技术辅助育儿干预加上治疗师辅导:社区实践环境中的试点随机试验
Jennifer C Wolff1,2,3, Heather A MacPherson4, Leslie A Brick1
1Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI.
Evidence-based practice in child and adolescent mental health
|November 14, 2024
概括
这项研究发现,一项技术辅助的育儿计划 (Parenting Wisely) 与治疗师的指导对破坏性青年来说是可行的和可以接受的. 需要进一步的研究来证实它在改善儿童行为结果方面的有效性.
科学领域:
- 儿童和青少年精神病学
- 行为科学 行为科学
- 临床心理学 临床心理学
背景情况:
- 破坏性行为在年轻人中很常见,特别是在弱势群体中,并且可能导致心理健康状况不佳.
- 育儿干预措施是有效的,但面临的障碍是弱势群体.
- 技术辅助干预可以克服这些障碍中的一些障碍.
研究的目的:
- 评估技术辅助育儿干预措施 (Parenting Wisely, PW) 与治疗师指导的可行性和可接受性.
- 为了比较PW+治疗师辅导与社区心理健康诊所 (CMHC) 的常规治疗 (TAU).
- 收集关于育儿和青少年行为结果的初步数据.
主要方法:
- 试点随机对照试验,共53名护理者-青少年双组和13名临床医生.
- 干预组接受了PW (技术辅助育儿计划) +治疗师指导.
- 对照组接受了通常的治疗 (TAU).
- 在3个月和6个月评估可行性,可接受性,育儿和行为结果.
主要成果:
- 定性和定量数据支持PW+治疗师辅导的可行性和可接受性.
- 观察到高护理人员参与度,治疗师坚持和满意度.
- 在探索性分析中,在两组之间的育儿或青少年行为结果中没有发现显著差异.
- 对于早期青少年来说,PW + 治疗师指导可能是最有益的.
结论:
- 聪明的家长 (PW) 干预与治疗师辅导相结合,是一种可行和可接受的方法,用于解决青年中破坏性行为.
- 虽然初步结果没有显示出显著的差异,但这项干预措施是有前途的,特别是在早期青少年中.
- 需要进一步的研究来检查这种干预措施的有效性,预测因素,调节因素和机制.
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