Internet-based parent management training: A randomized controlled study
Internet-based parent management training: A randomized controlled study
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DOI：
10.1016/j.brat.2012.01.006
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发表时间：
2012-04-01
影响因子：
4.1
通讯作者：
Ghaderi, Ata
中科院分区：
文献类型：
--
作者：
Enebrink, Pia;Hogstrom, Jens;Ghaderi, Ata
目的：当前的研究评估了基于互联网的家长培训计划对有品行问题的儿童的有效性。还考虑了该计划的剂量反应比和成本。方法：104 名儿童（3-12 岁）的家长被随机分配到家长培训组或候补控制组。在基线时进行诊断评估，并在治疗前后和 6 个月的随访时完成家长对儿童外化行为和家长策略的评级。结果：在治疗后评估中，与候补名单中的儿童相比，接受过干预的父母的儿童表现出更大的行为问题减少。组间艾伯格强度和问题量表的意向治疗效应大小（Cohen's d）分别为 0.42 和 0.72（研究完成者为 0.66 和 1.08）。此外，干预组的家长报告说，治疗后较少使用严厉和不一致的管教，并且有更多的积极表扬。对行为问题的影响在 6 个月的随访中得以维持。结论：结果支持通过互联网进行的家长培训的有效性，其结果与许多基于小组的家长培训计划相当。这种干预措施的有效性、低成本和较高的可及性使其成为分级护理模式的合适组成部分。 (C) 2012 Elsevier Ltd. 保留所有权利。
Objective: The current study evaluated the efficacy of an Internet-based parent-training program for children with conduct problems. Dose-response ratio and costs for the program were also considered.Method: Parents of 104 children (aged 3-12 years) were randomly allocated to either parent training or a waitlist control condition. Diagnostic assessment was conducted at baseline and parent ratings of child externalizing behaviors and parent strategies were completed before and after treatment and at 6-month follow-up.Results: At post-treatment assessment, children whose parent(s) had received the intervention showed a greater reduction in conduct problems compared to the waitlist children. Between group intent-to-treat effect sizes (Cohen's d) on the Eyberg Intensity and Problem scales were .42 and .72, respectively (study completers .66 and 1.08). In addition, parents in the intervention group reported less use of harsh and inconsistent discipline after the treatment, as well as more positive praise. Effects on behavior problems were maintained at 6-month follow-up.Conclusions: The results support the efficacy of parent training, administered through Internet, with outcomes comparable to many of the group-based parent training programs. The efficacy, low cost, and higher accessibility make this intervention a fitting part in a stepped-care model. (C) 2012 Elsevier Ltd. All rights reserved.