Effectiveness of a universal health-promoting parenting program: a randomized waitlist-controlled trial of All Children in Focus.
Effectiveness of a universal health-promoting parenting program: a randomized waitlist-controlled trial of All Children in Focus.
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DOI：
10.1186/1471-2458-14-1083
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发表时间：
2014-10-18
影响因子：
4.5
通讯作者：
Lindberg L
中科院分区：
文献类型：
--
作者：
Ulfsdotter M;Enebrink P;Lindberg L
育儿计划被强调为支持和赋予父母权力的一种方式。由于旨在促进儿童健康和福祉的计划很少，因此制定了一项新的健康促进计划“聚焦所有儿童”。该试验的目的是评估该计划在促进父母自我效能和儿童健康与发展方面的潜在有效性，并调查这些结果的可能调节因素。进行了一项多中心随机等待对照试验。该试验纳入了 621 名 3 至 12 岁儿童的家长。家长被随机分配直接接受干预或加入候补对照组。家长在基线、干预后 2 周以及基线后 6 个月完成了调查问卷。为了评估该计划的潜在影响以及任何调节变量，采用了具有重复测量设计的多级建模。干预组的家长报告说，与对照组的家长相比，他们的自我效能 (p< .001) 以及对儿童健康和发展的看法 (p< .05) 在基线后 6 个月有所提高。研究发现，有一个变量可以调节这两种结果：父母积极的心理健康。此外，父母的教育水平和孩子数量调节了父母的自我效能感，而孩子的年龄调节了儿童的健康和发展。积极的心理健康状况不佳、受过大学教育、家庭中有一个以上的孩子以及年龄较大的孩子，使家庭受益更多。在“聚焦所有儿童”的第一个随机对照试验中，我们发现该计划似乎可以促进普通人群中父母的自我效能感以及儿童的健康和发展。此外，我们发现家庭可能会根据其基线特征而受益不同。这有助于人们了解提供全民育儿计划作为加强家庭的公共卫生方法的优势。然而，还需要进一步研究来调查长期影响和中介变量，以及该计划的潜在成本效益。当前对照试验：ISRCTN70202532。 2012 年 11 月 7 日。
Parenting programs have been highlighted as a way of supporting and empowering parents. As programs designed to promote children’s health and well-being are scarce, a new health-promotion program, All Children in Focus, has been developed. The purpose of this trial was to evaluate the potential effectiveness of the program in promoting parental self-efficacy and child health and development, as well as to investigate possible moderators of these outcomes. A multicenter randomized waitlist-controlled trial was conducted. The trial included 621 parents with children aged 3–12 years. Parents were randomized to receive the intervention directly or to join a waitlist control group. Parents completed questionnaires at baseline, 2 weeks after the intervention, and 6 months post-baseline. To evaluate potential effects of the program, as well as any moderating variables, multilevel modeling with a repeated-measures design was applied. Parents in the intervention group reported that their self-efficacy (p < .001), as well as their perceptions of children’s health and development (p < .05), increased 6 months post-baseline when compared with parents in the control group. One variable was found to moderate both outcomes: parents’ positive mental health. Furthermore, parents’ educational level and number of children moderated parental self-efficacy, while the children’s age moderated child health and development. Having a poor positive mental health, a university-level education, more than one child in the family, and older children, made the families benefit more. In the first randomized controlled trial of All Children in Focus, we found that the program appears to promote both parental self-efficacy and children’s health and development in a general population. Additionally, we found that families may benefit differently depending on their baseline characteristics. This contributes to an existing understanding of the advantages of offering universal parenting programs as a public health approach to strengthening families. However, further research is needed to investigate long-term effects and mediating variables, as well as the potential cost-effectiveness of the program. Current Controlled Trials: ISRCTN70202532. November 7th 2012.
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