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

发育障碍是儿童虐待的高危因素，其存在往往被诊断得较晚，并且养育者得不到地方卫生保健当局的支持。因此，为了开发养育的儿童支持模式，我们对有发育障碍儿童的父母进行了积极育儿计划（Triple P）的干预，并评估了结果。干预前后的问卷调查结果显示，干预组与对照组相比，父母教养方式量表、优势与困难量表、抑郁焦虑压力量表有改善的趋势，并对干预前后父母的评价进行了定性分析，揭示了干预对父母行为和态度的改变。结果表明，应用Triple P进行社区生命支持干预是有效的。

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.