Exploration of Mechanisms behind Changes after Participation in a Parenting Intervention: A Qualitative Study in a Low-Resource Setting
Exploration of Mechanisms behind Changes after Participation in a Parenting Intervention: A Qualitative Study in a Low-Resource Setting
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DOI：
10.1002/ajcp.12020
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发表时间：
2016-03-01
影响因子：
3.1
通讯作者：
Calam, Rachel
中科院分区：
文献类型：
--
作者：
Mejia, Anilena;Ulph, Fiona;Calam, Rachel
父母干预对预防儿童心理问题是有效的。然而，它们的活性成分尚未被全面探索。它们是如何工作的？变化背后的机制是什么？2012年，在巴拿马的低资源社区进行了一项育儿干预的随机对照试验。对儿童行为困难，父母的压力，和父母的做法是大的短期和长期的影响。这是一个理想的机会，探索在这种低资源环境中发现的影响背后的潜在机制。25名家长接受了采访。数据通过归纳语义主题分析进行分析。数据中出现了三个主题：（a）变化背后的心理机制，（B）父母的行为变化，（c）孩子的变化。父母描述说，干预引发了情绪调节，自我效能和解决问题的变化。父母们也报告了行为上的变化，比如更经常地表扬他们的孩子，而他们的孩子似乎更负责任，更善于听从指示。这项研究提供了参与者驱动的洞察力，在参与这种育儿干预后，改变的潜在途径，途径往往被忽视的定量研究。未来的研究应进一步探索这些途径，通过调解人和主持人的分析，并确定有多少是共享的干预措施和不同的文化背景。
Parenting interventions are effective for preventing psychological difficulties in children. However, their active ingredients have not been comprehensively explored. How do they work? What are the mechanisms operating behind changes? In 2012, a randomized controlled trial of a parenting intervention was conducted in low-resource communities of Panama. Effects on child behavioral difficulties, parental stress, and parenting practices were large in the short and long term. This was an ideal opportunity to explore potential mechanisms operating behind effects found in this low-resource setting. Twenty-five parents were interviewed. Data were analyzed through an inductive semantic thematic analysis. Three themes emerged from the data: (a) psychological mechanisms behind changes, (b) behavioral changes in parent, and (c) changes in the children. Parents described that the intervention triggered changes in emotion regulation, self-efficacy, and problem solving. Parents also reported behavioral changes such as praising their children more often, who in turn seemed more responsible and better at following instructions. The study offers participant-driven insight into potential pathways of change after participation in this parenting intervention, pathways that are often overlooked in quantitative studies. Future studies should further explore these pathways, through mediator and moderator analyses, and determine how much is shared across interventions and across different cultural settings.