Enhancing Foster Parent Training with Parent-Child Interaction Therapy: Evidence from a Randomized Field Experiment.
Enhancing Foster Parent Training with Parent-Child Interaction Therapy: Evidence from a Randomized Field Experiment.
复制标题
通过亲子互动疗法加强寄养父母培训：来自随机现场实验的证据。
DOI：
10.1086/684123
复制
发表时间：
2015
影响因子：
1.8
通讯作者：
McNeil,CherylB
中科院分区：
文献类型：
--
作者：
Mersky,JoshuaP;Topitzes,James;Janczewski,ColleenE;McNeil,CherylB
目的研究表明，寄养父母往往没有得到足够的培训和支持，以帮助他们满足照顾有情绪和行为障碍的寄养儿童的需求。亲子互动治疗（PCIT）是一种临床有效的干预儿童外化问题的方法，也被证明可以减轻父母的压力，提高父母的态度和行为。然而，寄养家庭很少使用PCIT，并且很少在可推广到社区儿童福利服务环境的干预条件下进行测试。为了解决这一差距，PCIT在现场实验中采用了两种新颖的方法——基于群体的培训和电话咨询——这两种方法都有可能融入日常护理。方法本研究分析了129名被随机分配到3个条件中的1个：(a)等待名单控制，(b)短暂PCIT， (c)延长PCIT。自我报告和观察数据在基线后14周的多个时间点收集。结果混合模型、重复测量分析的结果表明，短暂和延长的PCIT干预与自我报告的育儿压力显著降低有关。混合效应广义线性模型的结果表明，干预措施也导致了积极和消极育儿观察指标的显著改善。短期的PCIT治疗与延长的PCIT治疗同样有效。结论通过对养父母进行体验式、互动式的PCIT培训，可以改善养父母的日常培训和支持服务。
ObjectiveResearch indicates that foster parents often do not receive sufficient training and support to help them meet the demands of caring for foster children with emotional and behavioral disturbances. Parent-Child Interaction Therapy (PCIT) is a clinically efficacious intervention for child externalizing problems, and it also has been shown to mitigate parenting stress and enhance parenting attitudes and behaviors. However, PCIT is seldom available to foster families, and it rarely has been tested under intervention conditions that are generalizable to community-based child welfare service contexts. To address this gap, PCIT was adapted and implemented in a field experiment using 2 novel approaches—group-based training and telephone consultation—both of which have the potential to be integrated into usual care.MethodThis study analyzes 129 foster-parent-child dyads who were randomly assigned to 1 of 3 conditions: (a) waitlist control, (b) brief PCIT, and (c) extended PCIT. Self-report and observational data were gathered at multiple time points up to 14 weeks post baseline.ResultsFindings from mixed-model, repeated measures analyses indicated that the brief and extended PCIT interventions were associated with a significant decrease in self-reported parenting stress. Results from mixed-effects generalized linear models showed that the interventions also led to significant improvements in observed indicators of positive and negative parenting. The brief course of PCIT was as efficacious as the extended PCIT intervention.ConclusionsThe findings suggest that usual training and support services can be improved upon by introducing foster parents to experiential, interactive PCIT training.