A parent-based intervention programme involving preschoolers with AD/HD behaviours: are children's and mothers' effects sustained over time?
A parent-based intervention programme involving preschoolers with AD/HD behaviours: are children's and mothers' effects sustained over time?
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DOI：
10.1007/s00787-013-0470-2
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发表时间：
2014-06-01
影响因子：
6.4
通讯作者：
Homem, Tatiana
中科院分区：
文献类型：
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作者：
Azevedo, Andreia Fernandes;Seabra-Santos, Maria Joao;Homem, Tatiana
为了评估以家长为基础的干预方案对表现出早期多动和注意力不集中行为（AD/HD行为）的葡萄牙学龄前儿童样本的儿童和母亲结果的12个月疗效，52名学龄前儿童的母亲接受了不可思议的岁月基本父母培训（IY），从基线到12个月的随访。采用报告和观察方法。12个月后，儿童在家和在学校的AD/HD行为报告中发现了影响。在母亲的变量中也发现了很大的效应值：自我报告的不正常育儿行为减少，能力感和观察到的积极育儿意识的提高。然而，6个月后观察到的教练技能的提高随着时间的推移而下降。在6个月和12个月的随访中没有发现其他显著差异，较小的效应量表明干预后儿童和养育措施的显著变化保持不变。经过12个月的随访，59%的儿童报告的AD/HD行为减少了30%以上，具有重要的临床意义。观察到的对儿童及其母亲的持续影响表明IY的长期益处。因此，葡萄牙的政策制定者和专业人士应该努力为表现出早期AD/HD行为的儿童提供IY作为一种早期预防性干预。
To evaluate the 12-month efficacy of a parent-based intervention programme on children's and mothers' outcomes in a sample of Portuguese preschoolers displaying early hyperactive and inattentive behaviours (AD/HD behaviours), 52 preschool children whose mothers had received the Incredible Years basic parent training (IY) were followed from baseline to 12 months of follow-up. Reported and observational measures were used. Effects were found in the children's reported AD/HD behaviours at home and at school after 12 months. Large effect sizes were also found in mothers' variables: a decrease in self-reported dysfunctional parenting practices and an improved sense of competence and observed positive parenting. However, the improvements in coaching skills that have been observed after 6 months of follow-up decreased over time. No other significant differences were found between 6 and 12 months follow-up, with small effect sizes indicating that the significant post-intervention changes in child and parenting measures were maintained. After 12 months of follow-up, there was a clinically important reduction of over 30 % in reported AD/HD behaviours in 59 % of children. The sustained effects observed both for children and their mothers suggest long-term benefits of IY. Therefore, efforts should be made by Portuguese policy makers and professionals to deliver IY as an early preventive intervention for children displaying early AD/HD behaviours.