Telephone counseling to implement best parenting practices to prevent adolescent problem behaviors.

Telephone counseling to implement best parenting practices to prevent adolescent problem behaviors.
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电话咨询实施最佳育儿实践,防止青少年问题行为。

DOI:
10.1016/j.cct.2007.09.006
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发表时间:
2008
影响因子:
2.2
通讯作者:
Trinidad,DennisR
Trinidad,DennisR
中科院分区:
医学4区
文献类型:
--
作者:
Pierce,JohnP;James,LisaE;Messer,Karen;Myers,MarkG;Williams,RebeccaE;Trinidad,DennisR

文献摘要

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有相当多的暗示性证据表明,父母可以保护他们的青少年发展问题行为,如果他们实施建议的最佳育儿实践。这些措施包括对青少年的空闲时间提供适当的限制,与青少年保持密切的个人关系,以及为积极的行为模式进行谈判和提供激励。然而,保留研究样本限制了从已发表的研究中得出的结论。这项随机对照试验招募了1036个家庭的全国人口样本,并将其随机分配到使用电话咨询的强化育儿干预组或无接触对照组。在登记时,符合条件的家庭有一个年龄在10-13岁之间的长子。干预措施包括使用自助手册和电话咨询师支持的初始培训计划。通过每季度一次的电话联系和家庭管理检查问卷,鼓励实施最佳育儿做法。一个计算机辅助的结构化咨询协议被用来帮助父母谁需要额外的援助,以实施最佳做法。这一点,加上沿着的集中服务,使质量控制程序得以实施。问题行为的评估是通过对目标青少年的反复电话访谈进行的。该研究旨在测试鼓励父母保持最佳育儿实践的干预措施是否与18岁之前问题行为发生率降低25%相关,并将通过最大似然框架进行测试。
There is considerable suggestive evidence that parents can protect their adolescents from developing problem behaviors if they implement recommended best parenting practices. These include providing appropriate limits on adolescent free time, maintaining a close personal relationship with the adolescent, and negotiating and providing incentives for positive behavior patterns. However, retention of the study samples has limited conclusions that can be drawn from published studies. This randomized controlled trial recruited and randomized a national population sample of 1036 families to an intensive parenting intervention using telephone counseling or to a no-contact control group. At enrollment, eligible families had an eldest child between the ages of 10–13 years. The intervention included an initial training program using a self-help manual with telephone counselor support. Implementation of best parenting practices was encouraged using quarterly telephone contacts and a family management check-up questionnaire. A computer-assisted structured counseling protocol was used to aid parents who needed additional assistance to implement best practices. This, along with a centralized service, enabled implementation of quality control procedures. Assessment of problem behavior is undertaken with repeated telephone interviews of the target adolescents. The study is powered to test whether the intervention encouraging parents to maintain best parenting practices is associated with a reduction of 25% in the incidence of problem behaviors prior to age 18 years and will be tested through a maximum likelihood framework.