在一个主要是土著儿童的样本中预防不良童年经历
Katie M Edwards1, Emily A Waterman2, Lorey A Wheeler1
1University of Nebraska, Lincoln, Lincoln, Nebraska.
Pediatrics
|August 13, 2024
概括
蒂瓦赫维卡维卡亚皮计划 (TWP) 成功减少了不良童年经历 (ACE) 并改善了低收入的土著家庭的福祉. 这种以文化为基础的干预措施对公共卫生有很大的前景.
科学领域:
- 公共卫生 公共卫生
- 儿童心理学 儿童心理学
- 土著研究土著研究.
背景情况:
- 儿童不良经历 (ACE) 对儿童的发展和福祉构成重大风险.
- 根据文化定制的干预措施对于有效服务土著人口至关重要.
研究的目的:
- 开发和评估Tiwahe Wicagwicayapi计划 (TWP),这是一个以文化为基础,以家庭为基础的干预.
- 为了预防低收入家庭的ACE,10-14岁的土著儿童.
主要方法:
- 一项随机对照试验,涉及124个家庭 (照顾者和10-14岁的儿童).
- 参与者被分配到7次TWP或等候名单对照组.
- 通过在基线,测试后和6个月后期的调查收集的数据.
主要成果:
- 该TWP显著减少了儿童ACE,欺凌受害,抑郁和外部化行为.
- 照顾者报告说,亲密伴侣暴力,严厉的育儿和抑郁症的减少.
- 观察到父母与孩子的沟通,孩子寻求帮助,照顾者情绪调节,社会支持和文化联系的改善.
结论:
- 该TWP显示了在脆弱的土著青年中预防ACE的巨大潜力.
- 该计划显示了广泛的公共卫生应用的前景.
- 建议进行进一步的研究以验证这些发现.
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