Promoting First Relationships: Randomized Trial of a Relationship-Based Intervention for Toddlers in Child Welfare
Promoting First Relationships: Randomized Trial of a Relationship-Based Intervention for Toddlers in Child Welfare
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DOI：
10.1177/1077559512458176
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发表时间：
2012-11-01
影响因子：
5.1
通讯作者：
Fleming, Charles B.
中科院分区：
文献类型：
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作者：
Spieker, Susan J.;Oxford, Monica L.;Fleming, Charles B.
我们进行了一项以社区为基础的随机对照试验，并对促进第一关系（PFR）进行了意向治疗分析，以改善国家依赖幼儿的养育和幼儿结局。将最近放置中断的幼儿（10-24个月; N = 210）随机分配至10周PFR或比较条件。对社区机构提供者进行培训，使其在护理人员的干预中使用PFR。从基线到干预后，PFR条件下护理人员敏感性的观察评级比对照条件下改善更多，干预后校正均值差异的效应量为d = 0.41。照顾者对幼儿社会情感需求的理解和照顾者对儿童能力的报告也因干预后的干预条件而不同（d = .36和d = .42），在PFR条件下，照顾者对幼儿和儿童能力的了解更多。PFR对个体内变化的影响模型对幼儿的照顾者敏感性和理解有重要意义。在6个月的随访中，只有61%的原始样本仍然完好无损，在照顾者或儿童结局方面没有显著差异。
We conducted a community-based, randomized control trial with intent-to-treat analyses of Promoting First Relationships (PFR) to improve parenting and toddler outcomes for toddlers in state dependency. Toddlers (10-24 months; N = 210) with a recent placement disruption were randomized to 10-week PFR or a comparison condition. Community agency providers were trained to use PFR in the intervention for caregivers. From baseline to postintervention, observational ratings of caregiver sensitivity improved more in the PFR condition than in the comparison condition, with an effect size for the difference in adjusted means postintervention of d = .41. Caregiver understanding of toddlers' social emotional needs and caregiver reports of child competence also differed by intervention condition postintervention (d = .36 and d = .42) with caregivers in the PFR condition reporting more understanding of toddlers and child competence. Models of PFR effects on within-individual change were significant for caregiver sensitivity and understanding of toddlers. At the 6-month follow-up, only 61% of original sample dyads were still intact and there were no significant differences on caregiver or child outcomes.