对患有湿疹儿童的家庭进行简短的家长干预 (Triple P):一种随机对照试验
Amy E Mitchell1,2,3, Alina Morawska2,4, Emily Casey5
1School of Nursing, Midwifery and Social Work, The University of Queensland, St Lucia, Australia.
Journal of pediatric psychology
|April 10, 2024
概括
简短的家长干预改善了家长的自我效能,并减少了对湿疹儿童的无效家长. 干预措施没有显著影响湿疹的严重程度,坚持或生活质量.
科学领域:
- 儿科皮肤病学 儿科皮肤病学
- 行为科学 行为科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 儿童湿疹的管理给父母带来了挑战,影响了家庭的福祉.
- 育儿干预可以解决慢性病管理的行为方面.
研究的目的:
- 评估一个简短的,小组交付的育儿计划的有效性和成本,用于诊断为湿疹的儿童的家庭.
- 评估干预对育儿实践,自我效能和与湿疹管理相关的儿童行为的影响.
主要方法:
- 一项随机对照试验涉及59个家庭,其中有2至10岁的儿童被诊断患有湿疹.
- 参与者被随机分配到健康生活三倍P干预或标准护理.
- 结果包括临床医生评估的湿疹严重程度,父母报告的症状,治疗坚持,育儿行为,自我有效性和生活质量,在基线,4周和6个月评估.
主要成果:
- 干预显著改善了育儿实践 (d=.60),父母的自我效能 (d=.74) 和任务执行 (d=.81).
- 在自信管理儿童行为 (d=.63) 中也注意到了改善.
- 没有观察到对湿疹严重程度,局部皮质类固醇坚持或生活质量的显著影响. 改善育儿的家庭平均成本为159美元.
结论:
- 健康生活三倍P计划有效地减少了无效的育儿,并提高了父母在管理儿童湿疹方面的自我效能和任务表现.
- 该干预措施有望改善湿疹管理的行为方面,但不会直接影响疾病的严重程度或坚持.
相关概念视频
01:24Operant Conditioning Intervention
56
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
56
01:11Blinding
2.4K
Blinding is a commonly used method of not telling participants which treatment a subject is receiving. Blinding is a critical part of a randomized control trial or RCT. It reduces the bias that affects the results. In an RCT, blinding is used in the form of a placebo. A placebo effect occurs when untreated subjects falsely believe they have received the treatment and report improved symptoms. A placebo or a dummy treatment is administered to subjects to negate the bias caused by such an effect.
2.4K
01:30Family Therapy
45
Family therapy conceptualizes psychological challenges as arising from dysfunctional interactions within the family unit, rather than as isolated issues within individuals. This approach seeks to address and transform the patterns of communication, roles, and relationships within families to promote healthier dynamics and emotional well-being for all members.
Strategic Family Therapy
Strategic family therapy emphasizes resolving communication barriers and improving problem-solving abilities...
Strategic Family Therapy
Strategic family therapy emphasizes resolving communication barriers and improving problem-solving abilities...
45