Cascading effects following intervention.
Cascading effects following intervention.
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DOI：
10.1017/s0954579410000568
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发表时间：
2010-11
影响因子：
3.3
通讯作者：
Degarmo DS
中科院分区：
文献类型：
--
作者：
Patterson GR;Forgatch MS;Degarmo DS
使用家长管理培训俄勒冈模型 (PMTO™) 预防性干预的随机对照试验 (RCT) 的 9 年过程和结果数据，检查了四种不同的级联效应来源。儿童反社会行为的社交互动学习（SIL）模型是预测变化的基础之一。第二个来源解决了临床诊断之间的共病关系问题。第三个来源是附带变化，描述了一个家庭成员的变化与另一家庭成员的变化相关的事件。第四个组成部分基于减少强制和增加家庭内部积极的人际交往过程的长期影响。为期 9 年的跟踪调查的新发现表明，通过生活水平（即收入、职业、教育和经济压力）和警察逮捕的频率来衡量，母亲们获得了好处。据认为，PMTO 降低了强制程度，这为积极的社会互动的大幅增加奠定了基础。实际上，PMTO 改变了家庭环境，从而为健康的新社会环境打开了大门。
Four different sources for cascade effects were examined using 9-year process and outcome data from a randomized controlled trial (RCT) of a preventive intervention using Parent Management Training – Oregon Model (PMTO™). The social interaction learning (SIL) model of child antisocial behavior serves as one basis for predicting change. A second source addresses the issue of comorbid relationships among clinical diagnoses. The third source, collateral changes, describes events in which changes in one family member correlate with changes in another. The fourth component is based on the long-term effects of reducing coercion and increasing positive interpersonal processes within the family. New findings from the 9-year follow-up show that mothers experienced benefits as measured by standard of living (i.e., income, occupation, education, and financial stress) and frequency of police arrests. It is assumed that PMTO reduces the level of coercion, which sets the stage for a massive increase in positive social interaction. In effect, PMTO alters the family environment and thereby opens doors to healthy new social environments.