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支持受逆境影响的家庭:家庭生活技能 Triple P 的开放性可行性试验。

Supporting Families Affected by Adversity: An Open Feasibility Trial of Family Life Skills Triple P.

机构信息

Parenting and Family Support Centre, School of Psychology, The University of Queensland.

Parenting and Family Support Centre, School of Psychology, The University of Queensland.

出版信息

Behav Ther. 2024 May;55(3):621-635. doi: 10.1016/j.beth.2023.09.004. Epub 2023 Sep 26.

DOI:10.1016/j.beth.2023.09.004
PMID:38670673
Abstract

This pilot feasibility study examined the effects of a new trauma-informed parenting program, Family Life Skills Triple P (FLSTP), in an open uncontrolled trial conducted in a regular service delivery context via video conferencing. FLSTP was trialed as a group-delivered 10-session intervention. Program modules target positive parenting skills (4 sessions) and adult life skills including coping with emotions, taking care of relationships, self-care, dealing with the past, healthy living, and planning for the future. Participants were 50 parents with multiple vulnerabilities, due to social disadvantage or adverse childhood experiences, who had children aged 3-9 with early onset behavior problems. Outcomes were assessed across four data collection points: baseline, mid-intervention (after Session 4), post-intervention, and 3-month follow up. Findings show moderate to large intra-group effect sizes for changes in child behavior problems, parenting practices and risk of child maltreatment, and medium effect sizes for parental distress, emotion regulation and self-compassion. Parents and practitioners reported high levels of consumer satisfaction with the program. Parents with lower levels of parental self-efficacy, lower personal agency and higher baseline scores on a measure of child abuse potential were at greater risk of not completing the program. The strength of these preliminary findings indicates that a more rigorous evaluation using a randomized clinical trial is warranted.

摘要

本试点可行性研究采用开放非对照试验,通过视频会议在常规服务提供环境中检验了一种新的创伤知情育儿计划(家庭生活技能三重 P,FLSTP)的效果。FLSTP 作为一种小组提供的 10 节干预措施进行了试用。计划模块针对积极的育儿技巧(4 节)和成人生活技能,包括应对情绪、照顾人际关系、自我照顾、处理过去、健康生活和规划未来。参与者是 50 名父母,他们因社会劣势或不良童年经历而面临多种脆弱性,他们的孩子年龄在 3-9 岁,有早期行为问题。结果在四个数据收集点进行评估:基线、中期干预(第 4 节之后)、干预后和 3 个月随访。研究结果显示,儿童行为问题、育儿实践和儿童虐待风险的变化在组内具有中等至较大的效果量,父母压力、情绪调节和自我同情的效果量为中等。父母和从业者报告对该计划的满意度较高。父母的父母自我效能感较低、个人能动性较低以及儿童虐待可能性测量的基线得分较高,他们完成该计划的风险更大。这些初步发现的强度表明,使用随机临床试验进行更严格的评估是合理的。

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