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家长 PLUS 育儿计划:一项针对智障青少年父母的群组随机对照试验。

Parents Plus parenting programme for parents of adolescents with intellectual disabilities: A cluster randomised controlled trial.

机构信息

Department of Clinical Psychology, School of Psychology, Aras an Phiarsaigh, Trinity College Dublin, Dublin 2, Ireland.

School of Psychology, Aras an Phiarsaigh, Trinity College Dublin, Dublin 2, Ireland.

出版信息

J Appl Res Intellect Disabil. 2023 Jul;36(4):871-880. doi: 10.1111/jar.13105. Epub 2023 Apr 26.

Abstract

OBJECTIVE

This study evaluated the effectiveness of the Parents Plus Special Needs (PPSN) programme, a seven-week parenting group intervention for parents of adolescents with intellectual disabilities.

METHOD

In a cluster randomised controlled trial, 24 intellectual disability services supporting families of adolescents with an intellectual disability were assigned to PPSN (12 services; 141 parents) or waitlist control group (12 services; 136 parents). Primary outcomes were parent-reported parenting practices, family adjustment, problem behaviours, emotional problems, and prosocial behaviours. Secondary outcomes were parental satisfaction, parental self-efficacy, and goal attainment.

RESULTS

Compared to the waitlist group, participants in the PPSN group reported improvements in parenting practices, problem behaviours, parental satisfaction, parental self-efficacy and goal attainment, which were retained at 3-month follow-up. There were additional gains for family adjustment at follow-up.

CONCLUSION

The PPSN is effective in improving parenting behaviour, family relationships, and problem behaviours in adolescents, but not in improving emotional difficulties.

摘要

目的

本研究评估了 Parents Plus Special Needs(PPSN)计划的效果,这是一个针对智障青少年父母的为期七周的亲职团体干预计划。

方法

在一项集群随机对照试验中,24 个为智障青少年家庭提供支持的服务机构被分配到 PPSN(12 个服务机构;141 位家长)或候补名单对照组(12 个服务机构;136 位家长)。主要结果是家长报告的教养实践、家庭适应、问题行为、情绪问题和亲社会行为。次要结果是父母满意度、父母自我效能感和目标达成情况。

结果

与候补名单组相比,PPSN 组的参与者在教养实践、问题行为、父母满意度、父母自我效能感和目标达成方面的报告有所改善,并且在 3 个月的随访中得到保留。在随访时,家庭适应方面有额外的收获。

结论

PPSN 计划在改善青少年的教养行为、家庭关系和问题行为方面是有效的,但在改善情绪困难方面没有效果。

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