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基于权益的循证育儿干预研究评估。

An Equity-Focused Assessment of Evidence-Based Parenting Intervention Research.

机构信息

The Kempe Center for the Prevention and Treatment of Child Abuse and Neglect, Department of Pediatrics, School of Medicine, University of Colorado Anschutz, Aurora, USA.

Department of Psychology, Clayton State University, Morrow, USA.

出版信息

Clin Child Fam Psychol Rev. 2024 Jun;27(2):279-299. doi: 10.1007/s10567-024-00479-2. Epub 2024 May 16.

DOI:10.1007/s10567-024-00479-2
PMID:38753099
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11222220/
Abstract

Evidence-based parenting interventions (EBPI) support children and families to promote resilience, address emotional and behavioral concerns, and prevent or address issues related to child maltreatment. Critiques of EBPIs include concerns about their relevance and effectiveness for diverse populations when they are implemented at population scale. Research methods that center racial equity and include community-based participatory approaches have the potential to address some of these concerns. The purpose of the present review was to document the extent to which methods associated with promoting racial equity in research have been used in studies that contribute to the evidence base for programs that meet evidentiary standards for a clearinghouse that was developed to support the Family First Prevention Services Act in the United States. We developed a coding system largely based on the Culturally Responsive Evaluation model. A sample of 47 papers that are part of the evidence base for ten in-home parent skill-based programs were reviewed and coded. Only three of 28 possible codes were observed to occur in over half of the studies (including race/ethnicity demographic characteristics, conducting measure reliability for the study sample, and including information on socioeconomic status). Although the overall presence of equity-informed methods was low, a positive trend was observed over time. This review highlights ways in which rigorous research can incorporate racial equity into the planning, design, execution, and interpretation and dissemination of programs of study. We posit that doing so improves the external validity of studies while maintaining high-quality research that can contribute to an evidence base.

摘要

循证育儿干预措施(EBPI)支持儿童和家庭,以促进韧性,解决情绪和行为问题,并预防或解决与儿童虐待有关的问题。对 EBPIs 的批评包括担心在大规模实施时,它们对不同人群的相关性和有效性。以种族公平为中心并包括社区参与方法的研究方法有可能解决其中的一些问题。本研究的目的是记录在多大程度上,与促进研究中的种族公平相关的方法已被用于为符合为支持美国《家庭第一预防服务法案》而开发的信息交换所制定的证据标准的计划提供证据基础的研究中。我们开发了一个编码系统,该系统主要基于文化响应评估模型。对构成十种家庭内亲职技能计划证据基础的 47 篇论文进行了抽样审查和编码。只有 28 个可能的代码中的三个在超过一半的研究中观察到(包括种族/民族人口特征、对研究样本进行测量可靠性以及包括关于社会经济地位的信息)。尽管公平知情方法的总体存在率较低,但随着时间的推移,出现了积极的趋势。本综述强调了严格研究如何将种族公平纳入研究计划、设计、执行以及对研究计划的解释和传播的方式。我们假设这样做可以提高研究的外部有效性,同时保持高质量的研究,为证据基础做出贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/118a/11222220/504ca7cf8385/10567_2024_479_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/118a/11222220/7adcd86e3820/10567_2024_479_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/118a/11222220/504ca7cf8385/10567_2024_479_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/118a/11222220/7adcd86e3820/10567_2024_479_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/118a/11222220/504ca7cf8385/10567_2024_479_Fig2_HTML.jpg

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本文引用的文献

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Racial and Ethnic Representation in Preventive Intervention Research: a Methodological Study.种族和民族代表性在预防干预研究中的应用:一项方法学研究。
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文化响应式评估:评估文献的范围综述。
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Provisional Mortality Data - United States, 2022.临时死亡率数据 - 美国,2022 年。
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Prevention Science and Health Equity: A Comprehensive Framework for Preventing Health Inequities and Disparities Associated with Race, Ethnicity, and Social Class.预防科学与健康公平:预防与种族、民族和社会阶层相关的健康不平等和差异的综合框架。
Prev Sci. 2023 May;24(4):602-612. doi: 10.1007/s11121-022-01482-1. Epub 2023 Feb 9.
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Mental Health Surveillance Among Children - United States, 2013-2019.儿童心理健康监测 - 美国,2013-2019 年。
MMWR Suppl. 2022 Feb 25;71(2):1-42. doi: 10.15585/mmwr.su7102a1.
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