Akutsu Kazuko, Goto Aya, Abo-Rass Fareeda, Yokoyama Hiroyuki
Department of Community and Public Health Nursing, Fukushima Medical University School of Nursing, Fukushima, Japan.
Fukushima Medical Support Center for Children and Women, Fukushima Medical University, Fukushima, Japan.
J Prim Care Community Health. 2025 Jan-Dec;16:21501319251317340. doi: 10.1177/21501319251317340.
Parent training (PT) programs are recognized as effective interventions that enhance parenting techniques and improve the parent-child relationship. In Japan, these programs are increasingly implemented to help parents manage behavioral issues in children. This study evaluated the effectiveness of PT pamphlets designed and distributed in Shioya Town, Japan, by comparing outcomes between the intervention and control groups and within subgroups of parents, categorized based on their children's need for follow-up health checkups.
The study included an intervention group that received PT pamphlets during their 1.5-year health checkups and a control group that did not. Data were collected through self-administered questionnaires at the 3.5-year health checkups, assessing adherence to 3 recommended parenting techniques. The analysis focused on comparing intervention and control groups, evaluating adherence to 2 recommended parenting techniques versus one or none. The study also analyzed adherence to each recommended parenting technique within subgroups of parents whose children needed follow-up health checkups and those whose children did not.
The study included 114 participants, with 55 in the intervention group and 59 in the control group. Analysis revealed that 29.1% of the intervention group adhered to 2 recommended parenting techniques, compared with 24.6% in the control group. However, no significant differences were observed between the intervention and control groups in adherence to 2 recommended techniques versus one or none, or to any single technique among the 3. Subgroup analyses revealed significant differences in adherence among parents whose children were identified to have developmental concerns at the 1.5-year health checkup and were required to have follow-up checkups, specifically in the "avoid immediate reactions" approach between intervention and control groups.
The PT pamphlets effectively increased adherence to recommended parenting techniques in the intervention group among children requiring follow-ups. This underscores the importance of culturally adapted PT programs and demonstrates the potential of simple educational interventions in improving parenting styles.
家长培训（PT）项目被认为是有效的干预措施，可增强育儿技巧并改善亲子关系。在日本，这些项目越来越多地被用于帮助家长管理孩子的行为问题。本研究通过比较干预组和对照组之间以及根据孩子是否需要后续健康检查分类的家长亚组之间的结果，评估了在日本盐谷镇设计和分发的家长培训手册的效果。
该研究包括一个在1.5年健康检查期间收到家长培训手册的干预组和一个未收到的对照组。在3.5年健康检查时通过自填问卷收集数据，评估对3种推荐育儿技巧的依从性。分析重点是比较干预组和对照组，评估对2种推荐育儿技巧与一种或不采用的依从情况。该研究还分析了孩子需要后续健康检查的家长亚组和孩子不需要后续健康检查的家长亚组中对每种推荐育儿技巧的依从情况。
该研究包括114名参与者，干预组55人，对照组59人。分析显示，干预组中29.1%的人坚持2种推荐育儿技巧，而对照组为24.6%。然而，在对2种推荐技巧与一种或不采用的依从性方面，干预组和对照组之间没有观察到显著差异，对3种技巧中的任何一种单一技巧也没有显著差异。亚组分析显示，在1.5年健康检查时被确定有发育问题并需要后续检查的孩子的家长中，干预组和对照组在依从性方面存在显著差异，特别是在“避免立即反应”方法上。
家长培训手册有效地提高了干预组中需要后续检查的孩子的家长对推荐育儿技巧的依从性。这突出了文化适应的家长培训项目的重要性，并证明了简单教育干预在改善育儿方式方面的潜力。
