Randomized controlled trial of a parenting program to reduce the risk of child maltreatment in South Africa
Randomized controlled trial of a parenting program to reduce the risk of child maltreatment in South Africa
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DOI：
10.1016/j.chiabu.2017.08.014
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发表时间：
2017-10-01
影响因子：
4.8
通讯作者：
Gardner, Frances
中科院分区：
文献类型：
--
作者：
Lachman, Jamie M.;Cluver, Lucie;Gardner, Frances
高收入国家的育儿计划已被证明可以降低虐待儿童的风险。然而，其在低收入和中等收入国家的有效性的证据有限。本研究的目的是检验育儿计划在降低南非开普敦高度贫困和脆弱社区儿童虐待风险方面的初步效果。孩子年龄在 3 至 8 岁的低收入父母 (N = 68) 被随机分配到基于小组的育儿计划或候补名单对照组。观察和家长报告评估是在基线和干预实施后立即进行的测试后进行的。主要结果是家长报告以及对严厉养育、积极养育和儿童行为问题的观察评估。次要结果是家长报告对父母抑郁、养育压力和社会支持的评估。结果表明，对于增加家长报告积极养育的频率（d = 0.63）和亲子游戏的观察评估（d = 0.57），治疗效果中等。观察评估还发现，对不太常见的积极儿童行为有中等的负面治疗效果（d = -0.56）。这项研究是第一个随机对照试验设计，旨在通过观察和自我报告评估严格测试养育计划在降低撒哈拉以南非洲儿童虐待风险方面的有效性。结果提供了初步证据，证明通过改善积极的养育行为可以有效降低虐待儿童的风险。需要进一步发展以加强有关儿童行为管理和非暴力纪律策略的计划组成部分。未来的研究将受益于更大规模的试验，有足够的能力来确定项目的有效性。
Parenting programs in high-income countries have been shown to reduce the risk of child maltreatment. However, there is limited evidence of their effectiveness in low- and middle-income countries. The objective of this study was to examine the initial effects of a parenting program in reducing the risk of child maltreatment in highly-deprived and vulnerable communities in Cape Town, South Africa. Low-income parents (N = 68) with children aged three to eight years were randomly assigned to either a group-based parenting program or a wait-list control group. Observational and parent-report assessments were taken at baseline and at immediate post-test after the intervention was delivered. Primary outcomes were parent-report and observational assessments of harsh parenting, positive parenting, and child behavior problems. Secondary outcomes were parent-report assessments of parental depression, parenting stress, and social support. Results indicated moderate treatment effects for increased frequency of parent-report of positive parenting (d = 0.63) and observational assessments of parent-child play (d = 0.57). Observational assessments also found moderate negative treatment effects for less frequent positive child behavior (d = -0.56). This study is the first randomized controlled trial design to rigorously test the effectiveness of a parenting program on reducing the risk of child maltreatment in sub-Saharan Africa using both observational and self-report assessments. Results provide preliminary evidence of effectiveness of reducing the risk of child maltreatment by improving positive parenting behavior. Further development is required to strengthen program components regarding child behavior management and nonviolent discipline strategies. Future research would benefit from a larger trial with sufficient power to determine program effectiveness.