Development of a community life support model for children with developmental disability from early age until school child age toward the prevention of child abuse

发育性残疾是虐待儿童的高危因素，其存在的诊断往往较晚，且养育者缺乏地区卫生保健当局的支持。为此，我们对有发育障碍儿童的父母进行了积极父母养育计划(Triple P)的干预，并对结果进行了评估。干预前后通过问卷调查，与对照组相比，干预组父母教养方式量表、强项与困难、抑郁焦虑应激量表均有改善趋势，并对家长所说的内容进行了定性分析，揭示了干预对家长行为态度的影响。结果表明，使用Triple P进行社区生活支持干预是有效的。

Developmental disability, which is a high-risk factor of child abuse, the presence of which tends to be diagnosed late, and the nurturers are poorly supported by the regional health-care authority.To develop a child-support model for nurtures, therefore, we undertook the intervention of Positive Parenting Program (Triple P) to the parents who have a child with developmental disability, and evaluated the results. Surveys conducted by a questionnaire before and after the intervention, compared with a control group, showed that in the intervention group there was a trend toward improvement in Parenting Scale, Strengths and Difficulties, and Depression Anxiety Stress Scales.In addition we analyzed qualitatively what the parents said and revealed how the intervention had changed the parents' behaviors and attitudes. As a result, it was suggested that the intervention using Triple P for community life support is effective.