Dissemination of an evidence-based intervention to parents of children with behavioral problems in a developing country
Dissemination of an evidence-based intervention to parents of children with behavioral problems in a developing country
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DOI：
10.1007/s00787-010-0099-3
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发表时间：
2010-08-01
影响因子：
6.4
通讯作者：
Karam, Elie G.
中科院分区：
文献类型：
--
作者：
Fayyad, John A.;Farah, Lynn;Karam, Elie G.
该项目介绍了通过培训很少或没有心理健康背景的社会和保健工作者，传播循证育儿技能干预措施，以便他们自己培训发展中国家贫困社区中有行为问题儿童的母亲。优点和困难问卷由母亲完成，以筛选有行为问题的儿童，并在干预结束时重复。对母亲进行了知识和育儿态度的前后测试。精神卫生工作者在社会发展中心和诊所培训社会和卫生工作者。每名社会和保健工作者都利用世界精神病学协会儿童心理健康总统方案综合服务工作队编写的外化障碍治疗手册“帮助有挑战的儿童”的阿拉伯文译本，对有行为问题的儿童的母亲进行培训。共有20名工人和87名母亲参加了培训。SDQ总困难得分在异常范围内的比例由训练后的54.4%下降到19.7%。干预前有40.2%的母亲对孩子进行过严重体罚，干预后这一比例降至6.1%。四分之三的母亲表示，该项目帮助她们培养了新的育儿技能。这一试点项目表明，传播以手册为基础的干预措施和培训缺乏精神卫生背景的工作人员向贫困社区的家庭提供有效服务是可行的，否则这些家庭将得不到这些服务。鉴于其潜在的可持续性和成本效益，在其他发展中国家的成功复制将为将此类项目纳入国家政策铺平道路。
This project describes the dissemination of an evidence-based parenting skills intervention by training social and health workers with little or no mental health background so that they themselves train mothers of children with behavioral problems in impoverished communities in a developing country. The Strengths and Difficulties Questionnaire was completed by mothers to screen for children with behavioral problems and was repeated at the end of the intervention. Pre- and post-tests of knowledge and parenting attitudes were administered to mothers. Mental health workers trained social and health workers in social development centers and dispensaries. Each social and health worker trained mothers of children with behavioral problems under supervision utilizing an Arabic adaptation of the treatment manual for externalizing disorders "Helping Challenging Children" developed by the Integrated Services Taskforce of the World Psychiatric Association Child Mental Health Presidential Programme. A total of 20 workers and 87 mothers participated in the training. The proportion of children who obtained an SDQ total difficulties score in the abnormal range decreased from 54.4 to 19.7% after the training. Whereas 40.2% of mothers used severe corporal punishment with their children before the intervention, this decreased to 6.1% post-intervention. Three-fourths of mothers related that the program helped them develop new parenting skills. This pilot project demonstrated the feasibility of dissemination of a manual-based intervention and training of workers who have little background in mental health to offer effective services to families in impoverished communities who otherwise would have not received them. Successful replication in other developing countries would pave the way to incorporating such programs in national policies given their potential sustainability and cost-effectiveness.