Six-Month Follow-up of the Families on Track Intervention Pilot Trial for Children With Fetal Alcohol Spectrum Disorders and Their Families.
Six-Month Follow-up of the Families on Track Intervention Pilot Trial for Children With Fetal Alcohol Spectrum Disorders and Their Families.
复制标题
对胎儿酒精谱系障碍儿童及其家庭进行轨道干预试点试验的家庭进行六个月随访。
DOI：
10.1111/acer.14180
复制
发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Alto,MichelleE
中科院分区：
文献类型：
--
作者：
Petrenko,ChristieLM;Demeusy,ElizabethM;Alto,MichelleE
当与胎儿酒精谱系障碍（FASD）相关的原发性残疾得不到很好的支持时，个体出现精神健康问题和其他继发性疾病的风险更高。家庭跟踪（FOT）干预旨在预防FASD儿童的继发性疾病并改善家庭功能。一项试点研究的可喜结果表明，干预后立即对儿童和照顾者的结果产生积极影响。本研究的目的是检查干预后6个月这些效果的可持续性。方法30名产前酒精暴露的儿童（4 ~ 8岁）及其照顾者被纳入原始研究。家庭被随机分配到FOT干预组或提供全面评估和个性化反馈的积极对照组。干预措施包括积极的育儿课程和儿童技能小组。在基线、干预后和6个月的随访中对家庭进行评估。对24个家庭的儿童和照顾者结局进行了随访。使用效应量计算和方差分析技术对数据进行分析。结果与对照组相比，干预家庭在育儿效果上持续提高，并在随访期间保持了FASD知识的先前改善。尽管在随访期间，干预家庭报告的需求得到满足的情况有所减少，但与对照组相比，他们继续报告的需求得到了更大程度的满足。与干预后结果一致，两组儿童在干预后6个月表现出相似的儿童破坏性行为减少。不幸的是，干预后在儿童自尊和情绪调节方面的积极收益在随访中减弱。结论：这项初步研究在照顾者功能的重要领域产生了有希望的效果。然而，随着时间的推移，干预对儿童功能的影响逐渐减弱，这表明需要持续或交替的儿童干预。
BackgroundWhen the primary disabilities associated with fetal alcohol spectrum disorders (FASD) are not well supported, individuals are at higher risk for mental health problems and other secondary conditions. The Families on Track (FOT) intervention was designed to prevent secondary conditions and improve family functioning in children with FASD. Promising results from a pilot study demonstrated positive effects on child and caregiver outcomes immediately following the intervention. The objective of this study was to examine the sustainability of these effects 6 months postintervention.MethodsThirty children (ages 4 to 8) with prenatal alcohol exposure and their caregivers were enrolled in the original study. Families were randomized to the FOT intervention or an active comparison group that provided comprehensive assessment and individualized feedback. The intervention integrated a positive parenting curriculum and a child skills group. Families were assessed at baseline, postintervention, and 6‐month follow‐up visits. Follow‐up data were available for 24 families on child and caregiver outcomes. Data were analyzed using effect size calculations and analysis‐of‐variance techniques.ResultsRelative to the comparison group, intervention families showed continued gains in parenting efficacy and maintained prior improvements in FASD knowledge over the follow‐up period. Although intervention families reported a decrease in their needs being met over the follow‐up period, they continued to report their needs being met to greater extent than those in the comparison group. Consistent with postintervention outcomes, children in both groups exhibited similar decreases in child disruptive behavior 6 months following the intervention. Unfortunately, positive gains seen at postintervention for child self‐esteem and emotion regulation were attenuated at follow‐up.ConclusionsThis pilot study yielded promising effects on important areas of caregiver functioning. However, the intervention's impact on child functioning waned over time, suggesting the need for sustained or alternate child intervention.