家长管理培训随机对照试验的多样性:系统性审查
Alan Garcia1, Jorge A Cao-Noya1, Jacky Lopez1
1University of Nevada, Reno.
Behavior therapy
|January 31, 2026
概括
研究人员审查了家长培训计划的随机对照试验. 虽然非洲裔美国人和拉丁裔的包容性有所改善,但亚洲人和土著人口在临床研究中需要得到更好的代表.
科学领域:
- 临床心理学 临床心理学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 1993年NIH复兴法案要求将妇女和少数群体纳入临床研究.
- 在针对儿童破坏性行为的家长培训计划的随机对照试验 (RCT) 中,遵守这一任务仍然不清楚.
- 家长管理培训项目如"令人难以置信的岁月" (The Incredible Years),家长与孩子互动疗法 (Parent-Child Interaction Therapy) 和"应对能力" (Coping Power) 得到广泛使用.
研究的目的:
- 系统地审查儿童破坏性行为的家长管理培训的RCT中少数群体的纳入情况.
- 评估这些试验在多大程度上反映了它们所服务的群体的多样性.
- 确定在这个研究领域中改善少数民族代表性的领域.
主要方法:
- 对已发表的关于家长培训儿童破坏性行为的RCT进行了系统审查.
- 符合纳入标准的研究被分析为其参与者样本的种族和民族组成.
- 研究人员检查了35项已确定研究的数据.
主要成果:
- 白人参与者占总样本的44%,其次是拉丁裔 (18.41%),非裔美国人 (13.16%),"其他" (5.85%) 和亚裔 (2.91%).
- 15.96%的参与者缺乏种族和种族数据.
- 近年来,种族和民族包容性有所改善,非洲裔美国人和拉丁裔代表人数接近人口统计数据.
结论:
- 虽然在包括非裔美国人和拉丁裔在家长培训RCT中取得了进展,但亚洲和土著人口的代表性仍然落后于一般人口统计数据.
- 需要进一步努力,以确保临床研究,特别是在家长培训干预方面,更准确地反映了人口的多样化种族和民族构成.
- 改善少数群体的包容性对于基于证据的育儿干预措施的普遍性和有效性至关重要.
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