评估适应的家长培训对于具有中度至重度智力发育障碍的学龄前儿童的挑战性行为:一个随机对照试验
Rachel Royston1, Michael Absoud2, Gareth Ambler3
1Division of Psychiatry, University College London, London, United Kingdom.
PloS one
|August 13, 2024
概括
这项研究没有发现智力障碍儿童的破坏性行为的显著差异,使用步骤石三倍P干预. 然而,这项干预措施对大流行前的参与者来说是有前途的,并且证明了成本节约.
科学领域:
- 发展心理学 发展心理学
- 儿科行为健康 儿科行为健康
- 公共卫生干预 公共卫生干预
背景情况:
- 关于智力发育障碍 (IDD) 儿童中破坏性行为的育儿干预措施的证据有限.
- 患有IDD的学龄前儿童的挑战性行为对家庭产生重大影响,需要有效的支持策略.
研究的目的:
- 评估针对IDD和具有挑战性行为的学龄前儿童的适应群体家长干预 (步骤石三倍P) 的有效性.
- 为了比较干预与通常的治疗 (TAU) 在英格兰.
主要方法:
- 一项随机临床试验,涉及261名30-59个月龄的儿童,患有中度至严重的IDD和具有挑战性的行为.
- 参与者被分配到步骤石三倍P加TAU或单独TAU.
- 主要结局是52周的家长评级的儿童行为检查清单,并进行健康经济评估.
主要成果:
- 在干预组和对照组之间的初级结果中没有观察到任何显著差异.
- 亚组分析表明,在COVID-19大流行之前随机选择的参与者 (p=0.046) 的有效性.
- 干预措施导致了显著的成本节约,但没有显著影响质量调整寿命年.
结论:
- 该研究没有显示出挑战性行为显著减少,可能是由于参与问题.
- 适应的育儿干预可以考虑为早期干预,如果支持家庭出席,鉴于其成本效益.
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