Behavioral Child-Management Cost-Effectiveness
Behavioral Child-Management Cost-Effectiveness
复制标题
儿童行为管理的成本效益
DOI：
10.1177/016327878000300201
复制
发表时间：
1980
影响因子：
2.9
通讯作者：
B. Yates
中科院分区：
文献类型：
--
作者：
Frederick E. Siegert;B. Yates
本实验对比了三种训练父母使用社会学习技术进行儿童管理的系统的有效性和成本。30名自我介绍的问题儿童的父母被随机分配到：（1）个人在办公室，（2）个人在家里，（3）小组在办公室，或（4）测量和接触控制传递系统。两周的基线数据记录，然后进行五周的培训和持续的数据收集以及四个月的随访。从家长的角度，通过观察目标儿童的问题行为频率、亲子问题的数量和紧张程度以及随访评分来衡量效果。从治疗师的角度来看，有效性进行了评估，评分的育儿改善和坚持培训程序。从业务、机会和客户成本角度评估了每个交付系统使用的资源价值。所有的实验交付系统产生强烈的显着改善控制系统：平均86%的问题行为频率减少相比，平均38%的控制条件。三种实验性的输送系统在任何措施上的有效性都没有差异。非行为测量显示实验和对照递送系统之间没有显著差异。虽然运营成本有利于集体交付，但更全面的机会和客户成本有利于个人在家交付。
This experiment contrasted the effectiveness and cost of three systems for training parents to use social learning techniques for child-management. Thirty self-referred parents of problem children were assigned randomly to either: (1)individual in-office, (2) individual in-home, (3)group in-office, or (4) measurement and contact control delivery systems. Two weeks of baseline data recording preceded five weeks of training and continued data collection and a four-month follow-up. From the parent perspective, effectiveness was measured by observation of target children's problem behavior frequencies , the number and in tensity of parent-child issues, and follow-up ratings. From the therapist's perspective, effectiveness was assessed by ratings of parenting improvement and adherence to training procedures. The value of resources used by each delivery system was assessed from operations, opportunity, and client costing perspectives. All experimental delivery systems produced strongly significant improvements over the control system: a mean 86% reduction in problem behavior frequencies compared to a mean 38% reduction in the control condition. The three experimental delivery systems did not differ in effectiveness on any measure. Non- behavioral measures showed no significant differences between the experimental and control delivery systems. Although operations costs favored group delivery, the more comprehensive opportunity and client costs favored individual in-home delivery.