Randomized Trial of Parent Training to Prevent Adolescent Problem Behaviors During the High School Transition
Randomized Trial of Parent Training to Prevent Adolescent Problem Behaviors During the High School Transition
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DOI：
10.1037/fam0000204
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发表时间：
2016-12-01
影响因子：
2.7
通讯作者：
Snyder, James J.
中科院分区：
文献类型：
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作者：
Mason, W. Alex;Fleming, Charles B.;Snyder, James J.
这项随机对照试验测试了一个广泛使用的普通父母培训计划，常识育儿(CSP)，对低收入的8年级学生及其家庭进行了测试，以支持他们积极地过渡到高中。该计划以最初的6节课形式和修改后的形式(CSP-Plus)进行了测试，增加了包括青少年在内的2节课。超过2个年度队列，321个家庭被登记并随机分配到CSP、CSP-Plus或最小接触控制条件下。从父母和青少年(94%的保留率)收集了关于父母教养以及青少年学校纽带、社交技能和问题行为的前测、后测、1年和2年跟踪调查数据。扩展先前对测试后结果的检查，在两次后续评估中测试干预效果的意向治疗回归分析，以及生长曲线分析检查实验条件随时间的年度变化差异。还按青年性别、青年行为问题和家庭经济困难分别进行了温和的探索性测试。在预测1年和2年随访结果的52个回归模型中，104个可能的干预效果中只有2个具有统计学意义。生长曲线分析中未发现有统计学意义的干预效应。节制测试也没有显示出有统计学意义的效果。因为CSP已经被广泛使用，所以研究结果对实践有直接的影响。具体地说，研究结果表明，在选择性预防的背景下，该计划对青少年的父母可能无效，并可能揭示短暂的、一般的父母培训的局限性，以实现与青少年父母的结果。
This randomized controlled trial tested a widely used general parent training program, Common Sense Parenting (CSP), with low-income 8th graders and their families to support a positive transition to high school. The program was tested in its original 6-session format and in a modified format (CSP-Plus), which added 2 sessions that included adolescents. Over 2 annual cohorts, 321 families were enrolled and randomly assigned to either the CSP, CSP-Plus, or minimal-contact control condition. Pretest, posttest, 1-year follow-up, and 2-year follow-up survey data on parenting as well as youth school bonding, social skills, and problem behaviors were collected from parents and youth (94% retention). Extending prior examinations of posttest outcomes, intent-to-treat regression analyses tested for intervention effects at the 2 follow-up assessments, and growth curve analyses examined experimental condition differences in yearly change across time. Separate exploratory tests of moderation by youth gender, youth conduct problems, and family economic hardship also were conducted. Out of 52 regression models predicting 1 and 2-year follow-up outcomes, only 2 out of 104 possible intervention effects were statistically significant. No statistically significant intervention effects were found in the growth curve analyses. Tests of moderation also showed few statistically significant effects. Because CSP already is in widespread use, findings have direct implications for practice. Specifically, findings suggest that the program may not be efficacious with parents of adolescents in a selective prevention context and may reveal the limits of brief, general parent training for achieving outcomes with parents of adolescents.