Havighurst Sophie S, Mangelsdorf Shaminka N, Boswell Nikki, Little Jonathon, Zhang Abby, Gleeson Kate, Hussain Aniqa, Harley Ann, Radovini Alessandra, Kehoe Christiane E
Mindful: Centre for Training and Research in Developmental Health, Department of Psychiatry, The University of Melbourne, Melbourne, VIC, Australia.
Front Psychol. 2024 Aug 29;15:1393708. doi: 10.3389/fpsyg.2024.1393708. eCollection 2024.
Evidence-based parenting programs delivered using online technology are an important way to enhance program uptake. To date, programs that address emotion socialization processes, such as , have always been delivered in person, via group or one-to-one delivery. This study used a randomized control design to examine the efficacy of the self-paced .
Participants were 150 parents of children aged 4-10 years old with challenging behaviors, randomized into intervention or 10-month waitlist control. Parents and teachers completed questionnaires at baseline and 6 months after the intervention (equivalent time points for controls) measuring parent wellbeing, parent emotion socialization, parent efficacy, child behavior, and anxiety.
Analyses, using mixed methods multilevel modeling, showed that intervention parents reported significantly reduced emotion dismissiveness and increased emotion coaching, empathy and efficacy compared to controls who did not. Parents participating in TIKOL also reported that their children's behavior problems and anxiety were significantly improved. Greater engagement (modules watched and duration of support calls) was associated with more significant improvements.
Findings provide preliminary support for the efficacy of TIKOL in improving parents' emotion socialization and reducing child behavior problems and anxiety, especially when efforts to support online engagement are utilized. Further evaluation using independent observations and a sample representing a wider demographic would strengthen these findings.
Australian and New Zealand Clinical Trials Registry No. ACTRN12618000310268.
利用在线技术提供的循证育儿项目是提高项目接受度的重要方式。迄今为止，涉及情绪社会化过程的项目，如 ，一直都是通过面对面的小组或一对一形式开展。本研究采用随机对照设计来检验自定进度的 的效果。
参与者为150名有挑战性行为的4至10岁儿童的家长，随机分为干预组或10个月的等待名单对照组。家长和教师在基线时以及干预后6个月（对照组的等效时间点）完成问卷调查，测量家长幸福感、家长情绪社会化、家长效能感、儿童行为和焦虑情况。
采用混合方法多层次建模进行的分析表明，与未参与干预的对照组相比，参与干预的家长报告称情绪忽视显著减少，情绪辅导、同理心和效能感有所增加。参与TIKOL的家长还报告称，他们孩子的行为问题和焦虑情况有显著改善。更高的参与度（观看的模块数量和支持电话时长）与更显著的改善相关。
研究结果为TIKOL在改善家长情绪社会化以及减少儿童行为问题和焦虑方面的效果提供了初步支持，尤其是在利用支持在线参与的措施时。使用独立观察和更广泛人口统计学样本进行的进一步评估将强化这些发现。
澳大利亚和新西兰临床试验注册中心编号ACTRN12618000310268。
