Prevention of Problem Behavior Through Annual Family Check-Ups in Early Childhood: Intervention Effects From Home to Early Elementary School
Prevention of Problem Behavior Through Annual Family Check-Ups in Early Childhood: Intervention Effects From Home to Early Elementary School
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DOI：
10.1007/s10802-013-9768-2
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发表时间：
2014-04-01
影响因子：
3.6
通讯作者：
Jo, Booil
中科院分区：
文献类型：
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作者：
Dishion, Thomas J.;Brennan, Lauretta M.;Jo, Booil
这项随机干预试验研究了每年一次的家庭检查（FCUs）和量身定制的父母管理培训对2至5岁的问题行为的父母报告和7.5岁的反对行为的教师报告的影响。一个多种族的风险样本731个家庭在3个不同的地理环境中接受援助的妇女，婴儿和儿童营养补充剂（WIC）计划被随机分配到一个年度FCU。意向治疗（ITT）分析被用来检查整体干预效果，和编译器平均因果效应（CACE）模型被用来检查的影响，每年干预参与FCU的父母报告的儿童问题行为从2岁到5岁和教师报告的问题行为在7.5岁。ITT干预效果被发现关于父母的报告在2至5岁和教师的报告在7.5岁，表明在干预组的儿童比那些在控制组的问题行为的增长较少。CACE模型的干预参与显示，家长和教师报告的问题行为的影响大小增加的功能，每年FCUs照顾者参加。研究结果表明，在儿童早期的社会，健康和教育服务的背景下，每年嵌入FCU服务可以潜在地防止反社会行为的早发轨迹。连续FCU参与的效果大小的增加强调了高风险家庭中父母支持的激励方法的重要性。
This randomized intervention trial examined the effects of yearly Family Check-Ups (FCUs) and tailored parent management training on parent report of problem behavior from age 2 to 5 years and teacher report of oppositional behavior at age 7.5. A multiethnic risk sample of 731 families in 3 distinct geographical settings who were receiving assistance from the Women, Infants, and Children Nutritional Supplement (WIC) program were randomly assigned to a yearly FCU. Intention to treat (ITT) analyses were used to examine overall intervention effects, and complier average causal effect (CACE) modeling was used to examine the effects of annual intervention engagement in the FCU on parent reports of child problem behavior from age 2 to 5 and teacher reports of problem behavior at age 7.5. ITT intervention effects were found regarding parent report at ages 2 to 5 and teacher report at age 7.5, indicating less growth in problem behavior for children in the intervention group than for those in the control group. CACE modeling of intervention engagement revealed that the effect sizes on parent- and teacher-reported problem behavior increased as a function of the number of yearly FCUs caregivers participated in. Findings suggest that embedding yearly FCU services within the context of social, health, and educational services in early childhood can potentially prevent early-onset trajectories of antisocial behavior. The increases in effect size with successive FCU engagement underscores the importance of a motivational approach to parenting support among high-risk families.