A Toddler Parenting Intervention in Primary Care for Caregivers With Depression Symptoms
A Toddler Parenting Intervention in Primary Care for Caregivers With Depression Symptoms
复制标题
对有抑郁症状的照顾者进行初级护理中的幼儿育儿干预
DOI：
10.1007/s10935-017-0481-8
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
J. Guevara
中科院分区：
文献类型：
--
作者：
Rhonda C. Boyd;M. Gerdes;B. Rothman;Susan L. Dougherty;R. Localio;J. Guevara
摘要照顾者抑郁影响父母的养育行为，并对儿童的行为产生有害影响。以证据为基础的干预措施，以解决养育尚未适应用于抑郁症的照顾者在儿科初级保健设置。我们的研究探讨了可行性，并探讨了在初级保健实施的循证育儿计划的结果，并适应照顾者与抑郁症状照顾幼儿。我们进行了一项随机对照试验，其中有一个等待名单对照。参与者是在儿科环境中与幼儿一起筛查抑郁症状阳性的照顾者。本研究于2011年7月至2012年6月实施。我们调整了难以置信的父母，婴儿和幼儿计划，增加了抑郁心理教育（每周12次），并在基线和干预后立即评估护理人员。我们评估了参与率、抑郁症状、育儿纪律实践、社会支持和育儿压力。我们的研究结果显示，参与干预组的32名照顾者与29名等待名单的对照组照顾者相比，自我报告的育儿纪律实践有显着更大的改善。我们发现，在抑郁症状、社会支持或育儿压力方面，两组之间没有差异。我们的研究表明，平均出勤率很低（平均出勤率= 3.7节）。我们采用了基于证据的育儿干预与抑郁症状的照顾者和幼儿在初级保健;然而，参与是具有挑战性的。需要替代干预策略来接触和留住有抑郁症状的低收入照顾者，因为他们在参与基于中心的服务的团体时面临多重障碍。
临床试验注册Trials.gov标识符NCT 01464619。
AbstractCaregiver depression impacts parenting behaviors and has deleterious effects on child behavior. Evidence-based interventions to address parenting have not been adapted for use with depressed caregivers in pediatric primary care settings. Our study examined the feasibility and explored outcomes of an evidence-based parenting program implemented in primary care and adapted for caregivers with depressive symptoms caring for toddlers. We conducted a randomized controlled trial with a wait-list control. Participants were caregivers who screened positive for depressive symptoms in pediatric settings with a toddler. Our study was implemented from July 2011 to June 2012. We adapted the Incredible Years Parents, Babies and Toddlers program with the addition of depression psychoeducation (12 weekly sessions), and assessed caregivers at baseline and immediately post-intervention. We assessed participation rates, depressive symptoms, parenting discipline practices, social support, and parenting stress. Our results revealed that 32 caregivers participating in the intervention group had significantly greater improvement in self-reported parenting discipline practices compared to the 29 wait-list control group caregivers. We found no differences between groups in depressive symptoms, social support, or parenting stress. Our study demonstrated that the average attendance was poor (mean attendance = 3.7 sessions). We adapted an evidence-based parenting intervention for caregivers with depressive symptoms and toddlers in primary care; however, participation was challenging. Alternative intervention strategies are needed to reach and retain low-income caregivers with depression symptoms as they face multiple barriers to participation in groups within center-based services.
Trial Registration Clinical Trials.gov identifier NCT01464619.
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影响因子：
5.9
作者：
Toth,ShereeL;Rogosch,FredA;Manly,JodyTodd;Cicchetti,Dante
通讯作者：
Cicchetti,Dante
影响因子：
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作者：
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影响因子：
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作者：
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通讯作者：
Hammond,M
影响因子：
26.1
作者：
Perrin, Ellen C.;Sheldrick, R. Christopher;Carter, Alice S.
通讯作者：
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