Moderators of Outcome in a Brief Family-Centered Intervention for Preventing Early Problem Behavior
Moderators of Outcome in a Brief Family-Centered Intervention for Preventing Early Problem Behavior
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DOI：
10.1037/a0015622
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发表时间：
2009-06-01
影响因子：
5.9
通讯作者：
Wilson, Melvin N.
中科院分区：
文献类型：
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作者：
Gardner, Frances;Connell, Arin;Wilson, Melvin N.
本研究探讨了在经验支持的以家庭为中心的干预（家庭检查）在幼儿期的问题行为的变化的主持人。参与者是来自低收入家庭的731名2至3岁儿童（49%为女孩; 28%为非洲裔美国人，50%为欧洲裔美国人，13%为双胞胎），并接受了家庭压力和早发性问题行为风险的筛查。他们被随机分配到家庭检查干预组或无干预对照组。潜在增长模型研究了社会人口学和父母心理风险因素作为2岁，3岁和4岁之间问题行为变化的潜在调节因素。结果显示，干预有效性的2个主持人。教育程度最低的照顾者对以家庭为中心的干预更敏感，双亲家庭对干预更敏感。其他风险因素没有显示出预测作用。总的来说，研究结果表明，这种以家庭为中心的简短干预措施与那些更贫困的家庭相比，在接触最贫困和最弱势的家庭方面同样有效。然而，研究结果表明，可能需要更多的关注，以解决单亲家庭在减少儿童早期问题行为的干预需求。
This study investigated moderators of change in an empirically supported family-centered intervention (the Family Check-Up) for problem behavior in early childhood. Participants were 731 2- to 3-year-olds (49% girls; 28% African American, 50% European American, 13% biracial) from low-income families and had been screened for risk of family stress and early-onset problem behavior. They were randomized to the Family Check-Up intervention or to a no-intervention control group. Latent growth models examined sociodemographic and parent psychological risk factors as potential moderators of change in problem behavior between ages 2, 3, and 4. Results revealed 2 moderators of intervention effectiveness. Caregivers with the lowest educational levels were more responsive to the family-centered intervention, and 2-parent families were more responsive to the intervention. Other risk factors showed no predictive effects. Overall, findings suggest that this brief family-centered intervention can be equally effective in reaching the most distressed and most disadvantaged families, compared to those who are more advantaged. However, results suggest that more attention may be needed to address the intervention needs of single parent families in reducing problem behavior in early childhood.