Parent Management Training-Oregon Model: Adapting Intervention with Rigorous Research
Parent Management Training-Oregon Model: Adapting Intervention with Rigorous Research
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DOI：
10.1111/famp.12224
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发表时间：
2016-09-01
期刊：
影响因子：
3.9
通讯作者：
Kjobli, John
中科院分区：
文献类型：
--
作者：
Forgatch, Marion S.;Kjobli, John
父母管理培训俄勒冈模式（PMTO（R））是一套以理论为基础的育儿计划，具有循证治疗的地位。PMTO在不同背景、文化和形式下的功效和有效性试验中得到了严格的测试。父母，改变的假定代理人，学习核心育儿实践，特别是技能鼓励，限制设置，监测/监督，人际关系问题的解决，和积极参与。干预有效地预防和改善儿童的行为问题，取代强制性的互动与积极的父母的做法。提供的形式包括在机构或家庭家中与个别家庭、家长团体以及基于网络和远程保健通信举行会议。中介模型已经测试了父母的做法，改变儿童的行为机制，并发现支持的理论基础PMTO计划。调节效应包括孩子的年龄、母亲的抑郁和社会劣势。挪威的PMTO实施作为一个例子，PMTO已被定制，以达到不同的人群提供的多个系统的护理在全国各地。奥斯陆的一个实施和研究中心提供基础设施，并促进从业人员和研究人员之间的合作，以进行严格的干预研究。尽管PMTO以证据为基础，并在广泛的背景和人群中进行了测试，但它必须继续适应不断变化的世界。
Parent Management TrainingOregon Model (PMTO (R)) is a set of theory-based parenting programs with status as evidence-based treatments. PMTO has been rigorously tested in efficacy and effectiveness trials in different contexts, cultures, and formats. Parents, the presumed agents of change, learn core parenting practices, specifically skill encouragement, limit setting, monitoring/supervision, interpersonal problem solving, and positive involvement. The intervention effectively prevents and ameliorates children's behavior problems by replacing coercive interactions with positive parenting practices. Delivery format includes sessions with individual families in agencies or families' homes, parent groups, and web-based and telehealth communication. Mediational models have tested parenting practices as mechanisms of change for children's behavior and found support for the theory underlying PMTO programs. Moderating effects include children's age, maternal depression, and social disadvantage. The Norwegian PMTO implementation is presented as an example of how PMTO has been tailored to reach diverse populations as delivered by multiple systems of care throughout the nation. An implementation and research center in Oslo provides infrastructure and promotes collaboration between practitioners and researchers to conduct rigorous intervention research. Although evidence-based and tested within a wide array of contexts and populations, PMTO must continue to adapt to an ever-changing world.