应用变化理论方法来评估安全干预循环的证据:系统性审查
Erinn Hawkins1, Brittnee Byron1, Anna Huber2
1School of Applied Psychology, Griffith University.
Psychotherapy (Chicago, Ill.)
|July 21, 2025
概括
安全圈 (COS) 干预措施的有效性各不相同. 像COS-Intensive这样的高剂量协议对亲子关系有希望,而可扩展的COS-Parenting由于剂量,样本和忠实性问题显示出混合结果.
科学领域:
- 儿童心理学 儿童心理学
- 家庭治疗 家庭治疗
- 干预科学 干预科学
背景情况:
- 安全圈 (COS) 的干预旨在加强亲子关系.
- 初步证据支持COS的有效性,但最近的发现是混合的.
- 这种变化可能源于不加区别的COS干预协议.
研究的目的:
- 系统地审查COS干预证据,使用变化理论/程序逻辑方法.
- 探索影响不同COS协议有效性的条件.
- 根据COS干预变体来区分结果.
主要方法:
- 按照PRISMA指南进行系统的文献搜索.
- 包括对0-8岁儿童的经过验证的COS协议的研究.
- 研究的设计编码,协议类型,样本,真实性,剂量,偏差和结果.
主要成果:
- 包括19项研究;其中7项是随机对照试验.
- 较高剂量的COS协议 (COS-密集型,COS-密集型-修订混合型,COS-孕产期) 显示出对父母,关系和儿童措施的有希望的结果,特别是在临床样本中.
- 在COS-Parenting的研究中,有效性不同,可变性与治疗剂量,样本类型和真实性有关.
结论:
- 不同的COS变种可能适合特定的目标人群,正如差异有效性所表明的那样.
- 较高剂量的COS干预措施在一系列结果中似乎更为一致有效.
- 解决COS-Parenting的变化因素可以提高其有效性.
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