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为3至8岁儿童家长开发的“自信家长互联网指南”项目及初步评估

Development and initial evaluation of the COnfident Parent INternet Guide program for parents of 3-8 year olds.

作者信息

Hutchings Judy, Owen Dawn A, Williams Margiad E

机构信息

Centre for Evidence Based Early Intervention (CEBEI), College of Human Sciences, Bangor University, Bangor, United Kingdom.

出版信息

Front Psychol. 2023 Jul 24;14:1228144. doi: 10.3389/fpsyg.2023.1228144. eCollection 2023.

Abstract

INTRODUCTION

Positive parenting promotes children's cognitive, social and emotional development and parenting programs based on social learning theory are effective in supporting parents to help reduce behavioral problems among high challenge children. However there is less evidence for programs with non-clinical populations. COPING (COnfident Parent INternet Guide) is a 10-week online universal program for parents of 3 - 8 year olds presenting evidence-informed principles based on social learning theory to support parents in addressing common challenges with their children. This study explored the development and feasibility of delivery of the program in terms of recruitment, retention and acceptability. It also reports on initial program effectiveness, evaluated via a pilot randomized controlled trial.

METHODS

Data on child behavior, parental skills and mental health were collected at baseline and three months later for all participants and six months post-baseline for the intervention group only.

RESULTS

Those parents who accessed the course provided very positive feedback however the trial experienced challenges with recruitment and initial engagement, particularly for parents referred by professionals. For parents who engaged with the program there were significant improvements in reported parenting skills with evidence of longer-term maintenance.

DISCUSSION

This paper provides limited evidence of effectiveness for the COPING program however further feasibility work, particularly around recruitment, is needed before conducting larger effectiveness trials.

摘要

引言

积极育儿能促进儿童的认知、社交和情感发展,基于社会学习理论的育儿项目能有效帮助家长减少高挑战性儿童的行为问题。然而,针对非临床人群项目的证据较少。“应对”(自信家长网络指南)是一项为期10周的在线通用项目,面向3至8岁儿童的家长,基于社会学习理论提出循证原则,以支持家长应对与孩子相处时的常见挑战。本研究从招募、留存率和可接受性方面探讨了该项目开展的发展情况和可行性。研究还报告了通过一项试点随机对照试验评估的项目初步效果。

方法

在基线时以及三个月后为所有参与者收集有关儿童行为、家长技能和心理健康的数据,仅为干预组在基线后六个月收集相关数据。

结果

参加该课程的家长给出了非常积极的反馈,但该试验在招募和初期参与方面遇到了挑战,特别是对于专业人士推荐的家长。对于参与该项目的家长,报告的育儿技能有显著提高,且有长期维持的迹象。

讨论

本文提供了关于“应对”项目有效性的有限证据,不过在开展更大规模的有效性试验之前,需要进一步开展可行性工作,特别是在招募方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44a7/10408448/19a98ef32368/fpsyg-14-1228144-g001.jpg

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