components showed less stress compared to the control group at T3 and T4. There were no differences between groups on other outcomes and no moderation effects, although parental sense of competence reduced and anger increased within the experimental group specifically.
The structured components may enhance the effectiveness of Supportive Parenting to reduce parenting stress. Future research into how other outcomes can be improved is needed.
The online version contains supplementary material available at 10.1007/s10896-023-00509-7.
家访项目的效果通常较小，这可能是由于干预内容灵活导致结果不一致所致。因此，在本研究中，我们考察了通过增加针对儿童虐待关键风险因素的结构化干预成分，即父母的能力感、感知压力、父母愤怒和创伤后应激障碍症状，是否可以提高荷兰家访项目（即支持性育儿）的有效性。
参与者被随机分配到实验组（n = 74），该组在两次家访中接受四个额外的干预成分，或对照组（n = 60），该组接受常规的支持性育儿。在第一次家访前（T1）和后（T2），以及第二次家访前（T3）和后（T4）评估结果。使用协方差分析检查主要结果的效应：父母的能力感、感知压力、父母愤怒和创伤后应激障碍症状，以及次要结果：儿童虐待风险、父母温暖和消极育儿。检查T1分数、儿童气质和生活事件的调节效应。
与对照组相比，接受干预成分的母亲在T3和T4时压力较小。尽管实验组中父母的能力感降低而愤怒增加，但两组在其他结果上没有差异，也没有调节效应。
结构化成分可能会提高支持性育儿在减轻育儿压力方面的有效性。需要对如何改善其他结果进行未来研究。
在线版本包含可在10.1007/s10896-023-00509-7获取的补充材料。
