基于互联网的家长培训是否适用于所有人? 预测结果的预测者和调节者在小组与基于互联网的家长培训中对具有破坏性行为问题的儿童进行了培训
Johanna Engelbrektsson1, Sigrid Salomonsson2, Jens Högström2
1Department of Clinical Neuroscience, Division of Psychology Karolinska Institutet, Nobels Väg 9, 171 65, Solna, Sweden.
Behaviour research and therapy
|November 4, 2023
概括
父母培训有效地治疗了儿童的破坏性行为. 无论是小组形式还是互联网形式,都显示出相同的结果,患者的偏好可能会提高治疗完成率.
科学领域:
- 儿童心理学 儿童心理学
- 行为治疗是一种行为疗法.
- 数字健康干预措施 数字健康干预措施
背景情况:
- 家长培训是对儿童破坏性行为的一种经过验证的干预措施.
- 对传统面对面治疗的有限访问需要探索替代的交付方法.
- 基于互联网的家长培训提供了一个可扩展的解决方案,以提高可访问性.
研究的目的:
- 确定治疗结果,完成和参与家长培训的预测因素和调节者.
- 为了比较基于组 (gComet) 与基于互联网 (iComet) 的Comet家长培训计划的交付.
- 分析影响治疗有效性的人口,临床和理论驱动的变量.
主要方法:
- 一个随机控制的非劣势性试验,涉及161名参与者.
- 利用线性混合效应模型来评估行为变化的预测者和调节者.
- 在3个月和12个月的随访中评估结果.
主要成果:
- 彗星计划在组 (gComet) 和互联网 (iComet) 格式中表现出同等的有效性.
- 伴随性情绪问题,首选的治疗形式和ADHD被确定为显著的预测/调节因素.
- 大多数的人口和临床变量没有显著预测或缓解结果.
结论:
- 对于具有破坏性行为儿童,家长培训是有效的,无论交付格式 (团体或互联网) 是什么.
- 临床实践可以通过理解特定的预测因素和调节因素来指导,例如治疗偏好.
- 在家长培训计划中,纳入患者偏好可能会提高治疗完成率.
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