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“惊世岁月”育儿与儿童治疗项目:西班牙儿童福利环境中的一项随机对照试验。

The Incredible Years Parenting and Child Treatment Programs: A Randomized Controlled Trial in a Child Welfare Setting in Spain.

作者信息

Arruabarrena Ignacia, Rivas Gabriela R, Cañas María, Paúl Joaquín De

机构信息

University of the Basque Country Donostia-San Sebastián Spain University of the Basque Country (UPV/EHU), Donostia-San Sebastián, Spain.

出版信息

Psychosoc Interv. 2022 Jan 1;31(1):43-58. doi: 10.5093/pi2022a2. eCollection 2022 Jan.

Abstract

Incredible Years (IY) is a well-established multicomponent group-based program designed to promote young children's emotional and social competence, to prevent and treat child behavioral and emotional problems, and to improve parenting practices and the parent-child relationship. This study presents the first randomized controlled trial carried out in Spain to test the effectiveness of the Incredible Years Basic Parenting and Small Group Dinosaur Programs in a sample of families involved in child welfare due to substantiated or risk for child maltreatment. One hundred and eleven families with 4- to 8-year-old children were randomly allocated to IY or to a control group who received standard services. Baseline, post-intervention, and 12-month follow-up assessments were compared. Results showed that compared to the control group, the IY intervention made a significant positive difference in parents' observed and reported use of praise, and a significant reduction in reported use of inconsistent discipline, parenting stress, depressive symptomatology, and perception of child behavior problems. A full serial mediation effect was found between participation in IY, changes in parenting practices, subsequent parenting stress reduction, and both final child abuse potential reduction and perception of child behavior problems. No moderating influence on IY effects was found. Findings provide evidence that transporting the IY Basic Parenting and the Small Group Dinosaur Programs with fidelity is feasible in Child Welfare Services in Spain.

摘要

“不可思议的岁月”(IY)是一个成熟的多成分团体项目,旨在促进幼儿的情感和社交能力,预防和治疗儿童行为及情感问题,改善养育方式及亲子关系。本研究呈现了在西班牙开展的第一项随机对照试验,以检验“不可思议的岁月”基础养育项目和小组恐龙项目在因儿童虐待得到证实或存在风险而参与儿童福利的家庭样本中的有效性。111个有4至8岁孩子的家庭被随机分配到IY组或接受标准服务的对照组。对基线、干预后和12个月随访评估进行了比较。结果显示,与对照组相比,IY干预在父母观察到的和报告的表扬使用方面产生了显著的积极差异,在报告的不一致管教使用、养育压力、抑郁症状以及对儿童行为问题的感知方面有显著降低。在参与IY、养育方式的变化、随后养育压力的减轻以及最终潜在儿童虐待行为的减少和对儿童行为问题的感知之间发现了完全的系列中介效应。未发现对IY效果有调节作用。研究结果提供了证据,表明在西班牙儿童福利服务中忠实地推行IY基础养育项目和小组恐龙项目是可行的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7119/10268544/e742f5224855/1132-0559-pi-31-1-0043-gf01.jpg

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