英国一项针对有智力障碍的学龄前儿童挑战性行为的养育干预的过程评估。
Process evaluation of a parenting intervention for pre-schoolers with intellectual disabilities who display behaviours that challenge in the UK.
机构信息
Division of Psychiatry, University College London, London, UK.
Centre for Outcomes and Experience Research in Children's Health, Illness and Disability, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
出版信息
J Appl Res Intellect Disabil. 2024 Sep;37(5):e13263. doi: 10.1111/jar.13263.
BACKGROUND
Stepping Stones Triple P (SSTP) is a complex parent-mediated intervention aimed to reduce behaviours that challenge in children with moderate to severe intellectual disabilities, aged 30-59 months.
METHODS
To formulate a comprehensive understanding of SSTP implementation in the UK, we conducted a process evaluation collecting stakeholder views and considering intervention fidelity, dose, reach, delivery adaptations, and acceptability.
RESULTS
Fidelity and quality of delivery ratings were high. Parents perceived SSTP as valuable, reporting increased parental confidence and understanding of the child's behaviours. However, only 30% of families received an adequate dose of the intervention. Parents who only received treatment as usual described feeling abandoned by current services. Service managers emphasised the importance of availability of resources and therapist training for successful intervention delivery.
CONCLUSIONS
SSTP supports effective management of early-onset behaviours that challenge. Further work is needed to ensure equitable access to the intervention across health and social care services.
TRIAL REGISTRATION
NCT03086876 - https://www.
CLINICALTRIALS
gov/ct2/show/NCT03086876?term=Hassiotis+Angela&draw=1&rank=1.
背景
踏脚石三重计划（SSTP）是一种复杂的家长介导干预措施，旨在减少 30-59 个月大的中度至重度智力残疾儿童的挑战行为。
方法
为了全面了解 SSTP 在英国的实施情况，我们进行了一项过程评估，收集利益相关者的意见，并考虑了干预的忠实度、剂量、范围、传递适应性和可接受性。
结果
忠实度和传递质量评分很高。家长认为 SSTP 很有价值，报告说他们的自信心和对孩子行为的理解有所提高。然而，只有 30%的家庭接受了足够剂量的干预。只接受常规治疗的家长表示感到被当前的服务抛弃了。服务经理强调了资源的可用性和治疗师培训对于成功实施干预的重要性。
结论
SSTP 支持对早期出现的挑战行为进行有效管理。需要进一步努力，确保在卫生和社会保健服务中公平获得干预措施。
试验注册
NCT03086876-https://www.。
临床试验
gov/ct2/show/NCT03086876?term=Hassiotis+Angela&draw=1&rank=1.
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