Long-term outcome of a randomized controlled universal prevention trial through a positive parenting program: is it worth the effort?
Long-term outcome of a randomized controlled universal prevention trial through a positive parenting program: is it worth the effort?
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DOI：
10.1186/1753-2000-4-14
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发表时间：
2010-05-16
影响因子：
5.6
通讯作者：
Naumann, Sebastian
中科院分区：
文献类型：
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作者：
Hahlweg, Kurt;Heinrichs, Nina;Naumann, Sebastian
背景：大约20%的儿童经历了内在化或外在化的DSM-IV-TR障碍。这一患病率不能仅通过治疗来降低。因此，迫切需要有效的预防性干预措施。本研究的目的是评价普遍实施的团体三P育儿方案预防儿童行为问题的两年效果。方法：根据各自的学龄前情况，将N=280个家庭随机分配到家长培训组和对照组。结果：在2年的随访中，Triple P干预组的父母均报告父母的不良教养行为明显减少，母亲积极的教养行为也显著增加。此外，母亲们报告说，儿童行为的内化和外化显著减少。在三重P干预中，单亲母亲没有报告父母养育或儿童问题行为的显着变化，这主要是由于对照组单亲母亲莫名其妙的高积极效应所致。无论是母子互动还是教师评分都没有产生显著的效果。结论：该结果支持了三P小组计划作为改变双亲家庭育儿行为的普遍预防干预措施的长期有效性，但在单亲母亲中不一定如此。
BACKGROUND: Approximately 20% of children experience internalizing or externalizing DSM-IV-TR disorders. This prevalence rate cannot be reduced through treatment only. Effective preventive interventions are therefore urgently needed. The aim of the current investigation is to evaluate the two-year efficacy of the group Triple P parenting program administered universally for the prevention of child behavior problems.METHODS: Based on their respective preschool, N = 280 families were randomly assigned either to the parent training or to the control group. The efficacy was analyzed using multi-source assessments, including questionnaires by mother and father, behavioral observation of mother-child interaction, and teacher evaluations.RESULTS: At the 2-year follow-up, both parents in the Triple P intervention reported significant reductions in dysfunctional parenting behavior, and mothers also an increase in positive parenting behavior. In addition, mothers reported significant reductions in internalizing and externalizing child behavior. Single-parent mothers in the Triple P intervention did not report significant changes in parenting or child problem behavior which is primarily due to inexplicable high positive effects in single parent mothers of the control group. Neither mother-child interactions nor teacher ratings yielded significant results.CONCLUSIONS: The results support the long-term efficacy of the Triple P - group program as a universal prevention intervention for changing parenting behavior in two-parent households, but not necessarily in single-parent mothers.