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eConnect:COVID-19 期间基于依恋的育儿干预虚拟交付的实施与初步评估

eConnect: implementation and preliminary evaluation of a virtually delivered attachment-based parenting intervention during COVID-19.

作者信息

Bao Lin, Moretti Marlene M

机构信息

Department of Psychology, Simon Fraser University, Burnaby, Canada.

出版信息

Attach Hum Dev. 2023 Apr;25(2):272-288. doi: 10.1080/14616734.2023.2179574.

Abstract

Connect, an attachment-based and trauma-informed parenting group intervention, has been demonstrated to improve adolescent mental health, parental wellbeing, and family functioning. We report on the online adaptation and delivery of Connect (eConnect) and pre-post treatment changes in parent, family and youth functioning in a clinical sample (N= 190) of parents of youth with serious mental health challenges. Consistent with research evaluating in-person Connect, parents reported significant reductions in youth internalizing and externalizing problems, attachment anxiety and avoidance, and aggression toward parents. Parents also reported significant reductions in caregiver strain and aggression toward their child. Unlike prior research, parent depressed mood did not decline, perhaps due to pandemic stressors. Program completion was remarkably high (84.7%), and parents reported high program satisfaction. Uptake by eConnect program facilitators and host agencies was extremely positive, suggesting good potential for sustainability and broadened program accessibility. Randomized clinical trials and implementation within diverse populations are needed.

摘要

“联结”是一种基于依恋和创伤知情的育儿团体干预措施,已被证明可以改善青少年心理健康、父母幸福感和家庭功能。我们报告了“联结”(电子联结)的在线改编和实施情况,以及在患有严重心理健康问题的青少年家长临床样本(N = 190)中,治疗前后家长、家庭和青少年功能的变化。与评估面对面“联结”的研究一致,家长报告称,青少年的内化和外化问题、依恋焦虑和回避行为以及对父母的攻击行为显著减少。家长还报告称,照顾者压力和对孩子的攻击行为也显著减少。与先前的研究不同,家长的抑郁情绪并未下降,这可能是由于疫情压力源所致。项目完成率非常高(84.7%),家长对项目满意度也很高。电子联结项目促进者和主办机构的接受度非常积极,表明该项目具有良好的可持续性潜力和更广泛的可及性。需要进行随机临床试验并在不同人群中实施。

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