Pornprasitsakul Phenphitcha, Jirakran Ketsupar, Trairatvorakul Pon, Chonchaiya Weerasak
Division of Growth and Development, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand.
Center of Excellence for Maximizing Children's Developmental Potential, Division of Growth and Development, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, and King Chulalongkorn Memorial Hospital, the Thai Red Cross Society, Bangkok, 10330, Thailand.
Pediatr Res. 2025 Jan 15. doi: 10.1038/s41390-025-03843-2.
Apart from child behavioral problems which were ameliorated by increasing parenting skills, parental well-being is one of the important components for development of parenting sense of competence (PSOC), which subsequently affects parenting style and child outcomes. This randomized controlled trial study aims to determine whether a brief asynchronous parent-focused online video intervention (POVI) that was easily accessible would be effective in increasing PSOC and parental well-being.
One hundred and twenty parents, with a poor Thai Mental Health Indicators-15 score or mild-moderate depression/anxiety, of children aged 3-10 years, were randomized into two parallel groups, intervention and control groups (1:1). The intervention group received six online, weekly, parent-focused sessions. Parent and child outcomes were measured at baseline, 6, and 10 weeks. The Generalized Estimating Equations model was used for the analysis.
At 10 weeks, the intervention group reported a higher PSOC (p = 0.005), particularly on the parenting satisfaction subscale, and mental health indicator. Both groups experienced reduced depression and anxiety from baseline, and child behaviors remained unchanged.
POVI improved PSOC and parental well-being among parents with mild to moderate mental health problems. POVI may be used as a primary tool to promote parental well-being in general pediatric practice.
This study demonstrates the efficacy of a parent-focused online video intervention (POVI) in enhancing parenting sense of competence and parental well-being. It addresses the gap in interventions that focus primarily on parental well-being, particularly for those who face mild to moderate mental health challenges. The findings contribute valuable insights for healthcare professionals, highlighting the potential of POVI, an easy-to-access and less time-consuming intervention, as a primary tool to promote parental well-being in general pediatric practice settings.
除了通过提高育儿技能可改善儿童行为问题外，父母幸福感是育儿胜任感（PSOC）发展的重要组成部分之一，而育儿胜任感随后会影响育儿方式和儿童成长结果。这项随机对照试验研究旨在确定一种易于获取的简短异步家长在线视频干预（POVI）是否能有效提高育儿胜任感和父母幸福感。
120名3至10岁儿童的父母，其泰国心理健康指标-15得分较低或患有轻度至中度抑郁/焦虑，被随机分为两个平行组，即干预组和对照组（1:1）。干预组每周接受六次在线的、以家长为中心的课程。在基线、第6周和第10周测量父母和孩子的成长结果。采用广义估计方程模型进行分析。
在第10周时，干预组报告的育儿胜任感更高（p = 0.005），特别是在育儿满意度子量表和心理健康指标方面。两组的抑郁和焦虑程度均较基线有所降低，且儿童行为保持不变。
POVI改善了轻度至中度心理健康问题父母的育儿胜任感和父母幸福感。POVI可作为一般儿科实践中促进父母幸福感的主要工具。
本研究证明了以家长为中心的在线视频干预（POVI）在增强育儿胜任感和父母幸福感方面的有效性。它填补了主要关注父母幸福感的干预措施的空白，特别是针对那些面临轻度至中度心理健康挑战的人群。这些发现为医疗保健专业人员提供了有价值的见解，突出了POVI这种易于获取且耗时较少的干预措施作为一般儿科实践环境中促进父母幸福感的主要工具的潜力。
