Parent training with high-risk immigrant chinese families: a pilot group randomized trial yielding practice-based evidence.
Parent training with high-risk immigrant chinese families: a pilot group randomized trial yielding practice-based evidence.
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DOI：
10.1016/j.beth.2010.11.001
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发表时间：
2011-09
期刊：
影响因子：
3.7
通讯作者：
Gudiño OG
中科院分区：
文献类型：
--
作者：
Lau AS;Fung JJ;Ho LY;Liu LL;Gudiño OG
我们研究了文化响应型父母培训（PT）项目的有效性和实施结果。54名华裔美国父母参加了一项为期14周的随机对照试验（32名立即治疗，22名延迟治疗），旨在解决高危移民家庭的需求。如果父母是从学校、社区诊所或儿童保护服务机构转介的讲中文的移民，并且担心养育子女或儿童行为问题，他们就有资格接受干预。留存率和参与度很高，83%的家庭参加了10次或更多的课程。结果表明，该疗法在减少消极管教、增加积极教养、减少儿童外化和内化问题方面效果显著。治疗效果在基线行为问题水平较高和养育压力水平较低的家庭中更大。进一步增加PT来解决移民父母的压力是有必要的。来自小组领导的定性印象表明，对于不熟悉PT中引入的技能的移民父母来说，放慢节奏和增加技能排练可能会提高效果。
We studied the efficacy and implementation outcomes of a culturally responsive parent training (PT) program. Fifty-four Chinese American parents participated in a wait-list controlled group randomized trial (32 immediate treatment, 22 delayed treatment) of a 14-week intervention designed to address the needs of high-risk immigrant families. Parents were eligible for intervention if they were Chinese-speaking immigrants referred from schools, community clinics, or child protective services with concerns about parenting or child behavior problems. Retention and engagement were high with 83% of families attending 10 or more sessions. Results revealed that the treatment was efficacious in reducing negative discipline, increasing positive parenting, and decreasing child externalizing and internalizing problems. Treatment effects were larger among families with higher levels of baseline behavior problems and lower levels of parenting stress. Further augmentation of PT to address immigrant parent stress may be warranted. Qualitative impressions from group leaders suggested that slower pacing and increased rehearsal of skills may improve efficacy for immigrant parents unfamiliar with skills introduced in PT.
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