Faculty of Health and Life Sciences, University of Exeter.
Research Institute of Child Development and Education, University of Amsterdam.
J Consult Clin Psychol. 2024 Oct;92(10):692-697. doi: 10.1037/ccp0000893. Epub 2024 May 23.
We tested if baseline disruptive child behavior problem severity predicts parental attendance at sessions of a parenting group program.
We used a database of randomized trials of the Incredible Years parenting program in Europe and restricted the sample to participants randomized to the intervention arm. Using baseline Eyberg Child Behavior Inventory scores, we distinguished between trial-level problem severity and child-level problem severity, compared linear and quadratic functional forms at both levels, and considered cross-level interactions, all in a multilevel Poisson regression framework.
Drawing on 918 participants in 12 trials, we found that within trials, parents of children with the least and most severe problems attended fewer sessions. Between trials, each additional 10-point increase in the Eyberg Child Behavior Inventory trial mean predicted an 11% increase in attendance. Models including child sex, age, or family low-income did not change coefficients or their interpretation.
Our findings suggest that although generally attendance is higher in parents of children with more challenging behavior, it seems difficult for group programs to keep families with the least or most severe problems engaged. Our findings call for the need to better understand the conditions under which lower attendance translates into equivalent or lesser program benefits. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
我们检验了基线破坏性行为问题严重程度是否能预测父母参加育儿小组项目的次数。
我们使用了欧洲《不可思议的年代》育儿计划的随机试验数据库，并将样本限制在随机分配到干预组的参与者中。我们使用基线 Eyberg 儿童行为量表的得分，在试验水平和儿童水平上区分了问题严重程度，比较了线性和二次函数形式，并在多层次泊松回归框架中考虑了跨水平交互作用。
在 12 项试验的 918 名参与者中，我们发现，在试验内，儿童问题最轻微和最严重的父母参加的课程较少。在试验间，Eyberg 儿童行为量表试验均值每增加 10 分，出席率就会增加 11%。纳入儿童性别、年龄或家庭低收入等因素的模型并没有改变系数或其解释。
我们的发现表明，尽管一般来说，行为问题更严重的孩子的父母参加率更高，但对于小组项目来说，让问题最轻微或最严重的家庭参与似乎很困难。我们的研究结果表明，需要更好地理解低参与率如何转化为同等或更少的项目效益。（美国心理协会，2024）
