将基于证据的育儿实践纳入基于家庭的行为健康:以PCIT为基础的培训准专业人员的方法
Ashley T Scudder1, Jake C Steggerda2, Kathleen Clancy1
1Partnerships in Prevention Science Institute, Department of Human Development and Family Studies, Iowa State University, Ames, IA 50010, USA.
Children (Basel, Switzerland)
|February 27, 2026
概括
家庭行为技能培训 (BSF) 显示出改善早期儿童破坏性行为的前景. 这种由副专业人员提供的家长培训模式,在试点研究中导致了更好的照顾者技能和减少了儿童行为问题.
科学领域:
- 儿童心理学 儿童心理学
- 行为治疗是一种行为疗法.
- 家长培训 培训家长培训
背景情况:
- 破坏性行为问题在幼儿时代普遍存在.
- 获得基于证据的家长培训的机会往往受到劳动力短缺和服务提供障碍的限制.
- 家庭行为技能培训 (BSF) 是由家长儿童互动疗法 (PCIT) 提供的家庭模式.
研究的目的:
- 评估BSF儿童导向交互 (CDI) 模块的可行性.
- 评估与BSF CDI相关的初步护理人员和儿童结果.
- 为未来培训,实施和评估BSF提供信息.
主要方法:
- 用一个非随机的前后设计与照顾者-儿童二合 (2-10岁的儿童).
- 使用观察对照顾者技能编码 (DPICS) 和照顾者报告的儿童行为 (ECBI,WACB-P) 来测量结果.
- 配对样本t测试检查了从基线到最后一次CDI会话的变化.
主要成果:
- 护理人员显示,积极的育儿技能显著增加,负面表达词语减少.
- 儿童在破坏性行为强度和问题得分 (ECBI) 中显著降低.
- 在照顾者报告的儿童积极行为 (WACB-P) 中没有发现显著变化,尽管ECBI结果一致.
结论:
- BSF CDI 是可行的,可以由 paraprofessionals 实施.
- 该模型与服务的最初几个月的护理人员和儿童行为的有意义的改进有关.
- BSF是一种有前途的劳动力嵌入式方法,用于早期儿童的破坏性行为.
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