Parenting Stress, Self-Efficacy, and Involvement: Effects on Spoken Language Ability Three Years After Cochlear Implantation.
Parenting Stress, Self-Efficacy, and Involvement: Effects on Spoken Language Ability Three Years After Cochlear Implantation.
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DOI：
10.1097/mao.0000000000003374
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发表时间：
2021-12-01
期刊：
影响因子：
--
通讯作者：
Quittner AL
中科院分区：
文献类型：
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作者：
Cejas I;Mitchell CM;Barker DH;Sarangoulis C;Eisenberg LS;Quittner AL
本研究评估了人工耳蜗植入术后3年幼儿的育儿压力、自我效能和参与与口语结果之间的关联。横截面。六所大学的三级医疗中心。164名患有双侧重度至极重度感音神经性听力损失的幼儿，他们有三年的CI经验;有严重认知障碍的儿童被排除在研究之外。家庭压力量表（FSS）、父母参与和自我效能感量表（SPISE）、口头和书面语言量表（OWLS）。FSS评分和SPISE评分之间的相关性为中等强度（父母自我效能，r=-0.45，p<0.01，父母参与r=-0.32，p<0.01）。作为假设，父母报告较高水平的压力报告自我效能和参与的看法较低。此外，研究结果显示，家庭压力对口语有直接的负面影响（-4.43 [95%置信区间：-6.97;-1.89]）。在控制了母亲的教育程度和激活年龄后，父母自我效能在家庭压力和口语之间起到了中介作用（间接效应=-1.91 [3.45;-0.69];中介比例= 0.43）。没有发现父母参与的中介作用。这些发现强调了父母干预的必要性，重点是减少压力源，提高父母对使用人工耳蜗儿童家庭的自我效能感的看法。在CI诊所整合心理健康筛查和量身定制的育儿干预措施可能会增加父母的自我效能和参与，在儿童使用口语方面有可衡量的好处。
This study evaluated associations among parenting stress, self-efficacy and involvement in relation to spoken language outcomes in young children 3 years following cochlear implantation. Cross-sectional. Six university tertiary medical centers. 164 young children with bilateral, severe-to-profound sensorineural hearing loss who had three years of experience with a CI; children with substantial cognitive impairments were excluded from the study. Family Stress Scale (FSS), Scale of Parental Involvement and Self-Efficacy (SPISE), Oral and Written Language Scales (OWLS). Correlations were of moderate strength between FSS scores and SPISE scores (Parental Self-Efficacy, r=−0.45, p<0.01, Parental Involvement r=−0.32, p<0.01). As hypothesized, parents reporting higher levels of stress reported lower perceptions of self-efficacy and involvement. In addition, results showed that family stress had a direct, negative effect on spoken language (−4.43 [95% confidence interval: −6.97; −1.89]). After controlling for maternal education and activation age, parental self-efficacy mediated the negative effect between family stress and spoken language (indirect effect = −1.91 [3.45; −0.69]; proportion mediated = 0.43). No mediating effects were found for parental involvement. These findings highlight the need for parenting interventions that focus on reducing stressors and increasing parents’ perceptions of self-efficacy in families of children using cochlear implants. Integration of mental health screening and tailored parenting interventions in CI clinics may increase parental self-efficacy and involvement, with measurable benefits in the child’s use of spoken language.