Four-Year Follow-Up of a Randomized Controlled Trial of Triple P Group for Parent and Child Outcomes
Four-Year Follow-Up of a Randomized Controlled Trial of Triple P Group for Parent and Child Outcomes
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Triple P 组父母和儿童结果随机对照试验的四年随访
DOI：
10.1007/s11121-012-0358-2
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发表时间：
2013
影响因子：
3.5
通讯作者：
Hahlweg
中科院分区：
文献类型：
--
作者：
Heinrichs;Hahlweg
大约15- 20%的儿童经历过行为和/或情感困难。循证治疗可能不足以降低儿童和青少年这些困难的发生率。因此，还需要有效的预防方案，使家庭能够在整个生命周期的多个阶段获得支助。本研究的目的是评估以团体为基础的三P（积极育儿计划）作为普遍管理的预防计划的4年疗效。17所幼儿园被随机分配到三重P（n= 11所幼儿园，186个家庭）或无父母干预对照组（n= 6所幼儿园，94个家庭）。采用母亲和父亲自我报告措施，采用分层线性模型分析长期疗效。干预学前组的母亲和父亲报告功能失调的养育行为显着减少（分别为D= 0.24和0.19）。母亲也报告了一个不太陡峭的下降，从干预前到干预后的积极养育行为，这是保持4年后（d= 0.38）。干预幼儿园的父亲在随访期间（d= 0.33），报告了延迟不太急剧下降的积极养育。此外，干预幼儿园的母亲报告说，在计划期间，儿童行为问题立即得到改善，而对照幼儿园的母亲没有报告这种立即的变化。然而，随着干预幼儿园的母亲在基线时报告更多的儿童行为问题，这种影响在第四年消失（d= 0.19）。研究结果支持三重P组计划作为改变养育行为的普遍预防干预措施的长期有效性，而很少有证据表明行为问题的改变。
Approximately 15–20 % of children experience behavioral and/or emotional difficulties. Evidence-based treatment will likely not be sufficient to reduce the prevalence of these difficulties in children and adolescents. Effective prevention programs are therefore also needed to enable families access to support at multiple points across the lifecourse. The aim of the current investigation was to evaluate the 4-year efficacy of the group-based Triple P (Positive Parenting Program) as a prevention program administered universally. Seventeen preschools were randomly assigned to Triple P (n= 11 preschools, 186 families) or a no parenting intervention control group (n= 6 preschools, 94 families). Long-term efficacy was analyzed with hierarchical linear models using maternal and paternal self-report measures. Mothers and fathers from the intervention preschool group reported significant reductions in dysfunctional parenting behavior (d= 0.24 and 0.19, respectively). Mothers also reported a less steep decline from pre- to post-intervention in positive parenting behavior, which was maintained 4 years later (d= 0.38). Fathers from intervention preschools reported a delayed less steep decline in positive parenting during the follow-up (d= 0.33). In addition, mothers from intervention preschools reported immediate improvement in child behavior problems during the program while mothers from control preschools did not report this immediate change. However, with mothers from intervention preschools reporting more child behavior problems at baseline, the effect disappeared by the fourth year (d= 0.19). The results support the long-term efficacy of the Triple P-group program as a universal prevention intervention for changing parenting behavior while there was little evidence for maintenance of change in behavior problems.
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影响因子：
3.6
作者：
Thomas, Rae;Zimmer-Gembeck, Melanie J.
通讯作者：
Zimmer-Gembeck, Melanie J.
影响因子：
5.2
作者：
Bayer, J. K.;Hiscock, H.;Wake, M.
通讯作者：
Wake, M.
DOI：
10.1026/1616-3443.35.2.82
发表时间：
2006-01-01
影响因子：
1.1
作者：
Heineichs, N;Hahlweg, K;Harstick, S
通讯作者：
Harstick, S
影响因子：
4.1
作者：
Bodenmann, Guy;Cina, Annette;Sanders, Matthew R.
通讯作者：
Sanders, Matthew R.
影响因子：
3.5
作者：
Prinz, Ronald J.;Sanders, Matthew R.;Shapiro, Cheri J.;Whitaker, Daniel J.;Lutzker, John R.
通讯作者：
Lutzker, John R.